Medicare specialist vs medical records technician

Differences between medicare specialist and medical records technician 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 records technician example responsibilities.

• Enter all patient in-take into EMR, manage triage, scheduling, and maintain a sterile clinic setting.
• Manage medical treatment authorizations and durable medical equipment (DME) requests and verify medical eligibility for all patients requesting treatment.
• Perform examinations in the ER, main radiology area and surgery.
• Order medical records for patients, medical staff, outside entities, and court subpoenas for certain dates of services.
• Audited/Validate daily outpatient medical coding accounts involving emergency rooms, surgery, interventional radiology, radiology, and ancillary services.
• Staff education on EMR and industry regulations.
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