Medicare specialist vs information management specialist

Differences between medicare specialist and information management 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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Information management specialist example responsibilities.

• Manage a database to track all adverse drug reactions according to FDA guidelines.
• Manage the IM application and infrastructure to maximize the use of standard applications and processes.
• Write and modify Perl scripts to automate and streamline daily routines for the Tivoli environment.
• Manage the current MPI program and patient portal, with direct supervision of data integrity processes and outcomes.
• Achieve this goal by providing clear policies/justification for initiatives which impact designated FTE's.
• Test configuration of DNS and DHCP functionality, configure VPN connections with IPSEC and PKI authentication methods.
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