Medical Auditor Resume

Medical auditors ensure that patients are not under or over billed and their medical records are properly maintained. In medical facilities, their role is important for following proper medical billing system as well as medical coding. As they have access to medical records of patients, and other vital information of the facility, maintaining confidentiality, diplomatic attitude, maturity, and work ethic are as important as education and experience.

If medical regularities is your subject of interest, the medical auditing career is what you need to choose. However, you need to acquire education and experience for the job and an additional skills of preparing a resume.

Medical Auditor Resume Example

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Joseph B. Moore
3409 Bee Street
Grand Rapids, MI 49503
Phone: 231-753-0135
Email: jbmoore@anymail.com

Career Objective:

To work as a medical auditor at “Pure Cure Services, Inc.,” and handle the daily activities of the billing department and ensure billing and payments are accurate.

Summary of Skills:

• Practical knowledge of medical terminology, human anatomy and physiology, diagnostics, and pharmacology
• Effective communication, computer, and interpersonal skills
• Ability to interact with nursing and other departments for auditing
• Excellent analytical, data collecting and processing skills
• Matured, professional, and diplomatic attitude
• Skilled in keeping medical records and other informations secret

Work Experience:

Medical Auditor
Robertson Clinic, Grand Rapids, MI
March 2013 - Present

• Performing audits on billing, medical coding, and patient care system
• Finding and reporting under-billing and over-billing to the billing department
• Identifying and enhancing strengths and weakness of the billing department
• Reviewing patients' medical records and patients' chart and comparing them with billing record
• Coordinating with doctors and nurses for complete and updated patient's chart
• Uncovering and resolving any issues related to incorrect billing codes or fraud in billing

Medical Auditor
Jefferson Healthcare Services, Grand Rapids, MI
May 2012 - February 2013

• Examined medical records and ensured accurate billing and payments
• Coordinated with private and public insurance companies for payment
• Investigated and protected the facility against fraud claims
• Identified and corrected problematic areas in billing and medical coding
• Modified the reimbursement process for cash paid in advanced
• Hired and trained employees joining the billing department

Education:

• Bachelor's Degree in Accounting
  Gran Rapids University, Grand Rapids, MI
  2010

• Certification in Medical Auditing
  ABC Technical Institute, Grand Rapids, MI
  2012

Reference:

On request.