Medical Biller And Coder Resume Samples

The main job role of a Medical Biller and Coder is to ensure that the health providers are being paid for the medical services rendered. The other roles and responsibilities outlined in the Medical Biller and Coder Resume include – ensuring accurate flow of patient data and medical information, reviewing medical procedures as documented, handling patient billing, coordinating insurance reimbursement, translating medical procedures into codes, billing patients for services provided, coordinating reimbursement activities, and coding treatment information using CPT codes.

Even though candidates can get into this job through academic qualification and training, these attributes will put the employees well ahead of the competition – self-driven and disciplined, a good understanding of medical terminologies and billing procedures, familiarity with medical billing software, phone etiquette and a thorough knowledge of insurance claims and procedures. Typically, an Associate’s degree in health information technology or the related is needed for this role.

Medical Biller And Coder Resume example

Medical Biller and Coder Resume

Summary : Responding to patient billing and statement inquiries, and also Input new claims, review data, contact providers for missing data.

Skills : Medical Billing, Medical Coding, Medical Insurance.

Description :

    1. Interpreted medical reports to apply appropriate ICD-9, CPT-4, and HCPCS codes.
    2. Thoroughly reviewed remittance codes from EOBS/ARs.
    3. Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification, and provider signature.
    4. Added modifiers as appropriate, coded narrative diagnoses, and verified diagnoses.
    5. Retrieved physician correspondence from dictation service and made edits when necessary.
    6. Scheduled surgeries and procedures in conjunction with the Surgical Coordinator.
    7. Resolved problems prior to claiming submission and assists with post submission problem resolution.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
Medical Assistant


Medical Biller and Coder/Independent Contractor Resume

Objective : Successful track record handling complicated assignments. Highly experienced in posting patient and insurance payments and resolving account disputes. Proficient in various medical software applications. Dedicated to strict patient confidentiality.

Skills : Coding Skills, Investigation Skills.

Description :

    1. Extensive billed and coded for family medicine, oncology, radiology physicians and ambulance billing.
    2. Ensured claims are entered and submitted within 48 hours of receipt.
    3. Thoroughly investigated past due invoices and minimized number of unpaid accounts.
    4. Carefully reviewed medical records for accuracy and completion as required by insurance companies.
    5. Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.
    6. Acquired insurance authorizations for procedures and tests ordered by the attending physician.
    7. Provided administrative support for three physicians.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Medical Billing And Coding


Medical Biller and Coder/Office Manager Resume

Objective : Responsible and dependable medical biller/office assistant/customer service rep. that is very professional and highly qualified for this job. Seeking a position in the medical office assistant/customer service/receptionist field.

Skills : PowerPoint Detail Oriented Organizational, Communication Skills.

Description :

    1. Organized billing and invoice data and prepared accounts receivable and expected revenue reports for controllers.
    2. Eliminated outdated records by sending the records to be scanned.
    3. Verified that information in the computer system was up-to-date and accurate.
    4. Thoroughly investigated past due invoices and minimized the number of unpaid accounts.
    5. Recorded and filed patient data and medical records.
    6. Carefully reviewed medical records for accuracy and completion as required by insurance companies.
    7. Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Nursing

Medical Biller and Coder (Externship) Resume

Objective : Translating medical procedures into codes that can be understood by payers, other medical coders, and other medical facilities, and also Sending coded patient treatment information to payers and other recipients.

Skills : Billing Skills, Coding Skills.

Description :

    1. Prepared chargemaster for lab hospital billing.
    2. Strictly followed all federal and state guidelines for release of information.
    3. Verified coding on claims is accurate.
    4. Sent delinquent accounts to collection agency.
    5. Processed insurance payments to patient accounts in Practice Management system.
    6. Re-billed insurance companies or other third parties to secure payment.
    7. Verified entries made by cashiers and makes corrections if necessary.
                Years of Experience
                Experience
                2-5 Years
                Experience Level
                Level
                Junior
                Education
                Education
                Medical Billing And Coding

                Medical Biller and Coder/Medical Associate Resume

                Objective : Service-oriented medical coder with 10 years background in billing and coding. Core competencies include accurate diagnosis, timely filing and accurate account receivables as well as excellent communication and time management skills.

