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Myron Williams
Medical Biller Coder
Summary
A highly skilled and experienced Medical Biller Coder with a proven track record of success in the healthcare industry. Proficient in medical billing software, insurance verification, and patient account management. Possesses a deep understanding of medical terminology, coding systems (ICD-10, CPT, HCPCS), and industry regulations. Committed to accuracy and compliance, with a strong attention to detail and a focus on maximizing revenue collection.
Throughout my career, I have consistently exceeded expectations in processing a high volume of medical claims, ensuring their accuracy and compliance with industry standards. I have effectively utilized medical billing software to generate and submit claims electronically, minimizing claim denials and improving reimbursement rates. My expertise in verifying patient eligibility and insurance coverage has significantly reduced denials and streamlined the billing process.
I am highly proficient in applying my in-depth knowledge of medical terminology and coding systems to ensure accurate billing and coding practices. I have prepared and maintained patient accounts, ensuring timely billing and revenue collection. Collaboration with healthcare providers to obtain necessary documentation for accurate billing has been a key aspect of my success.
Furthermore, I have conducted audits of medical records to ensure compliance with billing guidelines, identifying and correcting any discrepancies. My strong communication and interpersonal skills have enabled me to effectively resolve claim denials and appeals with insurance companies.
I am confident that my skills and experience would be a valuable asset to any healthcare organization. I am eager to contribute my expertise to improve billing operations, enhance revenue collection, and deliver exceptional patient care.
Education
Associate Degree in Medical Billing and Coding
December 2015
Skills
- Medical Billing and Coding
- Insurance Verification
- Patient Account Management
- ICD-10 and CPT Coding
- Medical Terminology
- Claims Processing
Work Experience
Medical Biller Coder
- Applied indepth knowledge of medical terminology and coding systems (ICD10, CPT, HCPCS).
- Prepared and maintained patient accounts, ensuring timely billing and revenue collection.
- Collaborated with healthcare providers to obtain necessary documentation for accurate billing.
- Audited medical records to ensure compliance with billing guidelines.
Medical Biller Coder
- Processed a high volume of medical claims, ensuring accuracy and compliance with industry regulations.
- Used medical billing software proficiently to generate and submit claims electronically.
- Verified patient eligibility and insurance coverage to minimize claim denials.
- Resolved claim denials and appeals, effectively communicating with insurance companies.
Accomplishments
- Successfully reduced denied claims by 30% through the implementation of a comprehensive claims scrubbing process
- Developed and executed a training program that improved the accuracy of medical billing and coding by 15%
- Collaborated with healthcare providers to resolve complex billing issues, leading to a 5% increase in revenue
- Managed a team of medical billers and coders, ensuring highquality and timely claim submission
- Successfully implemented an electronic health record (EHR) system, streamlining the medical billing and coding process
Awards
- Recipient of the Medical Billing and Coding Excellence Award, given by the American Academy of Professional Coders (AAPC)
- Honored with the Outstanding Medical Biller of the Year Award, awarded by the Healthcare Financial Management Association (HFMA)
- Recognized as a Certified Medical Billing and Coding Specialist (CMBCS) by the National Healthcareer Association (NHA)
- Certified Professional Coder (CPC) certification from the American Health Information Management Association (AHIMA)
Certificates
- Certified Professional Biller (CPB)
- Certified Coding Associate (CCA)
- Certified Medical Reimbursement Specialist (CMRS)
- Registered Health Information Technician (RHIT)
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How To Write Resume For Medical Biller Coder
Highlight your technical proficiency:
Demonstrate your expertise in medical billing software, insurance verification systems, and coding systems (ICD-10, CPT, HCPCS) to showcase your technical abilities.
Quantify your accomplishments:
Use specific metrics to quantify your achievements, such as the percentage of claims processed accurately, the reduction in claim denials, or the improvement in revenue collection.
Emphasize compliance and accuracy:
Highlight your commitment to compliance with industry regulations and your ability to ensure the accuracy of medical claims to minimize errors and denials.
Showcase your communication skills:
Demonstrate your strong communication and interpersonal skills, which are essential for resolving claim denials and building relationships with healthcare providers and insurance companies.
Essential Experience Highlights for a Strong Medical Biller Coder Resume
- Process medical claims accurately and efficiently, ensuring compliance with industry regulations.
- Utilize medical billing software proficiently to generate and submit claims electronically.
- Verify patient eligibility and insurance coverage to minimize claim denials.
- Resolve claim denials and appeals, effectively communicating with insurance companies.
- Apply in-depth knowledge of medical terminology and coding systems (ICD-10, CPT, HCPCS) for accurate billing and coding.
- Prepare and maintain patient accounts, ensuring timely billing and revenue collection.
- Collaborate with healthcare providers to obtain necessary documentation for accurate billing.
Frequently Asked Questions (FAQ’s) For Medical Biller Coder
What are the primary responsibilities of a Medical Biller Coder?
Medical Billers and Coders are responsible for processing medical claims, verifying patient eligibility and insurance coverage, resolving claim denials, applying medical terminology and coding systems, preparing and maintaining patient accounts, and collaborating with healthcare providers.
What qualifications are required to become a Medical Biller Coder?
Typically, an Associate Degree in Medical Billing and Coding or a related field is required. Additionally, certification from organizations such as the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC) is highly valued.
What are the key skills needed to excel as a Medical Biller Coder?
Key skills include proficiency in medical billing software, knowledge of medical terminology and coding systems, strong attention to detail, excellent communication skills, and the ability to work independently and as part of a team.
What is the job outlook for Medical Billers and Coders?
The job outlook for Medical Billers and Coders is expected to grow faster than average over the next few years due to the increasing demand for healthcare services and the need for accurate and efficient billing practices.
What are the earning prospects for Medical Billers and Coders?
Earning prospects for Medical Billers and Coders can vary depending on experience, location, and employer. However, the median annual salary for Medical Billers and Coders in the United States is around $43,000.
What are the career advancement opportunities for Medical Billers and Coders?
With experience and additional training, Medical Billers and Coders can advance to roles such as Billing Manager, Coding Supervisor, or Health Information Manager.
What are the challenges faced by Medical Billers and Coders?
Medical Billers and Coders may face challenges such as the need to stay up-to-date with changes in medical billing regulations, the complexity of medical coding systems, and the pressure to process claims accurately and efficiently.
What are the ethical considerations for Medical Billers and Coders?
Medical Billers and Coders have a responsibility to maintain patient confidentiality, ensure the accuracy of medical claims, and comply with industry regulations. They must also avoid conflicts of interest and maintain professional conduct.