Top 12 Medical Biller Skills to Put on Your Resume

Medical billing runs on precision. The right mix of technical know-how and people-centered skills doesn’t just look good on a resume—it speeds payment, shrinks denials, and keeps the revenue engine humming. Below, the core capabilities that make hiring managers lean in.

Medical Biller Skills

1. ICD-10
2. CPT Coding
3. HIPAA Compliance
4. Medisoft
5. Epic Systems
6. Medical Terminology
7. EHR/EMR
8. Revenue Cycle Management
9. Claims Processing
10. Denial Management
11. Microsoft Excel
12. Patient Registration

1. ICD-10

ICD-10 (International Classification of Diseases, 10th Revision) standardizes diagnosis coding. In the U.S. that means ICD-10-CM for diagnoses and, in hospitals, ICD-10-PCS for inpatient procedures. Accurate codes anchor clean claims and defensible reimbursement.

Why It's Important

ICD-10 drives precise problem reporting, supports medical necessity, and keeps claims compliant. Miss here and denials multiply.

How to Improve ICD-10 Skills

Sharpen ICD-10 accuracy and speed with these moves:

1. Continuous education: Track annual guideline updates and payer-specific rules through professional bodies like AHIMA and AAPC.

2. Use trusted code references: Rely on current ICD-10-CM/PCS manuals and reputable code browsers within your software.

3. Deliberate practice: Code sample charts weekly; compare against audits; learn from misses.

4. Leverage software: Turn on encoder edits, medical necessity checks, and code crosswalks; keep content libraries current.

5. Audit loops: Build routine peer reviews and internal quality checks to catch drift early.

Consistency beats speed—until you’ve earned both.

How to Display ICD-10 Skills on Your Resume

2. CPT Coding

CPT (Current Procedural Terminology) codes describe services, tests, and procedures. Think of them as the charge engine. Pairing CPT with correct modifiers and diagnoses is where reimbursements are made—or lost.

Why It's Important

Standardized procedure coding ensures payers understand what was done, supports appropriate payment, and reduces rework.

How to Improve CPT Coding Skills

Boost CPT proficiency with a targeted approach:

1. Stay current: Review annual CPT updates and payer bulletins; monitor AMA guidance.
2. Train with scenarios: Practice complex cases (bundling, laterality, bilateral, multiple procedures, time-based services).
3. Refine modifier use: Master high-impact modifiers (25, 59, 24, 51, 26/TC, RT/LT) and payer preferences.
4. Use technology: Enable NCCI edit checks and payer-specific edits in your billing platform.
5. Get feedback: Partner with auditors for periodic chart reviews; close gaps with quick refreshers.

Clean coding plus the right modifier logic equals fewer denials, faster cash.

How to Display CPT Coding Skills on Your Resume

3. HIPAA Compliance

HIPAA sets the standards for protecting patient health information. Billing touches PHI constantly—eligibility checks, claims, EOBs, statements—so compliance is not optional.

Why It's Important

Compliance prevents breaches, fines, and reputational harm while preserving patient trust. It also anchors payer and partner contracts.

How to Improve HIPAA Compliance Skills

Strengthen privacy and security practices:

1. Train regularly: Annual training for all staff, with role-specific refreshers for billers and front-desk teams.

2. Risk analysis: Conduct routine security risk assessments for systems handling ePHI; remediate quickly.

3. Tight access controls: Role-based permissions, MFA where available, and immediate termination of stale access.

4. Secure transmissions: Use encrypted channels for ePHI, including clearinghouse and payer connections.

5. Documentation: Maintain policies, procedures, incident logs, BAAs, and training records.

6. Breach response plan: Define detection, containment, notification, and post-incident review steps.

7. Ongoing vigilance: Monitor for phishing, patch systems promptly, and review audit logs.

8. Vendor oversight: Verify business associates meet HIPAA obligations and sign compliant agreements.

Privacy first, every workflow, every day.

How to Display HIPAA Compliance Skills on Your Resume

4. Medisoft

Medisoft is practice management and billing software used by many outpatient clinics for scheduling, claims, and receivables. When configured well, it accelerates the daily grind.

Why It's Important

It centralizes appointments, charge entry, claim submission, and follow-up. Less swivel-chairing between tools, more cash collected.