                Skills : Microsoft Word, Excel, Powerpoint, ICD-10, CPT Coding, Medical Coding, Insurance Verification, Medical Terminology, Medical Records, Medical Billing, Medisoft, Customer Service, Data Entry, Multi-Line Phone System, Cash Handling, Documentation, Filing, HCPCS, Telephone Skills, 1500 CMS forms.

                Description :

                  1. Reviewed records for completeness, accuracy, and compliance with regulations.
                  2. Retrieved patient medical records for physicians, technicians, or other medical personnel.
                  3. Entered data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
                  4. Processed and prepared business or government forms.
                  5. Compiled and maintained patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts.
                  6. Assigned the patient to diagnosis-related groups (DRGs), using appropriate computer software.
                  7. Identified, compiled, abstracted, and coded patient data, using standard classification systems.
                Years of Experience
                Experience
                2-5 Years
                Experience Level
                Level
                Junior
                Education
                Education
                Diploma In Medical

                Medical Biller and Coder/Front Office Secretary Resume

                Objective : Highly motivated self starting, well organized individual, with a keen sense of commitment to my work team, and the company mission. I work extremely well under pressure, can deliver on tight deadlines, and work well with diverse groups. Seeking a challenging position which effectively utilizes my excellent people skills, my technical background, and my extensive managerial and operational experience.

                Skills : Trained in ICD-10-CM Coding, Trained in CPT and HCPCS coding., Medical Coding, Medical Billing, Medical Terminology, Anatomy And Physiology, Microsoft Office, Remote Work Experience.

                Description :

                  1. Determined proper diagnosis codes, related procedure codes and modifiers.
                  2. Insured that chart record validates the level of service or exam billed.
                  3. Reviewed EOB to check that procedure codes were paid.
                  4. Mediated with Medicare and private insurance companies when codes or procedures are rejected.
                  5. Maintained compliance and educated office staff of changes in Medicare coding initiatives and related changes in podiatry billing.
                  6. Tracked the coordination of benefits for patients with multiple insurance coverage.
                  7. Recorded the frequency of codes billed to maintain practice within normal percentage or similar billings.
                Years of Experience
                Experience
                2-5 Years
                Experience Level
                Level
                Executive
                Education
                Education
                Diploma in Medical

                Medical Biller and Coder Resume

                Objective : To obtain a Medical Biller and Coder position within an organization where my skills and knowledge are utilized with an opportunity to grow and excel within the company.

                Skills : Billing Skills, Coding Skills.

                Description :

                  1. Responsible for submitting claims electronically and in hard copy.
                  2. Provided follow up on proper payment collection.
                  3. Reviewed denied claims and appeal if necessary.
                  4. Communicated directly with attorney regarding collections activities on outstanding balances.
                  5. Assisted intake department with authorizations and referrals.
                  6. Reviewed referrals and patient medical records to insure proper diagnosis.
                  7. Created patient statements, work with patients on outstanding balances, work with medical records by creating patient charts, and apply payments to patient accounts.
                Years of Experience
                Experience
                2-5 Years
                Experience Level
                Level
                Junior
                Education
                Education
                Certification In Medical Billing

                Medical Biller and Coder III Resume

                Objective : Highly capable and detail-oriented professional, seeking Medical Coding position to utilize and enhance industry knowledge, coding experience and education in a growth oriented company. Strong work ethic, organized, punctual and reliable.

                Skills : Typing, Billing, Ambulance coding, People Person, Time management, Multitasking, Computer/ Microsoft/ rescue net, Telephone Skills, Collections.

