Medical Records and Billing Resume Examples and Templates: A Complete Guide

A professional medical records and billing resume is essential for standing out in India’s growing healthcare administration sector. Whether you’re applying for positions at leading hospitals like Apollo, Fortis, or Max Healthcare, diagnostic chains, TPA companies, health insurance firms, or healthcare BPO organisations, your resume should highlight your medical coding expertise, billing proficiency, and commitment to accurate healthcare documentation.

This guide walks you through medical records and billing resume examples and templates, formatting tips, and keywords to help you write a resume that stands out to recruiters at leading healthcare organisations in India.

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Understanding the Medical Records and Billing Role in India

Medical records and billing professionals are healthcare administration specialists responsible for managing patient health records, coding diagnoses and procedures, processing insurance claims, and ensuring accurate billing. From maintaining electronic health records to submitting claims to TPAs and insurance companies, these professionals ensure healthcare facilities receive appropriate reimbursement while maintaining compliance with regulatory standards.

Key responsibilities include:

• Maintaining and updating patient medical records
• Coding diagnoses and procedures using ICD and CPT codes
• Processing insurance claims and TPA submissions
• Managing billing cycles and revenue collection
• Ensuring HIPAA and data privacy compliance
• Coordinating with clinical staff for documentation
• Handling claim rejections and resubmissions
• Generating billing reports and analytics

India’s expanding healthcare sector, increasing health insurance penetration, and growing focus on healthcare compliance create strong demand for skilled medical records and billing professionals across hospitals, insurance companies, and healthcare service providers.

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Preparing to Write Your Medical Records and Billing Resume

Before drafting your resume, gather all relevant information:

Professional details to compile:

• Complete employment history in healthcare administration roles
• Medical coding certifications and training
• Billing software and systems proficiency
• Claims processed and accuracy metrics
• Revenue collection achievements
• Certifications and training completed
• Languages known for patient communication
• Awards and recognition received

Research target employers:

• Review requirements from hospital chains (Apollo, Fortis)
• Understand expectations at TPAs and insurance companies
• Note specific qualifications mentioned in job descriptions

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Choosing the Best Resume Format

Select a format that best presents your medical records and billing experience:

Chronological Format

Best for professionals with steady career progression in healthcare administration roles. Highlights your work at organisations in reverse chronological order.

Functional Format

Suitable for freshers completing coding certification or those transitioning from related administrative roles who want to emphasise coding and billing skills.

Combination Format

Ideal for experienced professionals with diverse experience across different healthcare settings, specialties, or billing systems.

Format recommendations by experience: | Experience Level | Recommended Format | Resume Length | |-----------------|-------------------|---------------| | Entry-level (0-2 years) | Chronological | 1 page | | Mid-level (2-5 years) | Chronological | 1-2 pages | | Senior (5+ years) | Combination | 2 pages |

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Professional Summary Examples

Your professional summary should immediately communicate your medical records and billing expertise:

Entry-Level Medical Coder

Certified medical coder seeking medical records and billing position at leading healthcare facility. Completed CPC certification with training in ICD-10 and CPT coding. Proficient in medical terminology, anatomy, and billing procedures. Strong knowledge of insurance claim processes. Excellent attention to detail and data accuracy. Eager to contribute to revenue cycle management while developing expertise under senior guidance.

Medical Billing Specialist

Detail-oriented medical billing specialist with 3+ years of experience at leading hospital chains. Currently Billing Executive at Fortis Healthcare processing 500+ claims monthly with 98% first-pass acceptance rate. Expertise in ICD-10 coding, insurance claims, and TPA coordination. Recovered ₹50 lakh in pending claims. CPC certified with strong EHR proficiency. Known for accuracy and efficiency.

Senior Medical Records Executive

Experienced healthcare administration professional with 7+ years in medical records and billing at premier hospitals. Currently Senior Medical Records Officer at Apollo Hospitals managing medical records department with team of 8 staff. Expertise in health information management, coding quality, and revenue cycle optimisation. Achieved 99% coding accuracy and ₹2 crore revenue improvement. CCS certified with proven leadership abilities.

Revenue Cycle Manager

Seasoned healthcare administration leader with 12+ years of experience managing revenue cycle operations at leading healthcare organisations. Currently Manager - Revenue Cycle at Max Healthcare overseeing billing operations with team of 25 professionals handling ₹50 crore annual collections. Expertise in billing strategy, denial management, and compliance. Built high-performing revenue cycle teams. MBA with CPC and CCS certifications. Known for operational excellence.

