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$46.5K

$78.6K

$120.5K

How much do coding and reimbursement specialist jobs pay per year?

As of Aug 3, 2026, the average yearly pay for coding and reimbursement specialist in the United States is $78,575.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,000.00 and $97,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Coding and Reimbursement Specialist, and why are they important?

To thrive as a Coding and Reimbursement Specialist, you need a strong understanding of medical coding systems (such as ICD-10, CPT, and HCPCS), healthcare billing practices, and typically a relevant certification like CPC or CCS. Proficiency with billing software, electronic health records (EHR), and claim management systems is essential. Attention to detail, organizational skills, and effective communication help ensure coding accuracy and successful reimbursement processing. These skills are critical for optimizing revenue cycles, ensuring regulatory compliance, and minimizing claim denials or delays.

What are the typical challenges faced by a Coding and Reimbursement Specialist when working with insurance claims?

A common challenge for Coding and Reimbursement Specialists is ensuring that medical codes are accurate and compliant with current regulations to avoid claim denials or delays. Specialists often need to interpret complex medical documentation and stay updated on frequent changes to coding standards like ICD-10, CPT, and HCPCS. They must also communicate effectively with healthcare providers and insurance representatives to resolve discrepancies or appeals, which requires both technical knowledge and strong interpersonal skills. Staying organized and detail-oriented is essential to manage multiple claims and deadlines efficiently.

What is a coding reimbursement specialist?

A coding reimbursement specialist is a professional who reviews medical codes and documentation to ensure accurate billing and proper reimbursement from insurance companies and government programs. They often work with coding systems like ICD-10 and CPT, and may need certification such as CPC to perform their duties effectively.

Is there a demand for medical coders and billers?

The demand for medical coders and billers remains strong due to ongoing healthcare industry growth and the need for accurate medical documentation and billing. Certified professionals with knowledge of coding systems like ICD-10 and CPT are especially sought after, and employment opportunities are available in hospitals, clinics, and insurance companies.

What is the highest paid medical coder job?

The highest paid medical coding roles are often in specialized areas such as inpatient hospital coding, coding for outpatient procedures, or coding for highly complex cases, which may require advanced certifications like CCS-P or CPC-H. Senior coding managers or coding directors in large healthcare organizations can also earn higher salaries, especially with extensive experience and leadership responsibilities.

What are Coding and Reimbursement Specialists?

Coding and Reimbursement Specialists are healthcare professionals responsible for assigning standardized medical codes to diagnoses, procedures, and services provided to patients. They ensure that healthcare providers are properly reimbursed by insurance companies and government programs by accurately translating patient records into the correct billing codes. These specialists also review and submit claims, resolve coding errors, and stay updated on changing regulations and insurance policies. Their work is essential for the financial health of medical practices and for maintaining compliance with healthcare laws.

What is the difference between Coding And Reimbursement Specialist vs Medical Billing Specialist?

AspectCoding And Reimbursement SpecialistMedical Billing Specialist
CertificationsCPCT, CPC, CCSCertified Medical Billing Specialist (CMBS), CPC
Work EnvironmentHospitals, clinics, insurance companiesMedical offices, billing companies
Primary FocusMedical coding and reimbursement processesBilling, invoicing, and payment collection

The Coding And Reimbursement Specialist primarily handles medical coding and ensures proper reimbursement from insurers, while the Medical Billing Specialist focuses on billing patients and insurance companies for services rendered. Both roles require knowledge of healthcare documentation, but their core responsibilities differ, with the former emphasizing coding accuracy and reimbursement procedures, and the latter concentrating on billing and payment collection.

Will a medical coder be replaced by AI?

Medical coders, including those in coding and reimbursement roles, perform complex tasks such as reviewing medical records and applying coding standards, which currently require human judgment. While AI tools can assist with coding accuracy and efficiency, they are unlikely to fully replace medical coders in the near future due to the need for critical thinking and understanding of medical documentation. Continuous learning and certification can help coders stay relevant as technology advances.
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Coding And Reimbursement Specialist jobs near you
Infographic showing various Coding And Reimbursement Specialist job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $78,575 per year, or $37.8 per hour.

Coding Reimbursement Specialist II

Tryon Medical Partners

Charlotte, NC • On-site, Remote

Full-time

Re-posted 7 days ago

Job description

Coding Reimbursement Specialist II
Job Summary:
The Coding Reimbursement Specialist II performs various duties to accurately interpret and bill physician charges for physician services by entering into the appropriate CPT, ICD-10, and modifiers into the Billing system.
(This is a full-time hybrid or remote position that will support the RCM team, Monday to Friday 8 am to 5 pm)
Primary Job Responsibilities/Tasks may include, but not limited to:
  • Performs initial charge review to determine appropriate ICD-10 and CPT codes to be used to report physician services to third party payers.
  • Interprets progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-10 coding to these services, according to guidelines established by the AMA.
  • Enter appropriate data into the TMP billing system by selecting the appropriate codes, diagnosis, modifiers, to complete the charge process.
  • 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.
  • Contacts physicians through query protocols regarding procedures and other services billed to ensure proper coding.
  • Responsible for reviewing patient logs and other report of clinical activity to ensure billing is captured for all patients.
  • Reviews all physician documentation to ensure compliance with third party and regulatory guidelines.
  • Works in conjunction with the Reimbursement staff to answer all inquiries regarding coding and billing for TMP physicians' services.
  • Performs other related duties as required and assigned.

Requirements:
Education and Certifications:
  • High school diploma or GED completion is required.
  • A minimum of three (3) years' experience with CPT and ICD-10 coding of physician services required.
  • Coding certification required. CPC Certification preferred. Must maintain active certification and required CEUs during employment tenure.
  • Advanced working knowledge of medical terminology, anatomy, and physiology required.
  • 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.

Experience:
  • Family Practice, Internal Medicine, Cardiology, Rheumatology, Endocrinology, Gynecology, and Dermatology preferred.
  • Knowledge of current third-party billing and collection regulatory guidelines and requirements.
  • Advanced knowledge of the ICD-10 CM/PCS and CPT/HCPCS coding systems and conventions.
  • Advanced knowledge of, but not limited to, Official Coding Guidelines and methodologies.
  • Knowledge of current third-party billing and collection regulatory guidelines and requirements.
  • Good interpersonal skills and a basic understanding of team concept.
  • Ability to gather and interpret clinical data.
  • Ability to work independently in a fast-paced environment.

Physical Requirements:
  • Work consistently requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling.
  • Must be able to lift and support weight of 35 pounds.
  • Ability to concentrate on details.
  • Use of computer for long periods of time.

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