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Medical records manager vs reimbursement specialist

The differences between medical records managers 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 manager and a reimbursement specialist. Additionally, a medical records manager has an average salary of $75,232, which is higher than the $38,273 average annual salary of a reimbursement specialist.

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

Medical records manager vs reimbursement specialist overview

Medical Records ManagerReimbursement Specialist
Yearly salary$75,232$38,273
Hourly rate$36.17$18.40
Growth rate11%11%
Number of jobs54,99732,292
Job satisfaction--
Most common degreeBachelor's Degree, 44%Bachelor's Degree, 40%
Average age4545
Years of experience1212

What does a medical records manager do?

The main job of a medical records manager is to secure and maintain electronic and written data within a medical records department. Medical records managers retrieve patient records for medical personnel and physicians. They supervise the department's employees. It is their responsibility to document a patient's health information, which may include symptoms, histories, and exam results. They ensure that the confidentiality of patients will follow the proper record-keeping practices. Also, they manage electronic health records and computer software.

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 manager vs reimbursement specialist salary

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

Medical Records ManagerReimbursement Specialist
Average salary$75,232$38,273
Salary rangeBetween $50,000 And $111,000Between $29,000 And $49,000
Highest paying CityOakland, CALynchburg, VA
Highest paying stateNew JerseyVirginia
Best paying companyAmazonNovartis
Best paying industryTechnologyPharmaceutical

Differences between medical records manager and reimbursement specialist education

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

Medical Records ManagerReimbursement Specialist
Most common degreeBachelor's Degree, 44%Bachelor's Degree, 40%
Most common majorHealth Care AdministrationBusiness
Most common collegeUniversity of PennsylvaniaUniversity of Pennsylvania

Medical records manager vs reimbursement specialist demographics

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

Medical Records ManagerReimbursement Specialist
Average age4545
Gender ratioMale, 21.1% Female, 78.9%Male, 15.2% Female, 84.8%
Race ratioBlack or African American, 8.9% Unknown, 4.2% Hispanic or Latino, 17.4% Asian, 8.1% White, 60.2% 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 manager and reimbursement specialist duties and responsibilities

Medical records manager example responsibilities.

  • Manage 2nd/ 3rd and weekend shift supervisors and staff and develop unit (s) QA activities.
  • Achieve this goal by providing clear policies/justification for initiatives which impact designated FTE's.
  • Prepare documents for FOIA requests.
  • Assign ICD-9 and CPT medical codes.
  • Have knowledge of the latest CPT coding.
  • Ensure compliance with medical/legal requirements, JCAHO standards.
  • 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 manager vs reimbursement specialist skills

Common medical records manager skills
  • Patients, 29%
  • HIPAA, 10%
  • Patient Care, 10%
  • EHR, 4%
  • Hippa, 4%
  • Medical Terminology, 4%
Common reimbursement specialist skills
  • Patients, 20%
  • Customer Service, 9%
  • Appeals, 6%
  • CPT, 5%
  • Medicare, 4%
  • Medicaid, 4%

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