Performs duties of mid to intermediate complexity. Applies CPT and ICD codes to ensure appropriate revenue generation and compliance with billing guidelines.
Essential Functions
Performs ICD and CPT coding of provider (professional) services and verifies that all requisite charge information is entered.
Appends all modifiers.
Ranks CPT codes when multiple codes apply.
Assigns Evaluation and Management (E/M) codes.
Performs reconciliation process to ensure all charges are captured.
Processes automated or manually enters charges into applicable billing system.
Researches, answers, and processes all edits associated with claim and coding submission.
Adheres to department guidelines for timeliness of processing charges and communicates with team members and practice management on an ongoing basis to ensure these guidelines are met.
Communicates with providers related to coding issues that are of mid to intermediate complexity. Including face to face interaction and education with providers.
Applies modifiers and appropriate ranking to encounters with multiple codes.
Physical Requirements
Works in a fast-paced office/hospital environment. Work consistently requires sitting and some walking, standing, stretching, and bending.
Education, Experience and Certifications
High School Diploma or GED required. Minimum of 1 year of coding experience required. CPC or equivalent coding credential required. Maintain coding certification (CPC, CCS, RHIT, RHIA). Working knowledge of coding, medical terminology, anatomy, and physiology. Knowledge of and the ability to apply payer specific rules regarding coding, bundling, and adding appropriate modifiers Understanding of and familiarity with regulatory guidelines including NCDs and LCDs.
About Us
Atrium Health is one of the nation's leading healthcare organizations, connecting patients with on-demand care, world-class specialists and the region's largest primary care network. A recognized leader in healthcare delivery, quality and innovation, our foundation rests on providing clinically excellent and compassionate care.
We've been serving our community since 1940, when we opened our doors as Charlotte Memorial Hospital. Since then, our network has grown to include more than 40 hospitals and 900 care locations ranging from doctors' offices to behavioral health centers to nursing homes.
Our focus: Delivering the highest quality patient care, supporting medical research and education, and joining with partners outside our walls to keep our community healthy.
About the Team
Our Mission Statement, Vision and Values
Our Mission: To improve health, elevate hope and advance healing - for all.
Our Vision: To be the first and best choice for care.
Our Values: We recognize that employees are our most valuable asset. We have identified four core values we hold in the highest regard: caring, commitment, integrity and teamwork.
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How to hire a reimbursement specialist
Reimbursement specialist hiring summary. Here are some key points about hiring reimbursement specialists in the United States:
- There are currently 8,475 reimbursement specialists in the US, as well as 32,292 job openings.
- Reimbursement specialists are in the highest demand in Palo Alto, CA, with 8 current job openings.
- The median cost to hire a reimbursement specialist is $1,633.
- It takes between 36 and 42 days to fill the average role in the US.
- Human Resources use 15% of their expenses on recruitment on average.
- On average, it takes around 12 weeks for a new reimbursement specialist to become settled and show total productivity levels at work.
How to hire a reimbursement specialist, step by step
To hire a reimbursement specialist, you should create an ideal candidate profile, determine a budget, and post and promote your job. Here's a step-by-step guide on how to hire a reimbursement specialist:
Here's a step-by-step reimbursement specialist hiring guide:
- Step 1: Identify your hiring needs
- Step 2: Create an ideal candidate profile
- Step 3: Make a budget
- Step 4: Write a reimbursement specialist job description
- Step 5: Post your job
- Step 6: Interview candidates
- Step 7: Send a job offer and onboard your new reimbursement specialist
- Step 8: Go through the hiring process checklist
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.
Post a reimbursement specialist job for free, promote it for a fee
Identify your hiring needs
The reimbursement specialist hiring process starts by determining what type of worker you actually need. Certain roles might require a full-time employee, whereas part-time workers or contractors can do others.
Determine employee vs contractor statusIs the person you're thinking of hiring a US citizen or green card holder?Hiring the perfect reimbursement specialist also involves considering the ideal background you'd like them to have. Depending on what industry or field they have experience in, they'll bring different skills to the job. It's also important to consider what levels of seniority and education the job requires and what kind of salary such a candidate would likely demand.
The following list breaks down different types of reimbursement specialists and their corresponding salaries.
Type of Reimbursement Specialist Description Hourly rate Reimbursement Specialist Medical records and health information technicians, commonly referred to as health information technicians, organize and manage health information data. They ensure its quality, accuracy, accessibility, and security in both paper and electronic systems... Show more $13-23 Biller Billers are medical professionals who are responsible for translating health care services into medical claims to be submitted to insurance companies. These billers are required to obtain patient medical records and interpret them to determine the billable units and services... Show more $13-23 Records Coordinator A records coordinator takes responsibility for doing administrative and clerical work. Records coordinators maintain the filing system of the central records... Show more $14-25 Create an ideal candidate profile
Common skills:- Patients
- Customer Service
- Appeals
- CPT
- Medicare
- Medicaid
- Medical Terminology
- HCPCS
- Patient Accounts
- HIPAA
- Home Health
- Medical Billing
- Data Entry
- EOB
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.
Make a budget
Including a salary range in your reimbursement specialist job description is a great way to entice the best and brightest candidates. A reimbursement specialist salary can vary based on several factors:- Location. For example, reimbursement specialists' average salary in new hampshire is 28% less than in virginia.
- Seniority. Entry-level reimbursement specialists earn 41% less than senior-level reimbursement specialists.
- Certifications. A reimbursement specialist with a few certifications under their belt will likely demand a higher salary.
- Company. Working for a prestigious company or an exciting start-up can make a huge difference in a reimbursement specialist's salary.