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Showcasing Your Work Experience

Present your medical records and billing experience with specific achievements and metrics:

Manager - Revenue Cycle

Max Healthcare | Delhi April 2018 – Present

• Lead revenue cycle operations managing ₹50 crore annual collections
• Manage team of 25 billing and coding professionals
• Achieve 99% coding accuracy across all specialties
• Improve first-pass claim acceptance rate from 92% to 98%
• Reduce claim denial rate by 40% through process improvements
• Implement automated billing workflows reducing TAT by 25%
• Coordinate with 50+ insurance companies and TPAs
• Ensure NABH and compliance standards adherence
• Train staff on coding updates and billing procedures
• Receive “Revenue Excellence Award” (2022)

Senior Medical Records Officer

Apollo Hospitals | Chennai June 2014 – March 2018

• Managed medical records department serving 500+ bed hospital
• Led team of 8 medical records staff
• Achieved 99% coding accuracy on internal audits
• Processed 10,000+ claims monthly with 97% acceptance rate
• Recovered ₹1 crore in pending insurance claims
• Implemented electronic health records system
• Trained clinical staff on documentation requirements
• Promoted from Medical Records Executive to Senior Officer
• Received “Best Department” recognition (2017)

Medical Billing Executive

Fortis Healthcare | Mumbai July 2011 – May 2014

• Processed insurance claims for outpatient and inpatient services
• Coded diagnoses and procedures using ICD-10 and CPT
• Achieved 95% first-pass acceptance rate
• Followed up on claim rejections and resubmissions
• Coordinated with TPAs and insurance companies
• Maintained accurate billing records
• Completed CPC certification during tenure
• Received positive feedback from supervisors

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Essential Skills for Medical Records and Billing Professionals

Coding Skills

• ICD-10-CM coding
• CPT procedure coding
• Medical terminology
• Anatomy and physiology knowledge
• Coding guidelines compliance
• DRG coding
• Coding audits
• Code book navigation
• Modifier application
• Coding accuracy

Billing Skills

• Insurance claim processing
• TPA coordination
• Revenue cycle management
• Denial management
• Accounts receivable
• Payment posting
• Billing software (Tally, hospital systems)
• Electronic Health Records (EHR)
• Claim follow-up
• Patient billing

Soft Skills

• Attention to detail
• Data accuracy
• Communication skills
• Problem-solving
• Time management
• Team collaboration
• Confidentiality
• Analytical thinking
• Customer service
• Adaptability

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Qualifications for Medical Records and Billing Professionals

Educational Qualifications

Qualification	Institution Type	Relevance
B.Sc. Medical Records	Allied health colleges	Preferred qualification
Diploma in Medical Records	Medical record institutes	Standard qualification
B.Com with coding certification	Universities + institutes	Entry pathway
Any graduate with certification	Universities	Career transition
M.Sc. Health Informatics	Universities	Advanced qualification
MBA Healthcare	B-schools	Management focus

Professional Certifications

• CPC (Certified Professional Coder)
• CCS (Certified Coding Specialist)
• RHIA (Registered Health Information Administrator)
• RHIT (Registered Health Information Technician)
• Medical Coding Certificate (AAPC, AHIMA)
• ICD-10 Certification
• Healthcare Compliance Certification
• EHR Software Certification

Additional Training

• Medical coding boot camps
• ICD-10 update training
• Revenue cycle management courses
• Healthcare compliance training
• EHR software training
• Billing software courses
• Medical terminology courses

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Tips by Experience Level

Entry-Level Professionals (0-2 years)

• Highlight coding certification (CPC, CCS)
• Include internship or training experience
• Emphasise medical terminology knowledge
• Showcase software proficiency
• Include accuracy and attention to detail

Target employers: Hospital billing departments, healthcare BPOs

Mid-Level Professionals (2-5 years)

• Quantify claims processed and accuracy rates
• Highlight specialty coding expertise
• Showcase denial management experience
• Demonstrate revenue recovery achievements
• Include recognition and awards received

Target positions: Senior Billing Executive, Coding Specialist

Senior Professionals (5+ years)

• Emphasise team leadership experience
• Highlight revenue cycle improvements
• Showcase process optimisation initiatives
• Demonstrate compliance expertise
• Include department-level achievements

Target positions: Manager, Head of Medical Records, Revenue Cycle Director

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ATS Optimisation for Medical Records and Billing Resumes

Ensure your resume passes Applicant Tracking Systems:

Essential keywords to include:

• Medical records, billing
• Medical coding, ICD-10, CPT
• Claims, insurance, TPA
• Revenue cycle, collections
• CPC, CCS, certified coder
• EHR, electronic health records
• Apollo, Fortis, Max (if applicable)
• Accuracy, compliance
• Denial management, AR
• Healthcare administration

ATS-friendly formatting:

• Use standard section headings (Summary, Experience, Skills, Education)
• List certifications and coding systems clearly
• Avoid tables, graphics, and complex formatting
• Use standard fonts (Arial, Calibri, Times New Roman)
• Include accuracy rates and revenue metrics

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Complete Medical Records and Billing Resume Example

PRIYA VERMA
Delhi, NCR | +91 98765 43210 | priya.verma@email.com
LinkedIn: linkedin.com/in/priyaverma-medicalrecords

PROFESSIONAL SUMMARY
Detail-oriented medical records and billing professional with 6 years of experience
at leading hospital chains. Currently Senior Medical Billing Executive at Fortis
Healthcare processing 800+ claims monthly with 98% first-pass acceptance rate.
Expertise in ICD-10 coding, insurance claims, TPA coordination, and revenue cycle
management. Recovered ₹75 lakh in pending claims through effective follow-up.
CPC certified with strong EHR and billing software proficiency. Known for accuracy,
efficiency, and team collaboration. Award-winning healthcare administration
professional.

