Provider Reimbursement Validation Specialist Salary in Portsmouth, Rhode Island
Provider Reimbursement Validation Specialist Salary in Portsmouth, RI
How much does a Provider Reimbursement Validation Specialist make in Portsmouth, RI? The average Provider Reimbursement Validation Specialist salary in Portsmouth, RI is $51,500 as of May 28, 2024, but the range typically falls between $47,500 and $57,800. 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.
| Percentile | Salary | Location | Last Updated |
| 10th Percentile Provider Reimbursement Validation Specialist Salary | $43,858 | Portsmouth,RI | May 28, 2024 |
| 25th Percentile Provider Reimbursement Validation Specialist Salary | $47,500 | Portsmouth,RI | May 28, 2024 |
| 50th Percentile Provider Reimbursement Validation Specialist Salary | $51,500 | Portsmouth,RI | May 28, 2024 |
| 75th Percentile Provider Reimbursement Validation Specialist Salary | $57,800 | Portsmouth,RI | May 28, 2024 |
| 90th Percentile Provider Reimbursement Validation Specialist Salary | $63,536 | Portsmouth,RI | May 28, 2024 |
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Job Description
The Provider Reimbursement Validation Specialist reviews appropriateness of CPT-4/ICD-10 coding and determines if care provided corresponds to the charges submitted. Determines the extent to which patients' insurance covers their treatments. Being a Provider Reimbursement Validation Specialist may assist in identifying fraudulent non-plan billing practices and assists the legal department with litigation preparation. Ensures compliance with Federal and State regulations and company policies that govern Medicare and state payment systems. In addition, Provider Reimbursement Validation Specialist may require a bachelor's degree. Typically reports to a supervisor or manager. Typically requires Certified Professional Coder (CPC) from AAPC or AHIMA. Being a Provider Reimbursement Validation Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. Working as a Provider Reimbursement Validation Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
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This Job:
Provider Reimbursement Validation Specialist
2 - 4 years experience
Bachelor's Degree -
Up a level:
Director of Third Party Reimbursements
JD, MD, PhD or Equivalent
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About Portsmouth, Rhode Island
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Level of Education
- Provider Reimbursement Validation Specialist Salaries with an Associate's Degree
- Provider Reimbursement Validation Specialist Salaries with a Bachelor's Degree
- Provider Reimbursement Validation Specialist Salaries with a Master's Degree or MBA
- Provider Reimbursement Validation Specialist Salaries with a JD, MD, PhD or Equivalent
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About Portsmouth, Rhode Island Portsmouth is a town in Newport County, Rhode Island. The population was 17,389 at the 2010 U.S. Census. Portsmouth is the second oldest municipality ....More
Portsmouth, Rhode Island area prices were up 1.6% from a year ago View the Cost of Living in Portsmouth, Rhode Island
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