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Code clerk vs claims clerk

The differences between code clerks and claims clerks can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 1-2 years to become a code clerk, becoming a claims clerk takes usually requires 2-4 years. Additionally, a code clerk has an average salary of $34,847, which is higher than the $32,815 average annual salary of a claims clerk.

The top three skills for a code clerk include patients, data entry and CPT. The most important skills for a claims clerk are data entry, customer service, and clerical support.

Code clerk vs claims clerk overview

Code ClerkClaims Clerk
Yearly salary$34,847$32,815
Hourly rate$16.75$15.78
Growth rate-5%-3%
Number of jobs69,44678,588
Job satisfaction--
Most common degreeAssociate Degree, 31%Bachelor's Degree, 31%
Average age4744
Years of experience24

Code clerk vs claims clerk salary

Code clerks and claims clerks have different pay scales, as shown below.

Code ClerkClaims Clerk
Average salary$34,847$32,815
Salary rangeBetween $28,000 And $42,000Between $27,000 And $39,000
Highest paying City--
Highest paying state--
Best paying company--
Best paying industry--

Differences between code clerk and claims clerk education

There are a few differences between a code clerk and a claims clerk in terms of educational background:

Code ClerkClaims Clerk
Most common degreeAssociate Degree, 31%Bachelor's Degree, 31%
Most common majorBusinessBusiness
Most common collegeStanford University-

Code clerk vs claims clerk demographics

Here are the differences between code clerks' and claims clerks' demographics:

Code ClerkClaims Clerk
Average age4744
Gender ratioMale, 13.3% Female, 86.7%Male, 17.5% Female, 82.5%
Race ratioBlack or African American, 12.2% Unknown, 4.7% Hispanic or Latino, 17.9% Asian, 7.6% White, 56.5% American Indian and Alaska Native, 1.1%Black or African American, 13.8% Unknown, 4.3% Hispanic or Latino, 14.4% Asian, 3.9% White, 63.2% American Indian and Alaska Native, 0.5%
LGBT Percentage6%11%

Differences between code clerk and claims clerk duties and responsibilities

Code clerk example responsibilities.

  • Accept and process healthcare claims and confidential medical records; verify patient eligibility and manage the Medicare and Medicaid billing process.
  • Attend HIPAA and Medicare meetings.
  • Specialize in submission of Medicaid and Medicare claims to insurance.
  • File Medicare and Medicaid as well as some private insurance.
  • Review each record request to ensure HIPPA compliance guidelines are followed.
  • Code both CPT (HCPCS) and ICD-9 medical codes for patient encounters.
  • Show more

Claims clerk example responsibilities.

  • Manage adding and removing vendors through claims automate system to ensure they are in compliance with IRS regulations.
  • File commercial, worker's comp, Medicare, and Medicaid claims to insurance carriers and employers.
  • Open and sort mail by claim types (HCPA UB 92 and T18).
  • Process medical HMO claims, POS claims, PPO claims and fee for service claims.
  • Review, scan, and file HCFA forms
  • Audit paper claims for accuracy in CPT and ICD9 codes.
  • Show more

Code clerk vs claims clerk skills

Common code clerk skills
  • Patients, 24%
  • Data Entry, 18%
  • CPT, 8%
  • EMR, 4%
  • Medicaid, 4%
  • Computer System, 4%
Common claims clerk skills
  • Data Entry, 26%
  • Customer Service, 9%
  • Clerical Support, 7%
  • Computer System, 5%
  • Medical Claims, 4%
  • Process Claims, 4%

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