Medical Billing and Coding Specialist Resume Examples

Updated May 31, 2021

Jobs for medical billing and coding specialists, also known as medical records and health information specialists, are expected to increase by around 8% over the next 10 years. This projected growth is significantly faster than the average for all industries. An increasingly aging population combined with higher demands for health care services means that there will be a greater call for billing and coding personnel.

While this is good news for medical billing and coding specialists, it doesn’t mean that you won’t need to compete for roles. Enhancing and tailoring your resume to suit a specific job application is crucial in deciding whether you get an interview. Below, you can download four well-written medical billing and coding specialist resume templates for all experience levels, along with industry-specific advice for making your resume stand out.

Downloadable Resume Examples

No Experience

Example #1 No Experience

2-3 years

Example #2 2-3 Years

5-10 Years

Example #3 5-10 Years

10+ Years

Example #4 10+ Years

Medical Billing and Coding Specialist Resume Examples

Years of Experience
  • No experience 0
  • 2-3 Years 2-3
  • 5-10 Years 5-10
  • 10+ Years 10+

Darla Elliot
(789) 012-3456
[email protected]
432 Main Road, Houston, TX 32109

Profile

Knowledgeable, newly certified medical billing and coding specialist with externship experience in a busy medical center. Adept at working collaboratively with a cross-departmental team and maintaining efficiency and accuracy in a fast-paced environment. Outstanding knowledge of medical codes and terminology and excellent attention to detail.

Key Skills

  • Coding medical procedures, conditions, and treatments
  • Invoice and claim preparation
  • Strong knowledge of medical terminology
  • Excellent numerical ability
  • Written and verbal communication
  • Fluent in Spanish

Education

High School Diploma
CARNEGIE VANGUARD HIGH SCHOOL, Houston, TX, June 2020

Electives completed:

  • Accounting
  • Word Processing
  • Math Applications
  • Human Physiology

Professional Experience

Clinical Externship, United Memorial Medical Center, Houston, TX
January 2021 – Present

  • Review bills to ensure accuracy and liaise with Medicaid and private insurance companies to resolve discrepancies
  • Gather information from healthcare providers to assign the correct medical code
  • Answer queries from healthcare providers, insurers, and patients via email and telephone
  • Work collaboratively with colleagues to code and bill medical services promptly and efficiently

Sales Associate, 7-Eleven, Houston, TX
September 2019 – January 2021

  • Processed cash transactions and refund using the point-of-sale system according to the company’s cash handling protocols
  • Greeted guests professionally and listened to their requirements to gain a deep understanding of their needs and problems
  • Suggested suitable products and solutions to ensure guest satisfaction and secure repeat custom
  • Maintained a safe and uncluttered working environment and reported potential hazards to the management team

Certifications

  • Medical Billing and Coding Specialist Certificate, Texas Southern University, April 2021

Rosario Dominguez
(702) 111-0000
[email protected]
567 Lookout Lane, Las Vegas, NV 89103

Profile

Organized, certified Medical Billing and Coding Specialist with over a year of experience interfacing with insurers, patients and primary care providers. Highly knowledgeable of HIPAA regulations, EHR systems and medical and insurance terminologies. Skilled in customer interactions, data entry, data management, and invoice processing. Spotless background check.

Key Skills

  • Detail-focused
  • Strong interpersonal and phone skills
  • Coding patient information
  • MS Office Suite
  • Bilingual – Spanish

Education

Medical Billing and Coding Diploma
NORTHWEST CAREER COLLEGE, Las Vegas, NV, April 2018 – December 2018

High School Diploma
NEVADA STATE HIGH SCHOOL, Summerlin, NV, 2017

Professional Experience

Medical Office Billing Assistant, Nevada Professional Group, Las Vegas, NV
January 2020 – Present

  • Translating patient information into code and entering information into the EHR database
  • Coordinating insurance reimbursement to care providers
  • Processing payments from insurers, medical providers and patients with billing software
  • Collaborating with team members to ascertain and manage daily and weekly workloads
  • Providing administrative support to senior staff

Medical Biller and Coder Extern, Nevada Professional Group, Las Vegas, NV
September 2019 – December 2019

  • Maintained records and applied ICD-10 coding
  • Obtained pre-authorizations and referrals and verified eligibility and benefits for treatments
  • Submitted insurance claims to Medicaid and Medicare
  • Followed up on unremitted claims with billing cycle timeframe
  • Received high commendations from supervisor

Certification

  • Certified Professional Coder – AAPC, January 2018

Jillian Jacobson
(123) 456-7890
[email protected]
111 First Avenue, Boise, ID 83701

Profile

Diligent team player who works well with patients, doctors and peers. Trained and familiar with several industry-standard software applications. Brings over seven years of experience to the table. Tireless worker who can accurately handle billing and coding tasks in high-volume environments while providing supervision to others.

