Medical records clerk vs medical biller coder

Differences between medical records clerk and medical biller coder duties and responsibilities

Medical records clerk example responsibilities.

• Manage transition from in-house transcription system to outsource transcription service.
• Manage front office check-in, insurance verification and certifications from doctors.
• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Perform infant labs and update the system with results, triage incoming patients, perform necessary resuscitation to baby and mom.
• Provide information to medical facilities and patients when necessary and respond to subpoenas and other general release of patient information.
• Experience in CPT and ICD-10 coding.
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Medical biller coder example responsibilities.

• Manage chart completion (ICD-9-CM and CPT coding), chart assembly and analysis and patient information privacy/security.
• Use EMR software to manage patient records and files reinforce and uphold patient confidentiality as required by HIPAA and clinic.
• Manage chart completion (ICD-9-CM and CPT coding/abstracting), chart assembly and analysis, patient admission and patient information privacy/security.
• Bill insurance claims using HCFA 1500 and UB-92 form.
• Review coding, verify the diagnosis codes (ICD-9) and procedure codes (CPT) are congruent and clinically appropriate.
• Have experience in all commercial insurances and government insurances including Medicare and Medicaid.
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