Record filing clerk vs medical coder

Differences between record filing clerk and medical coder duties and responsibilities

Record filing clerk example responsibilities.

• Manage front office check-in, insurance verification and certifications from doctors.
• Prepare and pull files for subpoenas.
• Research daily schedules for upcoming surgeries and retrieve MRI and relevant exams for the procedures.
• Maintain and secure records due to companies' establish procedures and polices, while maintaining HIPPA.
• Used electronic scanner to convert hard copy film into digital format to upload into PACS application.
• Activate a contingency plan or downtime procedures for image and report distribution in the event PACS is not available.
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Medical coder example responsibilities.

• Manage all EDI relate communication with trading partners and assist to produce all operational documents for all end users.
• Manage all aspects of AR including writing letters for medical necessity, claim denials, bundling issues and charge capture.
• Manage health records while applying ICD-10 coding to update and process insurance claims for time and accuracy to various insurance companies.
• Manage the outsourced transcription company.
• Create documentation education classes to general surgery residents, increasing the leveling of reporting which lead to increase revenues.
• Adhere to regulations with CPT-4, ICD-9-CM and HCPCS coding with medical terminology and effort meet all audit requirements.
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