Professional Experience

Lead Medical Biller, Boise Presbyterian Hospital, Boise, ID
June 2015 – Present

  • Oversee the work of subordinate billing and coding employees
  • Process adjustments, denials, and payments
  • Troubleshoot issues with claims
  • Review patient and procedure records to ensure accuracy of billing
  • Gather supplemental information from patients and doctors as needed

Junior Medical Biller, Office of Dr. Ron Ronald, Boise, ID
July 2013 – May 2015

  • Worked with patients to ensure accurate processing of Medicare, Medicaid, and private insurance claims
  • Liaised with insurance company representatives
  • Greeted patients as they arrived at the office, then took down their information and answered questions
  • Helped patients make appointments and logged appointments into scheduling software

Education

Associate of Science in Health Information Management
BOISE TECHNICAL UNIVERSITY, Boise, ID, September 2012 – June 2013

Key Skills

  • Use of medical coding manuals, including the ICD-10-CM and the HCPCS Level II manuals
  • Patient relations
  • Communication with medical professionals and clinical staff members
  • Operation of billing and coding software
  • Inpatient and outpatient claims processing

Certifications

  • Certified Coding Associate, American Health Information Management Association, 2017
  • Certified Professional Coder, American Coding Association, 2020

Gregory Larkin
(704) 222-0000
[email protected]
110 Success Drive, Gastonia, NC 28054

Profile

Positive, organized Medical Billing and Coding Specialist with 11+ years’ experience interacting with insurance representatives, patients and other stakeholders in a professional, courteous manner. Highly familiar with medical terminologies, EHRs, ICD-10 and CPT coding, and public and private health insurance guidelines. Adept at collaborating with others to identify and resolve discrepancies, manage conflict and offer compromises when needed. Proven leader and successful in managing in-house and remote teams.

Professional Experience

Medical Coding Manager, Capital Anesthesia Billing Services, Charlotte, NC
May 2015 – Present

  • Hiring, training and supervising Medical Coding staff of 6-10 remote and in-office employees
  • Gauges and communicates key performance metrics with management and operations staff
  • Effectively communicating with patients and insurers, recovering 50% of potential write-offs in 2019

Medical Coding Specialist, Capital Anesthesia Billing Services, Charlotte, NC
September 2009 – April 2015

  • Served as primary contact for patients with inquiries regarding account statements and insurance claims
  • Identified and corrected coding procedure or fee errors and omissions
  • Assisted with design, implementation and tracking of quality assurances for coding processes, reducing labor-hour costs by 15%

Education

Associate in Applied Science in Medical Office Administration – Medical Coding and Billing
CENTRAL PIEDMONT COMMUNITY COLLEGE, Charlotte, NC, September 2017 – May 2020

Certificate in Medical Procedural and Diagnostic Coding
CENTRAL PIEDMONT COMMUNITY COLLEGE, Charlotte, NC, September 2007 – August 2009

Key Skills

  • Problem-solving skills
  • Customer service
  • Medical records management
  • Multitasking
  • Teamwork and delegation

Certifications

  • Certified Professional Coder AAPC, renewed June 2020
  • Certified Professional Biller – AAPC, renewed June 2020
  • Registered Health Information Technician AHIMA, renewed June 2020

Common Key Skills and Action Verbs for Medical Billing and Coding Resumes

Before you start writing your medical billing and coding resume, it’s important to understand how hiring managers distinguish the strongest candidates from a large pool of applicants. Many use Applicant Tracking Systems, a type of software that scans resumes for the key skills the company wants most. Knowing which skills and action verbs employers are likely to look for can help flag your resume to the hiring manager for all the right reasons. Try to use as many of the following keywords as possible to grab the attention of potential employers.