                Description :

                  1. Billed claims of clinic diagnosis and procedure codes of multiple Dr.'s and locations.
                  2. Updated patient registration and insurance information when needed.
                  3. Pulled account receivable ledger to find rejected claims.
                  4. Contacted insurance company to get status of claim and reason for rejections.
                  5. Created and resubmitted claim after making corrections.
                  6. Used Medical terminology, data entry, customer care, attention to detail.
                  7. Contacted customers in order to obtain or relay medical account information.
                Years of Experience
                Experience
                2-5 Years
                Experience Level
                Level
                Junior
                Education
                Education
                Certificate In Accounting

                Medical Biller and Coder I Resume

                Objective : Intermediate-level position in medical coding, billing Office and also looking to work the front desk and billing patient accounts. Working on taking my coding certification test but have 7yrs of coding experience.

                Skills : Microsoft outlook, Compulink by Advantage.

                Description :

                  1. Verified accuracy of medical billing data and revise any errors.
                  2. Operated typing, adding, calculating, and billing machines.
                  3. Prepared itemized statements, bills, or invoices; and record amounts due for items purchased or services rendered.
                  4. Reviewed documents such as purchase orders, sales tickets, charge slips, or hospital records in order to compute fees and charges due.
                  5. Performed bookkeeping work, including posting data and keeping other records concerning costs of goods and services and the shipment of goods.
                  6. Kept records of invoices and support documents.
                  7. Resolved discrepancies in accounting records.
                Years of Experience
                Experience
                2-5 Years
                Experience Level
                Level
                Junior
                Education
                Education
                Medical Coding & Billing

                Medical Biller and Coder/Medical Billing Resume

                Objective : Seeking employment with a progressive, reputable company that will provide challenges and opportunities for growth and advancement, utilizing my coding and billing experience.

                Skills : Microsoft Word And Excel, Coding Skills.

                Description :

                  1. Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.
                  2. Meticulously identified and rectified inconsistencies, deficiencies, and discrepancies in medical documentation.
                  3. Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
                  4. Verified patients' eligibility and claims status with insurance agencies.
                  5. Diligently filed and followed up on third-party claims.
                  6. Accurately selected the proper descriptive code when more than one anatomical location was indicated.
                  7. Researched CPT including ICD-10 coding discrepancies for compliance and reimbursement accuracy.
                  8. Resourcefully used various coding books, procedure manuals, and on-line encoders.
                Years of Experience
                Experience
                2-5 Years
                Experience Level
                Level
                Junior
                Education
                Education
                Certificate In Medical

                Sr. Medical Biller and Coder Resume

                Summary : Skilled in identifying problems and recommending solutions. Ability to interpret, adapt and apply guidelines and procedures. Ability to analyze complex clinical scenarios and apply critical thinking. Knowledge of treatment methodologies, patient care assessments, data collection techniques as necessary. Looking to secure a position as a Medical Coding Specialist or Medical Billing Specialist in a company.

                Skills : ICD-9, Icd-10, CPT, HCPCS.

                Description :

                  1. Thoroughly investigated past due claims and minimized the number of unpaid accounts.
                  2. Acquired insurance authorizations for home healthcare.
                  3. Accurately entered procedure codes, diagnosis codes, and patient information into billing software.
                  4. Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.
                  5. Added modifiers as appropriate coded narrative diagnoses and verified diagnoses.
                  6. Confirmed patient information, collected copays, and verified insurance.
                  7. Completed charisma and filed and submitted claims.
                Years of Experience
                Experience
                7-10 Years
                Experience Level
                Level
                Consultant
                Education
                Education
                AA

                Medical Biller and Coder Resume

                Summary : Hard-working business management graduate and medical, biller, and coder with proven leadership and organizational skills seeking to apply my abilities to the position of a medical biller and code.

                Skills : Office Management, Customer Service, Troubleshooting, Organizational Skills.

                Description :

                  1. Prepared and submitted clean claims to various insurance companies either electronically or by paper.
                  2. Answered questions from patients, clerical staff and insurance companies.
                  3. Identified and resolved patient billing complaints for example if the patient were overbilled for a specific service.
                  4. Prepared, reviewed, and sent patient statements Review accounts for possible assignment and make recommendations to the Billing Supervisor.
                  5. Performed daily backups on office computer system.
                  6. Performed various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
                  7. Processed payments from insurance companies and post them.
                Years of Experience
                Experience
                7-10 Years
                Experience Level
                Level
                Senior
                Education
                Education
                Diploma