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Billing coder vs billing consultant

The differences between billing coders and billing consultants can be seen in a few details. Each job has different responsibilities and duties. It typically takes 1-2 years to become both a billing coder and a billing consultant. Additionally, a billing consultant has an average salary of $94,948, which is higher than the $37,554 average annual salary of a billing coder.

The top three skills for a billing coder include patients, ICD-10 and data entry. The most important skills for a billing consultant are patients, medicaid, and billing procedures.

Billing coder vs billing consultant overview

Billing CoderBilling Consultant
Yearly salary$37,554$94,948
Hourly rate$18.05$45.65
Growth rate-3%-3%
Number of jobs55,37625,943
Job satisfaction--
Most common degreeAssociate Degree, 32%Bachelor's Degree, 47%
Average age4646
Years of experience22

Billing coder vs billing consultant salary

Billing coders and billing consultants have different pay scales, as shown below.

Billing CoderBilling Consultant
Average salary$37,554$94,948
Salary rangeBetween $30,000 And $45,000Between $75,000 And $119,000
Highest paying City-Washington, DC
Highest paying state-Maryland
Best paying company-Slalom
Best paying industry-Finance

Differences between billing coder and billing consultant education

There are a few differences between a billing coder and a billing consultant in terms of educational background:

Billing CoderBilling Consultant
Most common degreeAssociate Degree, 32%Bachelor's Degree, 47%
Most common majorHealth Care AdministrationBusiness
Most common collegeStanford UniversityStanford University

Billing coder vs billing consultant demographics

Here are the differences between billing coders' and billing consultants' demographics:

Billing CoderBilling Consultant
Average age4646
Gender ratioMale, 8.8% Female, 91.2%Male, 24.9% Female, 75.1%
Race ratioBlack or African American, 11.1% Unknown, 4.3% Hispanic or Latino, 20.9% Asian, 6.8% White, 56.1% American Indian and Alaska Native, 0.8%Black or African American, 12.0% Unknown, 4.4% Hispanic or Latino, 18.4% Asian, 7.7% White, 56.7% American Indian and Alaska Native, 0.9%
LGBT Percentage7%7%

Differences between billing coder and billing consultant duties and responsibilities

Billing coder example responsibilities.

  • Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
  • Review documentation to assign or confirm E/M, CPT, HCPCS, modifiers and ICD-9 codes.
  • Process insurance claims to various carriers like Medicare, Medicaid, commercial, and private insurances.
  • Verify patient insurance and/or Medicaid eligibility status and produce 'no insurance' letters for non establish patients.
  • Use EMR to submit claims.
  • Correct coding of CPT, HCPCS and ICD-9 codes necessary to ensure appropriate reimbursement.
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Billing consultant example responsibilities.

  • Manage software programs for MSP accounts, monthly billing and EMC file transfers to Medicare.
  • Register incoming patients, verify demographics as well as insurance verification.
  • Research and determine the viability of collections on all Medicaid accounts receivables.
  • Audit EMR system and correct ICD-9 coding errors.
  • Review EOB's, and apply payments to the patient's accounts, making applicable adjustments.
  • Contact insurance carrier directly, review eob's, reviewing medical records, denials, write appeals.
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Billing coder vs billing consultant skills

Common billing coder skills
  • Patients, 18%
  • ICD-10, 9%
  • Data Entry, 7%
  • Medical Terminology, 5%
  • Home Health, 5%
  • HCPCS, 5%
Common billing consultant skills
  • Patients, 13%
  • Medicaid, 10%
  • Billing Procedures, 8%
  • Medical Claims, 5%
  • Patient Accounts, 4%
  • Medical Billing Software, 3%

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