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Medical records analyst vs reimbursement specialist

The differences between medical records analysts 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 medical records analyst and a reimbursement specialist. Additionally, a medical records analyst has an average salary of $73,609, which is higher than the $38,273 average annual salary of a reimbursement specialist.

The top three skills for a medical records analyst include patients, patient care and medical terminology. The most important skills for a reimbursement specialist are patients, customer service, and appeals.

Medical records analyst vs reimbursement specialist overview

Medical Records AnalystReimbursement Specialist
Yearly salary$73,609$38,273
Hourly rate$35.39$18.40
Growth rate11%11%
Number of jobs61,14532,292
Job satisfaction--
Most common degreeBachelor's Degree, 45%Bachelor's Degree, 40%
Average age4545
Years of experience1212

What does a medical records analyst do?

A medical records analyst oversees healthcare records and data within an organization. Their job duties include creating reports and using records to determine how to better streamline processes. They also need to compile, calculate, audit, verify and organize information. They review the records to ensure they are accurate, interpret billing and payment information, and generate reports to be used by the management for review. The main qualification for this position is a degree in health information management.

What does a reimbursement specialist do?

A reimbursement specialist is responsible for analyzing insurance documents, processing reimbursement claims, and releasing accurate billing statements for insurance claims. Reimbursement specialists must have excellent analytical skills, especially on performing clerical tasks to evaluate insurance cases, investigate cases, and update the account information of the clients on the database. They should also have impeccable communication skills and understanding of the insurance processes to be able to coordinate with the clients, explaining the procedures of their claims accurately, and coordinate with the insurance management to improve the claims processes.

Medical records analyst vs reimbursement specialist salary

Medical records analysts and reimbursement specialists have different pay scales, as shown below.

Medical Records AnalystReimbursement Specialist
Average salary$73,609$38,273
Salary rangeBetween $53,000 And $101,000Between $29,000 And $49,000
Highest paying CityManchester, CTLynchburg, VA
Highest paying stateConnecticutVirginia
Best paying companyMayo ClinicNovartis
Best paying industryFinancePharmaceutical

Differences between medical records analyst and reimbursement specialist education

There are a few differences between a medical records analyst and a reimbursement specialist in terms of educational background:

Medical Records AnalystReimbursement Specialist
Most common degreeBachelor's Degree, 45%Bachelor's Degree, 40%
Most common majorBusinessBusiness
Most common collegeUniversity of PennsylvaniaUniversity of Pennsylvania

Medical records analyst vs reimbursement specialist demographics

Here are the differences between medical records analysts' and reimbursement specialists' demographics:

Medical Records AnalystReimbursement Specialist
Average age4545
Gender ratioMale, 19.8% Female, 80.2%Male, 15.2% Female, 84.8%
Race ratioBlack or African American, 10.4% Unknown, 4.2% Hispanic or Latino, 16.7% Asian, 8.8% White, 58.6% 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 Percentage9%9%

Differences between medical records analyst and reimbursement specialist duties and responsibilities

Medical records analyst example responsibilities.

  • Implement policies and procedures to achieve optimum DRG reimbursement.
  • Manage and transfer health records as requested following HIPAA regulations and internal procedures.
  • Attend state and local AHIMA, Medicare, CPT-4 and ICD-9 meetings/seminars.
  • Support user on ICU units.
  • Write appeals for claim denials.
  • Head up the ICD-10-CM preparation project.
  • Show more

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.
  • Show more

Medical records analyst vs reimbursement specialist skills

Common medical records analyst skills
  • Patients, 24%
  • Patient Care, 8%
  • Medical Terminology, 8%
  • Data Entry, 7%
  • HIPAA, 5%
  • CPT, 4%
Common reimbursement specialist skills
  • Patients, 20%
  • Customer Service, 9%
  • Appeals, 6%
  • CPT, 5%
  • Medicare, 4%
  • Medicaid, 4%

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