Medical Auditor Resume

[First Name] [Last Name]

Contact Address: [street]

[Country] [City] [State/Province] [Zip Code]

Contact Number: (012)-345-6789

Email Address: [[email protected]]

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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.