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Insurance coder skills for your resume and career

Updated January 8, 2025

2 min read

Below we've compiled a list of the most critical insurance coder skills. We ranked the top skills for insurance coders based on the percentage of resumes they appeared on. For example, 32.9% of insurance coder resumes contained medical terminology as a skill. Continue reading to find out what skills an insurance coder needs to be successful in the workplace.

15 insurance coder skills for your resume and career

1. Medical Terminology

Here's how insurance coders use medical terminology:

Translate dental terminology to medical terminology to bill medical insurances for certain procedures performed in the dental field.
Entered claims data into system while interpreting coding and understanding medical terminology in relation to diagnoses and procedures.

2. Billing System

A billing system is a system for issuing invoices related to fees payable by each party under an access agreement. Billing systems often include payment software that automates the process of collecting payments, sending recurring invoices, tracking expenses, and tracking invoices, and generates reports for management and records payments to the accounts of the customers.

Here's how insurance coders use billing system:

Enter patient information to the billing system through data capture.
Entered and coded patient information into the billing system upto 300 daily following HIPAA guidelines.

3. Procedure Codes

Procedure codes are usually referred to as the medical classification that is used to identify surgical, medical, or diagnostic interventions like durable medical equipment, surgeries, medications. These codes can be structured alphanumerically, alphabetically, or numerically depending on where they are being used.

Here's how insurance coders use procedure codes:

Examined diagnoses and procedure codes for accuracy, completeness, specificity and appropriateness according to service rendered.
Entered laboratory procedure codes into the Finance Department's Practice Management System for further processing.

4. Data Entry

Data entry means entering data into a company's system with the help of a keyboard. A person responsible for entering data may also be asked to verify the authenticity of the data being entered. A person doing data entry must pay great attention to tiny details.

Here's how insurance coders use data entry:

Collected and processed insurance payments Maintained filing systems Adjusted and recorded changes in insurance policies Customer service Data entry Clerical duties
Retrieve activity logs and perform data entry services of demographic and insurance information into database for multiple physicians' offices.

5. Medical Billing

Here's how insurance coders use medical billing:

Processed daily medical billing and patient information into computer system * Assisted Nursing Staff with administrative office support
Improved efficiency, quality, and productivity by implementing office s first-ever standardized procedures for medical billing.

6. Medicaid

Here's how insurance coders use medicaid:

Blue Cross/Blue Shield, Georgia Medicaid and Medicare.
Handled all Medicare, Medicare Advantage Plans, Traditional Medicaid, Star Plus as well as all Private Insurance eligibility/Authorizations/Referrals/Appeals/CPT coding.

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7. Insurance Verification

Here's how insurance coders use insurance verification:

Preformed eligibility and insurance verification.
Review insurance eligibility and primary care provider information via online insurance verification system and/or contact carrier to obtain eligibility and benefits.

8. Patient Insurance

Here's how insurance coders use patient insurance:

Verify patient Insurance; call for verification (AEVS) and/or run POS.
Verify patient insurance; call for verification or check online.

9. ICD-9

Here's how insurance coders use icd-9:

Contacted various Medical Offices to receive ICD-9 and CPT codes for billing and submitting claims for payment to various insurance plans.
Receive Face sheet and Lab sheet for Nursing Home patient's input ICD-9 code and Medicare# in QBS system

10. Patient Charts

Here's how insurance coders use patient charts:

Coded and billed out a high volume of patient charts to various insurances.
Code insurance claims into the computer system File patient charts Answer multiple phone lines and direct calls.

11. Scheduling Appointments

Scheduling appointments is the practice of finding a free slot with the person(s) you want to meet. The process of scheduling appointments involves finding mutually free time, negotiating follow-ups, sending reminders, and creating new appointments. Scheduling appointments is important to ensure that the timings of consecutive meetings do not clash with each other.

Here's how insurance coders use scheduling appointments:

Provided customer assistance by answering phones, scheduling appointments and product selection.
Performed secretarial tasks scheduling appointments and maintained office.

12. Patient Accounts

Patient accounts are a part of a hospital information system that is used for storing financial data, keeping a record of healthcare costs, and providing information regarding patient billing. It deals with the financial aspects of the healthcare setting.

Here's how insurance coders use patient accounts:

Enter personal payments into patient accounts.
Maintained patient accounts Verified insurance Followed up with insurance companies on unpaid medical claims Trained all new interns.

13. HIPAA

Here's how insurance coders use hipaa:

Verified correct eligibility, abiding by HIPAA guidelines while meeting company standards and quotas.
Ensured up-to -date Workers Compensation case numbers and information was maintained by the strictest confidentiality and adhered to all HIPAA guidelines/regulations.

14. POS

POS is an abbreviation of "Point of Sale" which is the time and place where a customer completes a transaction. It can either be a physical shop that consists of POS terminals or a virtual shop. A POS system helps simplify the retail functions and track important sales data.

Here's how insurance coders use pos:

Verified patients insurance eligibility (AEVS), check on-line, or run POS.

15. Insurance Claims

Here's how insurance coders use insurance claims:

Code and bill charges and bill to various insurance companies, reconciled delinquent insurance claims, assisted patients with their accounts
Submitted insurance claims over internet to insurance companies Called insurance companies about rejections Processed claims and prescriptions

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What skills help Insurance Coders find jobs?

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List of insurance coder skills to add to your resume

The most important skills for an insurance coder resume and required skills for an insurance coder to have include:

Medical Terminology
Billing System
Procedure Codes
Data Entry
Medical Billing
Medicaid
Insurance Verification
Patient Insurance

ICD-9
Patient Charts
Scheduling Appointments
Patient Accounts
HIPAA
POS
Insurance Claims
Medical Claims

AS400
Patient Demographics
E/M
Financial Class
EOB
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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

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