Medicare billing specialist vs medical billing and coding externship

Differences between medicare billing specialist and medical billing and coding externship duties and responsibilities

Medicare billing specialist example responsibilities.

• Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
• Resolve billing issues, ensure accuracy re: CPT, HCPCS, ICD-9 codes as applicable.
• Expand knowledge with insurance EOB & Tennessee Medicare (handle denials and some occurring problems )
• Call Medicare to re-open claims due to date, CPT, units, or other changes.
• Used CPT-4 coders/Modifiers, ICD-9 codes, HCPCS codes when applicable for the resolution of claim payments.
• Comply with all HIPPA laws.
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Medical billing and coding externship example responsibilities.

• Manage chart completion (ICD-9-CM and CPT coding/abstracting), chart assembly and analysis, patient admission and patient information privacy/security.
• Verify correct ICD-10 and CPT codes for a variety of specialties.
• Review physicians' appointment notes to determine appropriate ICD-9 and HCPCS code for the medical service render.
• Identify and code the principal diagnosis and procedures using ICD-9-CM and CPT-4 codes to each patient's medical records
• Perform billing and collection procedures, utilize CPT-4 and ICD-9 coding, insurance claim preparation, processing and follow-ups.
• Resolve and research of insurance denials, rejections, providing correction of claims, involving CPT and HCPCS codes.
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