Reimbursement analyst vs medical biller coder

The differences between reimbursement analysts and medical biller coders can be seen in a few details. Each job has different responsibilities and duties. It typically takes 6-12 months to become both a reimbursement analyst and a medical biller coder. Additionally, a reimbursement analyst has an average salary of $65,489, which is higher than the $38,756 average annual salary of a medical biller coder.

The top three skills for a reimbursement analyst include patients, medicare and medicaid. The most important skills for a medical biller coder are patients, medical billing, and ICD-10.

Reimbursement analyst vs medical biller coder overview

	Reimbursement Analyst	Medical Biller Coder
Yearly salary	$65,489	$38,756
Hourly rate	$31.49	$18.63
Growth rate	11%	11%
Number of jobs	10,216	54,861
Job satisfaction	-	5
Most common degree	Bachelor's Degree, 62%	Associate Degree, 30%
Average age	45	45
Years of experience	12	12

What does a reimbursement analyst do?

A reimbursement analyst is responsible for determining patients' billing statements and approving reimbursement claims. Reimbursement analysts review reimbursement requests, respond to patients' inquiries and concerns, and resolve billing discrepancies. They also validate patients' information and medical documents to support claims and process reimbursement efficiently. A reimbursement analyst must have excellent analytical and communication skills, as well as have extensive knowledge of the reimbursement policies and procedures to release payments and manage the patients' eligibility for reimbursement.

What does a medical biller coder do?

A medical biller coder is responsible for handling the billing processes and insurance within a hospital, clinic, or similar facility. They must gather patient information and records to analyze and translate them into codes according to the insurance and medical guidelines. Moreover, it is crucial to verify all patient forms and ensure their accuracy as it will serve as a basis on essential documents and medical record-keeping. There may also be instances where a medical biller coder must devise payment plans for patients, communicate with families and guardians, and coordinate with physicians.

Reimbursement analyst vs medical biller coder salary

Reimbursement analysts and medical biller coders have different pay scales, as shown below.

	Reimbursement Analyst	Medical Biller Coder
Average salary	$65,489	$38,756
Salary range	Between $48,000 And $87,000	Between $30,000 And $49,000
Highest paying City	Quincy, MA	San Francisco, CA
Highest paying state	Massachusetts	California
Best paying company	Tufts Health Plan	University of California, Berkeley
Best paying industry	Pharmaceutical	Professional

Differences between reimbursement analyst and medical biller coder education

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

	Reimbursement Analyst	Medical Biller Coder
Most common degree	Bachelor's Degree, 62%	Associate Degree, 30%
Most common major	Business	Health Care Administration
Most common college	University of Pennsylvania	University of Pennsylvania

Reimbursement analyst vs medical biller coder demographics

Here are the differences between reimbursement analysts' and medical biller coders' demographics:

	Reimbursement Analyst	Medical Biller Coder
Average age	45	45
Gender ratio	Male, 27.4% Female, 72.6%	Male, 10.0% Female, 90.0%
Race ratio	Black or African American, 9.9% Unknown, 4.2% Hispanic or Latino, 16.4% Asian, 8.4% White, 59.9% American Indian and Alaska Native, 1.2%	Black or African American, 9.3% Unknown, 4.2% Hispanic or Latino, 17.8% Asian, 8.0% White, 59.5% American Indian and Alaska Native, 1.3%
LGBT Percentage	9%	9%

Differences between reimbursement analyst and medical biller coder duties and responsibilities

Reimbursement analyst example responsibilities.

Cultivate relationships with key contacts at insurance companies and manage care organizations, CMS and medical professional societies.
Contract interpretation and enforcement of the agreement with multiple medical insurance companies through written and oral appeals is accomplished daily.
Coordinate third party audits, defend preferential reporting practices and maintain current knowledge of Medicare and Medicaid reimbursement regulations.
Update Meditech charge master with correct pharmacy pricing and HCPCS codes.
Provide overall follow-up and coordination with Medicare and Medicare HMO plans and process with Medicare and Medicare HMO adjustments.
Train on and implement eClinicalworks for several physician practices, taking them live from paper to full electronic medical records.

Medical biller coder example responsibilities.

Manage chart completion (ICD-9-CM and CPT coding), chart assembly and analysis and patient information privacy/security.
Use EMR software to manage patient records and files reinforce and uphold patient confidentiality as required by HIPAA and clinic.
Manage chart completion (ICD-9-CM and CPT coding/abstracting), chart assembly and analysis, patient admission and patient information privacy/security.
Bill insurance claims using HCFA 1500 and UB-92 form.
Review coding, verify the diagnosis codes (ICD-9) and procedure codes (CPT) are congruent and clinically appropriate.
Have experience in all commercial insurances and government insurances including Medicare and Medicaid.

Reimbursement analyst vs medical biller coder skills

Common reimbursement analyst skills

Patients, 11%
Medicare, 7%
Medicaid, 7%
Home Health, 5%
Appeals, 5%
Revenue Cycle, 4%

Common medical biller coder skills

Patients, 17%
Medical Billing, 5%
ICD-10, 5%
Customer Service, 5%
CPT-4, 4%
HCPCS, 4%

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Reimbursement Analyst vs Medical Biller Coder

Updated January 8, 2025

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