Appeals examiner skills for your resume and career

Updated January 8, 2025

1 min read

Below we've compiled a list of the most critical appeals examiner skills. We ranked the top skills for appeals examiners based on the percentage of resumes they appeared on. For example, 36.8% of appeals examiner resumes contained appeals as a skill. Continue reading to find out what skills an appeals examiner needs to be successful in the workplace.

6 appeals examiner skills for your resume and career

1. Appeals

Here's how appeals examiners use appeals:

Processed appeals in Compliance with all HIPAA/ confidentiality regulations
Exemplified superior and quality customer service; assisted providers with appeals via phone, mail, or peer to peer.

2. CPT

CPT is a medical term that stands for Current Procedural Terminology. Whenever a procedure like surgery or diagnosis occurs or some other medical service is rendered to a patient, it is reported to the concerned physician, insurance company, or organization. The aforementioned practice is widely referred to as CPT.

Here's how appeals examiners use cpt:

Issued pre-authorization, verification of coding and CPT codes for diagnosis and procedures.
Processed Medicare appealsUtilized and interpreted CPT and ICD-9 codesComputer skills

3. Medical Terminology

Here's how appeals examiners use medical terminology:

Utilized creative writing background to dissect medical terminology and produce colloquial news articles targeted at the average patient.
Prepared detailed written analysis using medical terminology to explain basis of decisions.

4. Legal Research

Here's how appeals examiners use legal research:

Conducted legal research and applied applicable regulations, codes, statutes and case law.

5. Unemployment Insurance

Here's how appeals examiners use unemployment insurance:

Assigned by the Board to develop and draft Maryland Unemployment Insurance Decisions Digest (3rd ed.
Conducted hearings on disputed unemployment insurance benefit claims brought up on appeal from initial determinations from the Adjudication Branch.

6. CMS

A Content Management System or CMS is computer software that works as a framework where content can be assembled and managed by using a database. CMS is an important asset in web development. This platform enables users to create, edit, collaborate on, publish and store digital content. It helps users to manage their content and modify it from a single system.

Here's how appeals examiners use cms:

Researched and applied federal statutes and CMS policies to each case in order to make the correct determination.
Research current State/Medicare regulations and Center of Medicare and Medicare Services (CMS) program guidelines.

Choose from 10+ customizable appeals examiner resume templates

Build a professional appeals examiner resume in minutes. Our AI resume writing assistant will guide you through every step of the process, and you can choose from 10+ resume templates to create your appeals examiner resume.

What skills help Appeals Examiners find jobs?

Tell us what job you are looking for, we’ll show you what skills employers want.

List of appeals examiner skills to add to your resume

The most important skills for an appeals examiner resume and required skills for an appeals examiner to have include:

Appeals
CPT

Medical Terminology
Legal Research

Unemployment Insurance
CMS

Updated January 8, 2025

Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

Updated January 8, 2025

Browse legal jobs