How to Improve Medisoft Skills

Make Medisoft work harder:

1. Stay updated: Run the latest version and content updates for payers and code sets.

2. Customize templates: Tailor charge slips, statements, and claim forms to your specialties and payers.

3. Train deeply: Explore advanced features—batch posting, ERA auto-posting, and collection workflows.

4. Automate: Enable electronic claims, eligibility checks, reminders, and recurring reports.

5. Data hygiene: Regularly clean duplicate patients, outdated payer profiles, and stale balances.

6. Use electronic claims: Submit and track electronically to cut rejections and speed payments.

7. Join user communities: Compare setups, reports, and fixes with other users to shortcut trial and error.

Configuration plus discipline equals throughput.

How to Display Medisoft Skills on Your Resume

5. Epic Systems

Epic is a widely used EHR with revenue cycle modules (e.g., Resolute Professional and Hospital Billing). For billers, it’s where charges, edits, claims, and denials converge.

Why It's Important

Epic’s integrated workflows reduce handoffs and errors, improve charge capture, and give transparent performance reporting—denial trends, AR aging, workqueues.

How to Improve Epic Systems Skills

Work smarter inside Epic:

1. Master billing workqueues: Know your edits, routing rules, and clearing logic; tune priorities for impact.

2. Exploit reporting: Build custom reports and dashboards for first-pass yield, denial root causes, and lag days.

3. Pursue training/certification: Complete role-based courses; stay current on release notes and tip sheets.

4. Automate routine tasks: Use batch actions, claim runs, and follow-up prompts; explore approved integrations when available.

5. Engage user groups: Swap build tips and workflows with peers; many solutions already exist.

6. Close the loop: Meet with coding, front desk, and IT to resolve systemic denials at the source.

The system is powerful; your configuration and habits unlock it.

How to Display Epic Systems Skills on Your Resume

6. Medical Terminology

The shared language of conditions, anatomy, tests, and treatments. Without it, coding stalls and documentation feels like fog.

Why It's Important

Strong terminology fluency prevents mismatched codes, supports medical necessity, and speeds chart review.

How to Improve Medical Terminology Skills

Build and retain vocabulary:

1. Targeted coursework: Take focused terminology or anatomy/physiology classes geared to billing and coding.

2. Spaced repetition: Use flashcards and micro-quizzes; mix general and specialty terms you see most.

3. Read clinical notes: Practice translating provider phrasing into codes; keep a personal glossary.

4. Work with coding manuals: Cross-reference ICD-10-CM, CPT, and HCPCS to understand term-to-code nuance.

5. Join professional communities: Discuss tricky terms and abbreviations; learn common pitfalls.

Terminology mastery compounds—faster reviews, cleaner claims.

How to Display Medical Terminology Skills on Your Resume

7. EHR/EMR

EHR/EMR systems hold the clinical record and increasingly the billing rails—charge capture, eligibility, coding assistance, and claim generation.

Why It's Important

Accurate, accessible data reduces errors, shortens revenue cycles, and supports compliance.

How to Improve EHR/EMR Skills

Tune your environment and habits:

1. Integrated billing: Use built-in charge capture and coding tools; limit manual entry across systems.

2. Automate eligibility: Real-time insurance checks before visits to prevent avoidable denials.

3. Add coding assist: Enable prompts, templates, and CCI edits that reinforce clean claims.

4. Role-based training: Keep billers and front-desk staff up to date on new features and workflows.

5. Feedback loop: Hold quick huddles with clinicians and IT to fix documentation and charge capture gaps.

Good data in, clean claims out.

How to Display EHR/EMR Skills on Your Resume

8. Revenue Cycle Management

RCM tracks the journey from patient registration to final payment. It ties together scheduling, eligibility, coding, charge entry, claims, denials, and collections.

Why It's Important

Healthy RCM means predictable cash flow, fewer write-offs, and less staff time wasted on avoidable rework.

How to Improve Revenue Cycle Management Skills

Focus on the levers that move the numbers:

1. Automation: Electronic claims, ERAs, eligibility, and dunning workflows cut delays.
2. Front-end accuracy: Verify demographics and insurance before the visit; collect copays at check-in.
3. Right-first-time coding: Keep standards current; audit high-volume services; coach to trends.
4. Denial playbooks: Standardize appeal letters, timelines, and root-cause fixes.
5. Transparent policies: Clear patient financial policies and multiple payment options reduce bad debt.

