Medical Billing and Coding Specialist Resume Examples in 2023

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Frank Hackett

Certified Professional Resume Writer (CPRW)

Frank Hackett is a professional resume writer and career consultant with over eight years of experience. As the lead editor at a boutique career consulting firm, Frank developed an innovative approach to resume writing that empowers job seekers to tell their professional stories. His approach involves creating accomplishment-driven documents that balance keyword optimization with personal branding. Frank is a Certified Professional Resume Writer (CPRW) with the Professional Association of Resume Writers and Career Coaches (PAWRCC).

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Downloadable Resume Examples

Entry-level
Medical-Billing-and-Coding-Specialist_2-3-Years.pdf

Example #1 Entry-level

Mid-Career
Medical-Billing-and-Coding-Specialist_5-10-Years.pdf

Example #2 Mid-Career

Senior-level
Medical-Billing-and-Coding-Specialist_10-Years.pdf

Example #3 Senior-level

Medical Billing and Coding Specialist Resume Examples

Years of Experience
  • Entry-level Entry-level
  • Mid-Career Mid-Career
  • Senior-level 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:

  • 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.