PROFESSIONAL EXPERIENCE

Senior Medical Billing Executive
Fortis Healthcare | Delhi | April 2021 – Present
• Process 800+ insurance claims monthly across multiple specialties
• Achieve 98% first-pass claim acceptance rate
• Code diagnoses and procedures using ICD-10-CM and CPT
• Coordinate with 30+ insurance companies and TPAs
• Recover ₹75 lakh in pending claims through effective follow-up
• Reduce claim denial rate by 35% through process improvements
• Train 3 junior billing executives on coding and billing
• Maintain compliance with NABH and HIPAA standards
• Receive "Best Billing Performance" award (2022)
• Achieve 99% coding accuracy on internal audits

Medical Billing Executive
Apollo Hospitals | Delhi | June 2018 – March 2021
• Processed insurance claims for inpatient and outpatient services
• Coded 500+ claims monthly with 96% accuracy
• Followed up on claim rejections and resubmissions
• Coordinated with TPAs for pre-authorisations and approvals
• Maintained accurate billing records in hospital EHR
• Achieved consistent improvement in acceptance rates
• Promoted from Junior to Medical Billing Executive
• Received positive feedback from supervisors

Junior Medical Records Executive
Max Healthcare | Delhi | July 2016 – May 2018
• Maintained and updated patient medical records
• Coded diagnoses using ICD-10 under supervision
• Processed basic insurance documentation
• Ensured data accuracy and completeness
• Learned medical billing and coding procedures
• Completed CPC certification during tenure
• Achieved high ratings on performance evaluations

Intern
Government Hospital | Delhi | Jan 2016 – June 2016
• Completed internship in medical records department
• Learned medical records management basics
• Observed coding and billing procedures
• Completed internship project on health information management

EDUCATION
Bachelor of Science (B.Sc.) - Medical Records and Health Information
Guru Gobind Singh Indraprastha University | Delhi | 2016
First Class with Distinction

Higher Secondary Certificate (12th - Science)
CBSE Board | 2012
First Class

CERTIFICATIONS
• Certified Professional Coder (CPC) | AAPC | 2018
• ICD-10-CM Proficiency Certification | 2019
• Medical Terminology Certification | 2017
• Healthcare Compliance Training | 2020
• EHR Software Certification | 2019
• Revenue Cycle Management | 2021

SKILLS
Coding: ICD-10-CM, CPT Coding, Medical Terminology, Anatomy Knowledge,
       Coding Guidelines, Modifier Application, Coding Audits
Billing: Insurance Claims, TPA Coordination, Denial Management, Revenue Cycle,
        Accounts Receivable, Payment Posting, Claim Follow-up
Technical: Hospital EHR Systems, Billing Software, MS Office, Excel Advanced,
          Data Entry, Report Generation
Languages: English, Hindi

ACHIEVEMENTS
• 98% first-pass claim acceptance rate
• ₹75 lakh pending claims recovered
• 99% coding accuracy achieved
• "Best Billing Performance" award - Fortis 2022
• 3 junior staff trained and mentored
• 35% reduction in claim denial rate
• 800+ claims processed monthly

KEY SPECIALTIES CODED
• Cardiology procedures and diagnoses
• Orthopaedic surgeries
• General medicine
• Diagnostic imaging
• Laboratory services

PROFESSIONAL DEVELOPMENT
• AAPC Annual Conference participant
• ICD-10 Update Training - Annual
• Revenue Cycle Best Practices Workshop
• Healthcare Compliance Training
• Medical Coding Boot Camp - AAPC

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Conclusion

A professional medical records and billing resume is essential for success in India’s growing healthcare administration sector. Whether you’re targeting positions at hospital billing departments, insurance companies, TPAs, or healthcare BPOs, your resume must demonstrate your coding expertise, billing proficiency, and commitment to accurate healthcare documentation.

Focus on quantifying your achievements—claims processed, accuracy rates, revenue recovered, and denial reduction. Highlight your CPC/CCS certification and coding training that validate your expertise. With India’s expanding healthcare sector and increasing health insurance coverage, skilled medical records and billing professionals have excellent career opportunities across healthcare organisations.

Use our resume builder to create an ATS-optimised medical records and billing resume, or explore our professional templates designed specifically for healthcare administration professionals in India.