Certified coding specialist vs reimbursement specialist

The differences between certified coding specialists and reimbursement specialists can be seen in a few details. Each job has different responsibilities and duties. It typically takes 6-12 months to become both a certified coding specialist and a reimbursement specialist. Additionally, a certified coding specialist has an average salary of $51,818, which is higher than the $38,273 average annual salary of a reimbursement specialist.

The top three skills for a certified coding specialist include medical terminology, ICD-10-CM and CPC. The most important skills for a reimbursement specialist are patients, customer service, and appeals.

Certified coding specialist vs reimbursement specialist overview

	Certified Coding Specialist	Reimbursement Specialist
Yearly salary	$51,818	$38,273
Hourly rate	$24.91	$18.40
Growth rate	11%	11%
Number of jobs	62,432	32,292
Job satisfaction	-	-
Most common degree	Associate Degree, 34%	Bachelor's Degree, 40%
Average age	45	45
Years of experience	12	12

Certified coding specialist vs reimbursement specialist salary

Certified coding specialists and reimbursement specialists have different pay scales, as shown below.

	Certified Coding Specialist	Reimbursement Specialist
Average salary	$51,818	$38,273
Salary range	Between $37,000 And $71,000	Between $29,000 And $49,000
Highest paying City	-	Lynchburg, VA
Highest paying state	-	Virginia
Best paying company	-	Novartis
Best paying industry	-	Pharmaceutical

Differences between certified coding specialist and reimbursement specialist education

There are a few differences between a certified coding specialist and a reimbursement specialist in terms of educational background:

	Certified Coding Specialist	Reimbursement Specialist
Most common degree	Associate Degree, 34%	Bachelor's Degree, 40%
Most common major	Health Care Administration	Business
Most common college	Georgetown University	University of Pennsylvania

Certified coding specialist vs reimbursement specialist demographics

Here are the differences between certified coding specialists' and reimbursement specialists' demographics:

	Certified Coding Specialist	Reimbursement Specialist
Average age	45	45
Gender ratio	Male, 8.6% Female, 91.4%	Male, 15.2% Female, 84.8%
Race ratio	Black or African American, 8.2% Unknown, 4.2% Hispanic or Latino, 16.4% Asian, 9.1% White, 60.9% American Indian and Alaska Native, 1.3%	Black or African American, 9.8% Unknown, 4.2% Hispanic or Latino, 16.9% Asian, 8.1% White, 59.8% American Indian and Alaska Native, 1.3%
LGBT Percentage	9%	9%

Differences between certified coding specialist and reimbursement specialist duties and responsibilities

Certified coding specialist example responsibilities.

Manage the outsourced transcription company.
Comply with HIPAA privacy laws.
File appeals and reviews for deny claims.
Conduct prospective E/M audits for clinic and hospital services.
Access hospital records, post E/M charges, electronically.
Post EOB's in system and file under corresponding insurances.

Reimbursement specialist example responsibilities.

Manage the EDI clearinghouse rejections.
Process department payroll, order supplies, and manage petty-cash funds.
Manage use of various systems, such as MEDITECH, Cerner, WebNow, and yield-base follow-up tool.
Manage cases by aggressively directing the litigation process.
Negotiate fee structure for manage care contracts on acute and rehabilitation facilities.
Research medical coding ICD-9, ICD-10, HCPCS and CPT-4 to let client know the outcome of medical claim.

Certified coding specialist vs reimbursement specialist skills

Common certified coding specialist skills

Medical Terminology, 13%
ICD-10-CM, 10%
CPC, 9%
CPT-4, 6%
AHIMA, 6%
DRG, 5%

Common reimbursement specialist skills

Patients, 20%
Customer Service, 9%
Appeals, 6%
CPT, 5%
Medicare, 4%
Medicaid, 4%

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Certified Coding Specialist
Certified Coding Specialist vs Reimbursement Specialist

Updated January 8, 2025

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