Measure relentlessly—then tune what you measure.

How to Display Revenue Cycle Management Skills on Your Resume

9. Claims Processing

Submitting, tracking, correcting, and closing claims with payers. It’s the daily heartbeat of billing.

Why It's Important

Efficient claims processing protects cash flow and slashes days in AR. Slow or sloppy work here hurts fast.

How to Improve Claims Processing Skills

Make denials the exception, not the norm:

1. Streamline with tools: Use claim scrubbing, payer-specific edits, and automated status checks.

2. Keep codes current: Stay aligned with ICD-10, CPT, and payer coverage policies.

3. Verify coverage: Confirm eligibility, plan, and benefits before service.

4. Document thoroughly: Ensure documentation supports each line item and modifier.

5. Train and refresh: Short, regular refreshers on top rejection reasons and fixes.

6. Audit the workflow: Review rejections weekly; patch the process, not just the claim.

Speed matters, but accuracy pays.

How to Display Claims Processing Skills on Your Resume

10. Denial Management

Finding why a claim failed, fixing it, appealing fast, and preventing repeats. It blends analytics, persistence, and collaboration.

Why It's Important

Effective denial management recovers revenue quickly and stops future leaks by addressing root causes.

How to Improve Denial Management Skills

Turn denials into lessons:

1. Classify and trend: Group denials by reason, payer, provider, and service; attack the biggest buckets first.

2. Educate continuously: Share findings with coding, front desk, and clinicians; close documentation gaps.

3. Use denial tools: Adopt software or dashboards to track aging, appeal deadlines, and overturn rates.

4. Payer relationships: Learn payer quirks, escalation paths, and documentation preferences.

5. Internal audits: Spot systemic issues—missing auths, bundling errors, outdated fee schedules.

6. Submit clean and fast: Correct and resubmit promptly; tailor appeals with payer-specific evidence.

Prevention beats any appeal—every time.

How to Display Denial Management Skills on Your Resume

11. Microsoft Excel

Excel tracks, trends, and tells a story. For billers, it’s perfect for AR analysis, payer mix, denial trends, payment posting audits, and reconciliation.

Why It's Important

Flexible analysis exposes bottlenecks, supports decisions, and makes results visible to leaders fast.

How to Improve Microsoft Excel Skills

Lean into features that matter for billing:

1. Core functions: XLOOKUP (or VLOOKUP), INDEX/MATCH, SUMIF/SUMIFS, COUNTIF/COUNTIFS, IFERROR.

2. Pivot tables and charts: Build weekly denial and AR dashboards; slice by payer, location, provider.

3. Power Query: Clean and combine exports from EHR, clearinghouse, and bank files without manual wrangling.

4. Power Pivot and data models: Analyze larger datasets with relationships and measures.

5. Automation: Record macros or use Office Scripts to standardize repetitive reporting.

6. Data validation and protection: Lock critical cells, restrict inputs, and control versions to protect accuracy.

Less manual work, more insight.

How to Display Microsoft Excel Skills on Your Resume

12. Patient Registration

The front door of the revenue cycle. Accurate demographics, insurance data, and consents set everything else up for success.

Why It's Important

Errors at registration ripple into denials, refunds, and frustrated patients. Get it right and the rest goes smoother.

How to Improve Patient Registration Skills

Make the first step rock-solid:

1. Electronic intake: Use digital forms and real-time verification to capture clean data.

2. Staff training: Coach front-desk teams on plan types, coordination of benefits, authorizations, and common pitfalls.

3. Standardized workflows: Clear scripts and checklists for ID, insurance, consents, and financial responsibility.

4. Eligibility up front: Verify coverage and benefits before the visit; resolve discrepancies immediately.

5. Privacy safeguards: Follow HIPAA at the desk and on the phone; minimize PHI exposure.

6. Feedback and QA: Audit registrations and share quick corrections; measure error rates and improve.

Great registration is quiet. You only notice it when it’s missing.

How to Display Patient Registration Skills on Your Resume