Medical Records 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 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:

  • Bachelor’s Degree in Healthcare Management
    Madison University, Madison, NJ
    2010
  • Certified Professional Coder
    ABC Technical Institute, Madison, NJ
    2011

Reference:

On request.