Medical insurance coder vs insurance verification specialist

The differences between medical insurance coders and insurance verification specialists can be seen in a few details. Each job has different responsibilities and duties. Additionally, an insurance verification specialist has an average salary of $33,043, which is higher than the $32,709 average annual salary of a medical insurance coder.

The top three skills for a medical insurance coder include patients, insurance verification and medicaid. The most important skills for an insurance verification specialist are patients, insurance verification, and customer service.

Medical insurance coder vs insurance verification specialist overview

	Medical Insurance Coder	Insurance Verification Specialist
Yearly salary	$32,709	$33,043
Hourly rate	$15.73	$15.89
Growth rate	-3%	6%
Number of jobs	81,028	71,688
Job satisfaction	-	-
Most common degree	Associate Degree, 33%	Associate Degree, 27%
Average age	46	46
Years of experience	2	-

Medical insurance coder vs insurance verification specialist salary

Medical insurance coders and insurance verification specialists have different pay scales, as shown below.

	Medical Insurance Coder	Insurance Verification Specialist
Average salary	$32,709	$33,043
Salary range	Between $27,000 And $38,000	Between $28,000 And $37,000
Highest paying City	-	Madison, WI
Highest paying state	-	New Hampshire
Best paying company	-	St. Luke's Cataract & Laser Institute
Best paying industry	-	Pharmaceutical

Differences between medical insurance coder and insurance verification specialist education

There are a few differences between a medical insurance coder and an insurance verification specialist in terms of educational background:

	Medical Insurance Coder	Insurance Verification Specialist
Most common degree	Associate Degree, 33%	Associate Degree, 27%
Most common major	Health Care Administration	Health Care Administration
Most common college	University of Pennsylvania	University of Pennsylvania

Medical insurance coder vs insurance verification specialist demographics

Here are the differences between medical insurance coders' and insurance verification specialists' demographics:

	Medical Insurance Coder	Insurance Verification Specialist
Average age	46	46
Gender ratio	Male, 10.8% Female, 89.2%	Male, 11.4% Female, 88.6%
Race ratio	Black or African American, 12.1% Unknown, 4.3% Hispanic or Latino, 18.1% Asian, 6.8% White, 57.9% American Indian and Alaska Native, 0.8%	Black or African American, 9.3% Unknown, 3.6% Hispanic or Latino, 16.0% Asian, 4.9% White, 66.1% American Indian and Alaska Native, 0.1%
LGBT Percentage	7%	7%

Differences between medical insurance coder and insurance verification specialist duties and responsibilities

Medical insurance coder example responsibilities.

Assign to PacifiCare of Washington a medical insurance manage care plan (HMO).
Manage chart completion (ICD-9-CM and CPT coding/abstracting), chart assembly and analysis, patient admission and patient information privacy/security.
Maintain and update ICD-9, CPT-4 & HCPCS coding for practice.
Bill major insurance carriers and Medicaid using ICD-9 and CPT codes.
Deliver explanation of insurance coverage and patient responsibilities to patients base on their policy.
Determine diagnosis and E/M level.

Insurance verification specialist example responsibilities.

Check CPT and ICD-10 codes with LCD and policies from multiple insurance companies to make sure procedures will be paid.
Support the patient privacy/confidentiality policies and regulations under HIPAA for patients and their medical records.
Confirm correct charges base on HCPCS codes.
Assist callers as well with questions about their benefits, terms and conditions of medical plans, appeals and grievances.
Provide medical record support in the absence of EMR: assist clinics and hospitals in obtaining medical records in appropriate format.
Document outbound communication from providers and veterans.

Medical insurance coder vs insurance verification specialist skills

Common medical insurance coder skills

Patients, 19%
Insurance Verification, 11%
Medicaid, 6%
Patient Accounts, 5%
Customer Service, 5%
Medical Insurance Claims, 5%

Common insurance verification specialist skills

Patients, 25%
Insurance Verification, 15%
Customer Service, 7%
Insurance Eligibility, 5%
Data Entry, 4%
Medical Terminology, 4%

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Medical Insurance Coder
Medical Insurance Coder vs Insurance Verification Specialist

Updated January 8, 2025

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