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Medical insurance coder skills for your resume and career

Updated January 8, 2025
3 min read
Quoted expert
Li Zhang Ph.D.
Below we've compiled a list of the most critical medical insurance coder skills. We ranked the top skills for medical insurance coders based on the percentage of resumes they appeared on. For example, 19.5% of medical insurance coder resumes contained patients as a skill. Continue reading to find out what skills a medical insurance coder needs to be successful in the workplace.

15 medical insurance coder skills for your resume and career

1. Patients

Here's how medical insurance coders use patients:
  • Answered phones Scheduled appointments Verified insurance benefits for patients Maintained Patient files Maintained billing statements Processed insurance forms for payments electronically
  • Deliver explanation of insurance coverage and patient responsibilities to patients based on their policy.

2. Insurance Verification

Here's how medical insurance coders use insurance verification:
  • full time (40 hours per week) Did medical insurance verifications for vets using VISTA.
  • Confirm patient insurance verification and eligibility

3. Medicaid

Here's how medical insurance coders use medicaid:
  • Filed medical claims for Medicare, Medicaid, and commercial insurance (paper and electronic claims).
  • Post Commercial, Medicare, and Medicaid payments, adjustments, and denials.

4. 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 medical insurance coders use patient accounts:
  • Posted accounts receivables for all patient accounts and all insurance accounts.
  • Place related rejection/refund notes in patient accounts.

5. Customer Service

Customer service is the process of offering assistance to all the current and potential customers -- answering questions, fixing problems, and providing excellent service. The main goal of customer service is to build a strong relationship with the customers so that they keep coming back for more business.

Here's how medical insurance coders use customer service:
  • Provided superior customer service and Care for medical insurance polices.
  • Demonstrated Strong Customer service skills, skillfully handled difficult customer issues, often with a better solution to their problem.

6. Medical Insurance Claims

Here's how medical insurance coders use medical insurance claims:
  • Answered phones, researched and collected data for new customers and followed up on medical insurance claims.
  • trained six months as medical insurance claims processor: certificate

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7. Appeals

Here's how medical insurance coders use appeals:
  • Work all incoming insurance/patient billing correspondence, appeals, reviews, and actively work accounts to resolution within timely filing parameters.
  • Researched viability of medical claim denials for the Veterans Administration Medical Centers nationwide in preparation for claim appeals.

8. Front Desk

Here's how medical insurance coders use front desk:
  • Up dated information in the system for the front desk to collect on surgery day.
  • Managed the front desk in areas of manual and computerized scheduling, insurance verification, patient records management and scheduling referrals.

9. ICD-9

Here's how medical insurance coders use icd-9:
  • Trained in ICD-9 coding terminology to key physician charge tickets and progress notes.
  • Assigned appropriate diagnosis and procedure codes following coding guidelines for ICD-9, CPT codes for all pre-certification request.

10. Outbound Calls

An outbound call is made by the call center representative to the customers on behalf of the company. Such calls help increase sales and generate revenue for the organization.

Here's how medical insurance coders use outbound calls:
  • Perform outbound calls to providers and insurance entities for additional information.
  • Make outbound calls to appropriate party to re-coupe payments made in error from homeowner s escrow account for hazard insurance.

11. Medical Billing

Here's how medical insurance coders use medical billing:
  • Worked in a temporary capacity on a variety of assignments including medical reception, medical billing, and medical customer service
  • Developed a working knowledge and understanding of Federal HIPAA Privacy and Security Regulations as they relate to medical billing.

12. Patient Insurance

Here's how medical insurance coders use patient insurance:
  • Maintain accurate patient insurance records.
  • Verified patient insurance eligibility and determined patient financial responsibility.

13. Patient Demographics

Patient demographics carry basic information about a patient admitted to a healthcare facility. These demographics help in patient identification and allow the hospital management to categorize the information. This characterization helps in making the process of statistical analysis easy. Patient demographics normally include; date of birth, gender, ethnicity, sex, address, contact information, and medical history.

Here's how medical insurance coders use patient demographics:
  • Enter and verify patient demographics and insurance information.
  • Verified patient demographics, determined insurance eligibility and benefit coverage for patients admitted to the facility for inpatient and outpatient activity.

14. Patient Payments

Here's how medical insurance coders use patient payments:
  • Conducted analysis all Explanation of Benefits, balanced insurance and patient payments; performed adjustments and credits as needed.
  • Apply patient payments to the appropriate account line item.

15. CPT-4

Here's how medical insurance coders use cpt-4:
  • Interpreted and reviewed medical record documentation to assign accurate CPT-4 procedure and assigned ICD-9 diagnosis codes.
  • Full knowledge of medical coding: ICD-9 codes, CPT-4 codes, and modifiers for proper billing and maximum reimbursement.
top-skills

What skills help Medical Insurance Coders find jobs?

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

What hard/technical skills are most important for medical insurance coders?

Li Zhang Ph.D.

Professor, St. Cloud State University

It would be analytical skills and numerical skills, no matter if it's in underwriting, claims, actuarial, investment, sales, or other positions. For example, a successful salesperson should be able to efficiently analyze the client's information, assess the client's need, recommend the appropriate products, and convey product advantages and disadvantages clearly. Also, competent employees should be comfortable with working with numbers/graphs to communicate with clients or coworkers.
Do you want to know more?
Read more about what experts have to say about medical insurance coder

List of medical insurance coder skills to add to your resume

Medical insurance coder skills

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

  • Patients
  • Insurance Verification
  • Medicaid
  • Patient Accounts
  • Customer Service
  • Medical Insurance Claims
  • Appeals
  • Front Desk
  • ICD-9
  • Outbound Calls
  • Medical Billing
  • Patient Insurance
  • Patient Demographics
  • Patient Payments
  • CPT-4
  • EOB
  • Unpaid Claims
  • Insurance Payments
  • Financial Reports
  • Billing Issues
  • HMO
  • Insurance Coverage
  • Diagnosis Codes
  • Insurance Eligibility
  • Scheduling Appointments
  • Billing Inquiries
  • Patient Charts
  • EHR
  • Hippa
  • CMS

Updated January 8, 2025

Zippia Research Team
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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