Medicare specialist vs health information specialist

Differences between medicare specialist and health information specialist duties and responsibilities

Medicare specialist example responsibilities.

• Manage cases by aggressively directing the litigation process.
• Submit correct claims when appropriate, assigning ICD-9-CM, CPT, HCPCS, and / or service codes when necessary.
• Maintain HIPPA compliance with all communications.
• Obtain accurate ICD-9 codes and process completed CMN's.
• Include knowledge of ICD-9 codes and state fee schedules/usual and customary.
• Code claims using the CPT and ICD-9-CM coding systems appropriate at the time.
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Health information specialist example responsibilities.

• Manage chart completion (ICD-9-CM and CPT coding/abstracting), chart assembly and analysis, patient admission and patient information privacy/security.
• Review and audit medical records for correct DRG and APC assignment.
• Certify requests for subpoenas, court orders, legal cases and training of employees.
• Utilize Cerner and Centricity systems to assist in ancillary services.
• Abstract medical records with ICD9-CM, CPT and DRG coding.
• Scan documentation via DCS into HPF to be index under ROI.
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