Average reimbursement specialist salary
$38,273yearly
$18.40 hourly rateEntry-level reimbursement specialist salary$29,000 yearly salaryUpdated December 15, 2025Average reimbursement specialist salary by state
Rank State Avg. salary Hourly rate 1 Virginia $44,963 $22 2 New Jersey $44,492 $21 3 Missouri $42,973 $21 4 Georgia $42,249 $20 5 California $41,640 $20 6 New York $41,590 $20 7 Wisconsin $41,309 $20 8 Nevada $40,679 $20 9 District of Columbia $40,604 $20 10 South Carolina $40,417 $19 11 Arizona $40,320 $19 12 Utah $40,077 $19 13 Illinois $39,769 $19 14 Minnesota $39,020 $19 15 North Carolina $38,921 $19 16 Pennsylvania $38,897 $19 17 Texas $38,339 $18 18 Maryland $37,419 $18 19 Florida $37,123 $18 20 Alabama $36,876 $18 Average reimbursement specialist salary by company
Rank Company Average salary Hourly rate Job openings 1 Novartis $67,754 $32.57 14 2 Boston Scientific $58,650 $28.20 16 3 Genentech $57,463 $27.63 4 Life Care Centers of America $50,447 $24.25 4 5 Children's Hospital Colorado $50,340 $24.20 1 6 Minnesota State Fair $45,604 $21.93 3 7 Prime Healthcare $44,886 $21.58 8 8 Smith & Nephew $44,783 $21.53 9 East Tennessee Children's Hospital $44,188 $21.24 10 Myriad Genetics $43,982 $21.15 2 11 Tandem Diabetes Care $43,585 $20.95 12 Summit Orthopedics $43,293 $20.81 5 13 NeoGenomics Laboratories $43,021 $20.68 14 Baptist Health Home Care $42,953 $20.65 12 15 Cape Cod Healthcare $42,656 $20.51 15 16 AmerisourceBergen $42,622 $20.49 17 Cincinnati Eye Institute $42,505 $20.44 7 18 USMD Health System $42,330 $20.35 19 Prince William County $42,314 $20.34 20 West Tennessee Healthcare $41,564 $19.98 Writing a reimbursement specialist job description
A good reimbursement specialist job description should include a few things:
- Summary of the role
- List of responsibilities
- Required skills and experience
Including a salary range and the first name of the hiring manager is also appreciated by candidates. Here's an example of a reimbursement specialist job description:
Reimbursement specialist job description example
Post your job
There are a few common ways to find reimbursement specialists for your business:
- Promoting internally or recruiting from your existing workforce.
- Ask for referrals from friends, family members, and current employees.
- Attend job fairs at local colleges to meet candidates with the right educational background.
- Use social media platforms like LinkedIn, Facebook, and Twitter to recruit passive job-seekers.
- Post your reimbursement specialist job on Zippia to find and recruit reimbursement specialist candidates who meet your exact specifications.
- Use field-specific websites such as healthcarejobsite, health jobs nationwide, hospitalcareers, medreps.com.
- Post a job on free websites.
Interview candidates
Your first interview with reimbursement specialist candidates should focus on their interest in the role and background experience. As the hiring process goes on, you can learn more about how they'd fit into the company culture in later rounds of interviews.
It's also good to ask about candidates' unique skills and talents. You can move on to the technical interview if a candidate is good enough for the next step.
The right interview questions can help you assess a candidate's hard skills, behavioral intelligence, and soft skills.
Send a job offer and onboard your new reimbursement specialist
Once you've found the reimbursement specialist candidate you'd like to hire, it's time to write an offer letter. This should include an explicit job offer that includes the salary and the details of any other perks. Qualified candidates might be looking at multiple positions, so your offer must be competitive if you like the candidate. Also, be prepared for a negotiation stage, as candidates may way want to tweak the details of your initial offer. Once you've settled on these details, you can draft a contract to formalize your agreement.
It's also good etiquette to follow up with applicants who don't get the job by sending them an email letting them know that the position has been filled.
To prepare for the new employee's start date, you can create an onboarding schedule and complete any necessary paperwork, such as employee action forms and onboarding documents like I-9 forms, benefits enrollment, and federal and state tax forms. Human Resources should also ensure that a new employee file is created.
Go through the hiring process checklist
- Determine employee type (full-time, part-time, contractor, etc.)
- Submit a job requisition form to the HR department
- Define job responsibilities and requirements
- Establish budget and timeline
- Determine hiring decision makers for the role
- Write job description
- Post job on job boards, company website, etc.
- Promote the job internally
- Process applications through applicant tracking system
- Review resumes and cover letters
- Shortlist candidates for screening
- Hold phone/virtual interview screening with first round of candidates
- Conduct in-person interviews with top candidates from first round
- Score candidates based on weighted criteria (e.g., experience, education, background, cultural fit, skill set, etc.)
- Conduct background checks on top candidates
- Check references of top candidates
- Consult with HR and hiring decision makers on job offer specifics
- Extend offer to top candidate(s)
- Receive formal job offer acceptance and signed employment contract
- Inform other candidates that the position has been filled
- Set and communicate onboarding schedule to new hire(s)
- Complete new hire paperwork (i9, benefits enrollment, tax forms, etc.)
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How much does it cost to hire a reimbursement specialist?
There are different types of costs for hiring reimbursement specialists. One-time cost per hire for the recruitment process. Ongoing costs include employee salary, training, onboarding, benefits, insurance, and equipment. It is essential to consider all of these costs when evaluating hiring a new reimbursement specialist employee.
You can expect to pay around $38,273 per year for a reimbursement specialist, as this is the median yearly salary nationally. This can vary depending on what state or city you're hiring in. If you're hiring for contract work or on a per-project basis, hourly rates for reimbursement specialists in the US typically range between $13 and $23 an hour.
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Updated December 15, 2025