Reimbursement analyst vs records coordinator

Differences between reimbursement analyst and records coordinator duties and responsibilities

Reimbursement analyst example responsibilities.

• Cultivate relationships with key contacts at insurance companies and manage care organizations, CMS and medical professional societies.
• Contract interpretation and enforcement of the agreement with multiple medical insurance companies through written and oral appeals is accomplished daily.
• Coordinate third party audits, defend preferential reporting practices and maintain current knowledge of Medicare and Medicaid reimbursement regulations.
• Update Meditech charge master with correct pharmacy pricing and HCPCS codes.
• Provide overall follow-up and coordination with Medicare and Medicare HMO plans and process with Medicare and Medicare HMO adjustments.
• Train on and implement eClinicalworks for several physician practices, taking them live from paper to full electronic medical records.
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Records coordinator example responsibilities.

• Manage and maintain appropriate information in the electronic case file as required by federal, state, and HIPAA regulations.
• Manage SharePoint site used for routing management approvals.
• Assist DoD and contract personnel in digitizing intelligence onto secure severs for use by senior DoD agencies.
• Maintain forms inventory in preparation for the EHR.
• Forward records/documents as requested by FDA staff and outside vendors.
• Perform software validation testing and QA testing for new CAPA system implementation.
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