Medical Records Auditor Resume
Medical records auditors supervise the work of the data management team and verify the data kept by them for correctness, legitimacy and completeness. The data comprises of patients records that includes personal information, initial analysis reports, test reports, diagnosis and record of the treatments administered, name of the doctors, departments, billing, etc. It is the responsibility of the medical records auditors to check if the records are accurate, updated and presented in a prescribed format. Such accurate record keeping becomes a parameter to judge if the medical center is following the set regulations and standards in providing prompt and quality services to patients.
This profession requires medical background with abilities to understand the diagnostic and treatment procedures, read medical reports, and coordinate with administrators, medical staff, and the board of directors of healthcare center. Addition information is laid out in the given job application sample.
Medical Records Auditor Resume Example
Susan R. Hampton
1947 Spring Haven Trail
Madison, NJ 07940
Phone: 973-660-3448
Email: srhampton@anymail.com
Career Objective:
To work as a medical record auditor with “Blossom General Hospital,” where my expertise in auditing medical records will ensure compliance with the set guidelines by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), and Medicare/Medicaid programs.
Summary of Skills:
- Extensive knowledge of medical data auditing, interpretation and analysis
- Highly skillful at compiling, formatting and studying medical data
- Ability to study information, draw analysis and draft reports stating the conclusion
- Strong willed and goal-oriented individual with emphasis on accuracy and integrity
- Proficiency with medical terminology and interpreting laboratory reports
- Strong analytical, math, and problem-solving skills
Work Experience:
Medical Records Auditor
Jacksonville Hospital, Madison, NJ
August 2013 - Present
- Analyzing medical records and ensuring complete confidentiality and security from non-authorized individuals
- Checking for records if they identify patient's diagnosis, medical history, and treatment
- Ensuring compliance with JCAHO and Medicare/Medicaid standards
- Examining records and identifying if the test is done or billed without performing it
- Interpreting laboratory reports and ascertaining their necessity for the diagnosis and treatment
- Picking up a random record for audit and reporting findings to the board of the director
Medical Records Auditor
Rising Sun Hospital, Madison, NJ
February 2012 - July 2013
- Interviewed billing department personnel and investigated any fraudulent practices found during the audit
- Reviewed discrepancies in the billing and diagnostic procedures and drafting reports
- Examined and validated medical records for the basis of accuracy, completeness, and necessity
- Verified diagnosis codes and prices for each test and charges levied on the bills for the same
- Audited medical chart, and medical coding system and discussed findings with the hospital board of directors
- Found and rectified weakness of the hospital management system in various categories
Education:
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Bachelor's Degree in Healthcare Management
Madison University, Madison, NJ
2010
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Certified Professional Coder
ABC Technical Institute, Madison, NJ
2011
Reference:
On request.
