Sample Medical Coding Auditor Resume

Posted in Auditor Resume Examples

Jerry Kim
2419 Kincheloe Road
Beaverton, OR 97006
(123)-629-4731
[email]

Job Objective Looking for an opportunity to put my skills and training to work for your company by acquiring the position of Medical Coding Auditor.

Work Experience:

Medical Coding Auditor, August 2005 – Present
Group Health Cooperative, Beaverton, OR

  • Scheduled and conducted multiple provider audits.
  • Participated in performing coding focused CMS audits and investigations.
  • Ensured support of medical coding controls.
  • Provided individualized scorecard results and scheduled follow-up audits.
  • Completed audit projects within time and budget.
  • Ensured that the score cards and reports contain adequate evidence to support findings.

Medical Coding Auditor, May 2000 – July 2005
Universal American Corporation, Beaverton, OR

  • Coordinated with state and federal agencies in support of robust partnership related to FWA investigations.
  • Created reports using the company designated pre-payment tools.
  • Identified potential fraud trends and performed appropriate analysis.
  • Gathered relevant data to recognize national trends or schemes to proactively anticipate threats.
  • Monitored and participated in AAPC Forum discussions.
  • Maintained compliance with regulatory requirements.

Summary of Qualifications:

  • Considerable experience with the principles and practices of medical coding
  • Sound knowledge of CMS 1500 and UB04 data elements
  • Good understanding of medical terminology
  • Proficient with standard industry coding systems such as CPT, HCPCS , ICD-9, and Revenue Codes
  • Ability to handle multiple projects and appropriately prioritize tasks to meet deadlines
  • Excellent analytical and problem solving skills
  • Superior communication skills, both verbal and written

Education

Bachelor’s Degree in Health Information Management, Louisiana College, Pineville, LA

We know how to prepare a professional resume!