Key Skills & Proficiencies
Attention to detail Computer proficiency
Conflict resolution Customer service
ICD-10 and CPT Knowledge of accountancy
Medicaid and Medicare understanding Multitasking
Organization Patient confidentiality
Problem-solving Teamwork
Time management Understanding of medical terminology
Written and verbal communication
Action Verbs
Bill Calculate
Code Collaborate
Correspond Delegate
Establish Generate
Liaise Maintain
Manage Organize
Reconcile Record
Resolve

Tips for Writing a Better Medical Billing and Coding Specialist Resume

Quantify your professional experience

Medical billing and coding is a career where data matters, and that same rule applies to your resume. Companies want employees who can work efficiently and accurately to tight deadlines and productivity targets. Instead of making general statements about your responsibilities and experience, you should aim to quantify your achievements with hard numbers. Doing this allows the hiring manager to assess your ability level and lets you show off your most notable accomplishments.

Example #1

Good


Leverage detailed knowledge of diagnosis and procedure codes to generate client invoices with 99.99% accuracy in 2020.

Bad


Entered medical codes to create invoices.

Example #2

Good


Reorganized billing department procedures to streamline the billing process, increasing efficiency by 34% in a single fiscal quarter.

Bad


Made sure that bills were created quickly.

Highlight your relevant certifications

Being a medical billing and coding specialist requires extensive knowledge of medical terminology, insurance practices, and treatment and diagnosis codes. While some states don’t require certification to perform this role, most employers strongly prefer it, so it’s important to highlight any certifications you hold to help you stand out. You can create a specific section in your resume for your certifications or list them under key skills.

There are numerous medical billing and coding certifications from various bodies, and each denotes a specific area of skill. To help employers see exactly what you have to offer, it’s important to list the certification title exactly as it appears on your documents, along with the name of the awarding body.

Example #1

Good


  • Certified Outpatient Coding (Outpatient Hospital/Facility Certification), AAPC International, September 2014

Bad


  • Medical Coding Certification

Example # 2

Good


  • Certified Coding Specialist (CCS), American Health Information Management Association (AHIMA), January 2015

Bad


  • Coding Specialist Certificate

How to Align Your Resume with the Job Description

It’s all too easy to fall into the trap of submitting the same one-size-fits-all resume for every vacancy, but that strategy isn’t likely to yield the results you want. Hiring managers often receive reams of applications for every post, and they have to sift through them to cream off the candidates with the precise skills they’re looking for. You can demonstrate your suitability for the role and show your understanding of the job requirements by tailoring your resume for each job you apply for.

Most employers don’t expect you to possess every attribute listed on the job ad, but most have some non-negotiables they want candidates to show on their resume. Hiring managers generally list the most important factors first on a job description and may repeat them a few times, so you can often tell what to focus on when writing your application. Comparing your resume to the responsibilities and skills listed in the ad can help you closely align the two.

Example Medical Billing and Coding Specialist Job Description


Carbon Health is one of the leading primary and urgent care providers in San Francisco. As a dedicated medical billing and coding specialist, you’ll contribute towards our mission of providing high-quality and accessible healthcare for all. 

Responsibilities:

  • Generate accurate bills according to compliance and medical billing guidelines
  • Analyze medical documents to select and assign the correct procedure, treatment, and diagnosis codes
  • Maintain up-to-date knowledge of coding guidelines and regulations and keep abreast of any changes
  • Manage a large caseload to tight deadlines
  • Liaise with insurers and resolve billing discrepancies and appeals

Qualifications:

  • At least 5 years of experience as a medical coding specialist
  • Detailed knowledge of medical terminology
  • Up-to-date medical coding certification (AAPC or equivalent)
  • Associate’s degree strongly preferred
  • Strong computer skills

The job description shows that the employer prioritizes the following:

  • Accuracy
  • Knowledge of compliance and medical billing guidelines and regulations
  • Assigning medical codes
  • Medical document analysis
  • Multitasking
  • Time management
  • Understanding of medical terminology
  • Medical coding experience
  • Computer skills
  • Problem-solving
  • Insurer liaison

Once you’ve established what the employer wants, you can tailor your resume to show your aptitude in these key areas. Here is an example of a resume matched to the above job description:

Medical Billing and Coding Specialist Work Experience Example


Medical Billing and Coding Specialist, Dignity Health, San Francisco, CA

September 2018 – Present

  • Multitask across up to 40 cases simultaneously, managing time efficiently to exceed 65% of deadlines in 2020
  • Leverage detailed knowledge of medical terminologyto analyze physicians’ records and assign the correct codes
  • Communicate closely with insurers and resolve disputes quickly and professionally
  • Generate invoices using medical billing software in compliance with legal regulations and data protection laws