Medical Billing and Coding Specialist Resume Examples
Years of Experience
- Entry-level
- Mid-Career
- Senior-level
Rosario Dominguez
(702) 111-0000
[email protected]
567 Lookout Lane, Las Vegas, NV 89103
Profile
A Certified Medical Billing and Coding Specialist with three years of experience, specializing in data analysis, electronic health records (EHR), and medical terminology. Adept at executing complex coding projects to process insurance payments and managing confidential patient information.
Key Skills
- Medical Coding
- Data Entry
- HIPAA Regulations
- Microsoft Office Suite
- Medical Terminology
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
- Translate patient information into code, enter medical records into the EHR database, and ensure compliance with HIPAA regulations and data protection laws for confidential information
- Coordinate insurance reimbursement to care providers, process payments from patients and insurers, ensure accuracy, and resolve billing errors
Medical Biller and Coder Extern, Nevada Professional Group, Las Vegas, NV
September 2019 – December 2019
- Maintained accurate medical records, applied ICD-10 coding, obtained pre-authorizations and referrals, and verified eligibility and benefits
- Submitted insurance claims to Medicaid and Medicare and performed follow-ups on unremitted claims within the billing cycle timeframe
Certification
- Certified Professional Coder – AAPC, January 2018
Jillian Jacobson
(123) 456-7890
[email protected]
111 First Avenue, Boise, ID 83701
Profile
A Certified Medical Billing and Coding Specialist with five years of experience, specializing in coding, payment processing, and insurance claims. A proven track record of identifying process improvement opportunities to enhance billing procedures.
Professional Experience
Lead Medical Biller, Boise Presbyterian Hospital, Boise, ID
June 2015 – Present
- Identify opportunities to improve billing procedures by automating manual data entry processes, resulting in a 10% improvement in billing accuracy and a reduction of over 15 work hours per week
- Develop a knowledge base of common billing errors and provide remedial training to team members to improve issue resolution times by 15%
- Troubleshoot issues with claims, review patient and insurance records, obtain supplemental information from healthcare providers to ensure accurate billing
Junior Medical Biller, Office of Dr. Ron Ronald, Boise, ID
July 2013 – May 2015
- Coordinated with patients to ensure accurate processing of Medicare, Medicaid, and private insurance claims and liaised with insurance representatives
- Processed payments, insurance claims, and adjustments, gathered patient information, and performed reviews to reduce risk of billing errors
Education
Associate of Science in Health Information Management
BOISE TECHNICAL UNIVERSITY, Boise, ID, September 2012 – June 2013
Key Skills
- Medical Cording
- ICD-10-CM
- HCPCS Level II
- Patient Relations
- 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
A Certified Medical Billing and Coding Specialist with 11+ years’ experience interfacing with insurance representatives, medical providers, and patients. Adept at performing complex ICD-10 and CPT coding.
Professional Experience
Medical Coding Manager, Capital Anesthesia Billing Services, Charlotte, NC
May 2015 – Present
- Manage, develop, and hire a team of 10+ medical coders and billing specialists, oversee onboarding and training procedures, evaluate performance, and provide coaching and mentorship to enhance operational effectiveness
- Interface with patients, medical providers, and insurers to review claims adjustments, denials, and billing errors and develop payment plans to reduce aging accounts
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 procedures or fee errors and omissions
- Led the design, implementation, and tracking of quality assurances for coding processes, which reduced 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
- Medical Billing
- Customer Service
- Insurance Claims
- Team Leadership
- Medical Coding
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 | |
|---|---|
| Accounting | Billing Procedures |
| Conflict Resolution | Customer Service |
| ICD-10 | CPT |
| Data Analysis | Data Entry |
| Data Management | Data Protection Laws |
| HIPAA Regulations | Insurance Claims |
| Medical Billing | Medical Coding |
| Medical Terminology | Medicaid and Medicare |
| Microsoft Excel | Microsoft Office Suite |
| Patient Confidentiality | Patient Relations |
| Team Leadership | |
| Action Verbs | |
|---|---|
| Analyzed | Audited |
| Calculated | Coded |
| Communicated | Conducted |
| Coordinated | Designed |
| Developed | Enhanced |
| Executed | Identified |
| Implemented | Improved |
| Liaised | Managed |
| Oversaw | Performed |
| Provided | Reconciled |
| Resolved | Supported |
Tips for Writing a Better Medical Billing and Coding Specialist Resume
Quantify Your Medical Billing and Coding Achievements
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
- Identify opportunities to improve billing procedures by automating manual data entry processes, resulting in a 10% improvement in billing accuracy and a reduction of over 15 work hours per week
- Develop a knowledgebase of common billing errors and provide remedial training to team members to improve issue resolution times by 15%
- Troubleshoot issues with claims, review patient and insurance records, obtain supplemental information from healthcare providers to ensure accurate billing
Highlight Your Knowledge of Medical Terminology and Insurance
Being a medical billing and coding specialist requires extensive knowledge of medical terminology, insurance practices, and treatment and diagnosis codes. Hiring managers want to see that you have a comprehensive understanding of insurance and medical terms to resolve complex billing issues. In the example below, the candidate highlights their ability to interface effectively with both patients and third-parties to ensure accurate billing for medical procedures:
- Manage, develop, and hire a team of 10+ medical coders and billing specialists, oversee onboarding and training procedures, evaluate performance, and provide coaching and mentorship to enhance operational effectiveness
- Interface with patients, medical providers, and insurers to review claims adjustments, denials, and billing errors and develop payment plans to reduce aging accounts
How to Align Your Resume with the Job Description
Jobs for medical billing and coding specialists, also known as medical records and health information specialists, are expected to increase by 7% over the next 10 years, according to the Bureau of Labor Statistics. Despite the positive outlook, you’ll still need to align your resume with the job description to differentiate yourself from the competition to secure the most lucrative opportunities on the open market.
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 in order to find 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.