Verifier vs data entry/data coordinator

Differences between verifier and data entry/data coordinator duties and responsibilities

Verifier example responsibilities.

• Obtain authorizations for specialty tests and surgerys all on EMR.
• Batch claims to be place into the OCR system in specific categories.
• Assist in CHDP billing, collect co-payments and balance out patients accounts.
• Used the AnyDoc OCR software, where priority are given to detail and accuracy.
• Verify insurance benefits for future procedures, create accounts and calculate estimates per CPT code/ allowable.
• Maintain up-to-date knowledge of HIPAA regulations as well as worker s compensation and state auto insurance requirements.
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Data entry/data coordinator example responsibilities.

• Review medical clinical data and match it against specify medical terms, ICD-9 and CPT codes.
• Identify appropriateness of ICD-9 diagnostic and CPT procedural coding from charge documents receive from the clinical departments.
• Supervise a staff of 12 data entry clerks that process all nursing home billing claims for Medicaid on a monthly basis.
• Execute all data entry into AS400 system.
• Process EDI as well as web store orders.
• Compile payroll data, enter data, compute and post wages.
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