Medical records director vs reimbursement specialist

Differences between medical records director and reimbursement specialist duties and responsibilities

Medical records director example responsibilities.

• Achieve this goal by providing clear policies/justification for initiatives which impact designated FTE's.
• Educate physicians and entire hospital staff on ICD-10.
• Prepare all insurance claims including CPT and ICD coding.
• Review all records to assure ICD-9-CM coding is completed.
• Maintain and monitor ICD-9-CM coding data accuracy submit to UIS.
• Transmit MDS's to the state website as required per protocol.
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Reimbursement specialist example responsibilities.

• Manage the EDI clearinghouse rejections.
• Process department payroll, order supplies, and manage petty-cash funds.
• Manage use of various systems, such as MEDITECH, Cerner, WebNow, and yield-base follow-up tool.
• Manage cases by aggressively directing the litigation process.
• Negotiate fee structure for manage care contracts on acute and rehabilitation facilities.
• Research medical coding ICD-9, ICD-10, HCPCS and CPT-4 to let client know the outcome of medical claim.
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