Medicare specialist vs medical biller coder

Differences between medicare specialist and medical biller coder 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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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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