Medicare specialist vs records specialist

Differences between medicare specialist and records 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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Records specialist example responsibilities.

• Develop numerous SQL scripts/queries for monitoring and managing the system.
• Manage thousands of cases for several firms with deadlines for depositions while ensuring accuracy, confidentiality, and HIPAA compliance.
• Train and mentore employees in EDMS.
• Process project records for retention in EDMS.
• Represent DOJ at an ODNI language training conference.
• Liaise with GIS group to resolve mapping issues.
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