medical coding and billing specialist resume example with 2+ years of experience

Medical Coding And Billing Specialist
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
Professional Summary

Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.

  • Patient Medical Records Maintenance
  • Insurance Billing
  • Accounts Payable and Accounts Receivable
  • Medical Billing Processing
  • Outpatient Coding
  • Diagnostic Codes
  • CPT Code Modifiers
  • Patient Data Coding
  • Demographics Information
  • Coverage Determination
  • EMR Systems
  • Records Scanning
Gaither High School Tampa, FL Expected in 05/2019 High School Diploma : - GPA :
Work History
Pacific Dental Services - Medical Coding and Billing Specialist
Denver, CO, 05/2020 - 05/2022
  • Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
  • Verified signatures and checked medical charts for accuracy and completion.
  • Reviewed patient charts to better understand health histories, diagnoses and treatments.
  • Scanned and filed medical records in alphabetical order to maintain organized and up-to-date filing system.
  • Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
  • Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
  • Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
  • Resourcefully used various coding books, procedure manuals and on-line encoders.
  • Entered orders into EMR system efficiently and without errors.
  • Used Aprima and EDIinsight to input information into computerized patient record system.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Applied charges and updated patient records by using Aprima and Medicare Physicians Fee Schedule.
Private Client - Home Healthcare Specialist
City, STATE, 12/2019 - 04/2020
  • Assisted patients with dressing, grooming and feeding needs, helping to overcome and adapt to mobility restrictions.
  • Traveled to clients' homes to complete healthcare services and promote continuity of care.
  • Provided mobility assistance such as walking and regular exercising.
  • Assisted disabled clients to support independence and well-being.
  • Coordinated daily medicine schedules and administration to help clients address symptoms and enhance quality of life.
  • Preformed vitals intake on patients
  • Completed entries in log books, journals and care plans to accurately document and report patient progress.
  • Encouraged patients to participate in safe physical activity to help boost mood and improve overall wellness.
  • Reported unusual or urgent circumstances in patients' condition or environment immediately to nurse supervisor.
  • Followed nutritional plans to prepare optimal meals.
  • Administered medication as directed by physician.
  • Transported clients for medical and personal outings.
Duffy's Restaurant - Restaurant Waitress
City, STATE, 07/2019 - 12/2019
  • Maintained detailed knowledge of specials and currently available items to provide guests with informative menu descriptions.
  • Participated in dining room sidework such as refilling condiment bottles, preparing menus and arranging silverware packages.
  • Performed dining room sanitation tasks such as spill cleanup, table sterilization and removal of apparent waste or refuse.
  • Sustained calm and congenial manners during communications with angry guests, directing disgruntled clients to appropriate managers.
  • Cultivated warm relationships with regular customers.
  • Explained menu items and suggested appropriate options for food allergy concerns.
  • Bussed and reset tables to keep dining room and work areas clean.
  • Arranged and prepared tables for customers to offer memorable experiences to guests and foster repeat business.
  • Used slow periods to restock supplies, ice, trays and delivery bags.
  • Replenished food items, paper products and canned goods to keep pantry well-stocked during busy periods.
  • Supervised restocking of salad bar and buffet for lunch and dinner service.
English :
Native or Bilingual
Negotiated :
Spanish :
Native or Bilingual
Negotiated :

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Resume Overview

School Attended

  • Gaither High School

Job Titles Held:

  • Medical Coding and Billing Specialist
  • Home Healthcare Specialist
  • Restaurant Waitress


  • High School Diploma

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