Appeals officer vs appeals examiner

The differences between appeals officers and appeals examiners can be seen in a few details. Each job has different responsibilities and duties. It typically takes 2-4 years to become both an appeals officer and an appeals examiner. Additionally, an appeals examiner has an average salary of $58,096, which is higher than the $55,345 average annual salary of an appeals officer.

The top three skills for an appeals officer include mediation, appeals and litigation. The most important skills for an appeals examiner are appeals, CPT, and medical terminology.

Appeals officer vs appeals examiner overview

	Appeals Officer	Appeals Examiner
Yearly salary	$55,345	$58,096
Hourly rate	$26.61	$27.93
Growth rate	-1%	-1%
Number of jobs	55,614	2,094
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 54%	Bachelor's Degree, 41%
Average age	46	46
Years of experience	4	4

Appeals officer vs appeals examiner salary

Appeals officers and appeals examiners have different pay scales, as shown below.

	Appeals Officer	Appeals Examiner
Average salary	$55,345	$58,096
Salary range	Between $31,000 And $98,000	Between $39,000 And $84,000
Highest paying City	-	-
Highest paying state	-	-
Best paying company	-	-
Best paying industry	-	-

Differences between appeals officer and appeals examiner education

There are a few differences between an appeals officer and an appeals examiner in terms of educational background:

	Appeals Officer	Appeals Examiner
Most common degree	Bachelor's Degree, 54%	Bachelor's Degree, 41%
Most common major	Law	Law
Most common college	University of Pennsylvania	Stanford University

Appeals officer vs appeals examiner demographics

Here are the differences between appeals officers' and appeals examiners' demographics:

	Appeals Officer	Appeals Examiner
Average age	46	46
Gender ratio	Male, 35.7% Female, 64.3%	Male, 40.0% Female, 60.0%
Race ratio	Black or African American, 5.7% Unknown, 4.4% Hispanic or Latino, 7.9% Asian, 6.5% White, 75.2% American Indian and Alaska Native, 0.3%	Black or African American, 4.1% Unknown, 4.2% Hispanic or Latino, 6.2% Asian, 5.0% White, 80.2% American Indian and Alaska Native, 0.3%
LGBT Percentage	10%	10%

Differences between appeals officer and appeals examiner duties and responsibilities

Appeals officer example responsibilities.

Process Medicare appealsutilize and interpret CPT and ICD-9 codesComputer skills
Work as a sub-contractor to CMS.
Resolve tax impasses through negotiation and mediation.
Explain how LIS and Medicaid works with the insurance company.
Evaluate the hazards of litigation to settle complex penalty assessment cases.
Assist taxpayers and the government to resolve tax disputes and avoid litigation.

Appeals examiner example responsibilities.

Remain compliant with CMS by complying with TMS regulations and helping achieve ISO certification.
Exemplify superior and quality customer service; assist providers with appeals via phone, mail, or peer to peer.
Receive documentary and testimonial evidence and apply pertinent federal and state law to prepare recommend orders deciding appeals.
Blood collection by venipuncture and capillary technique ensure all specimens are collect accurately, on time and according to establish procedures.
Reconsider determination for disputes between Medicare and Medicaid beneficiaries.

Appeals officer vs appeals examiner skills

Common appeals officer skills

Mediation, 24%
Appeals, 20%
Litigation, 20%
Legal Research, 17%
IRS, 11%
Court Decisions, 5%

Common appeals examiner skills

Appeals, 37%
CPT, 19%
Medical Terminology, 19%
Legal Research, 11%
Unemployment Insurance, 8%
CMS, 6%

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Appeals Officer
Appeals Officer vs Appeals Examiner

Updated January 8, 2025

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