How much does a Reimbursement Specialist - Healthcare earn in the United States? The average Reimbursement Specialist - Healthcare salary in the United States is $42,607 as of March 28, 2019, but the range typically falls between $39,272 and $47,780. Salary ranges can vary widely depending on many important factors, including education, certifications, additional skills, the number of years you have spent in your profession. With more online, real-time compensation data than any other website, Salary.com helps you determine your exact pay target. View Cost of Living in Major Cities
Determines the extent to which patients' insurance covers their treatments. Reviews appropriateness of CPT-4/ICD-10 coding and determines if care provided corresponds to the charges submitted. Ensures compliance with Federal and State regulations and company policies that govern Medicare and state payment systems. May assist in identifying fraudulent non-plan billing practices and assists the legal department with litigation preparation. May require a bachelor's degree. Typically reports to a supervisor or manager. Typically requires Certified Professional Coder (CPC) from AAPC or AHIMA. Gaining exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. Typically requires 2 to 4 years of related experience.
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Includes bonus, healthcare, and retirement
2 - 4 years experience
JD, MD, PhD or Equivalent
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