Great Sample Resume

Medical Coding Auditor Resume

Feel free to use this Medical Coding Auditor Resume example to update your own resume. Even though this is a free resume example, it is important to adjust your own resume to present your relevant work history and skills according to the job you are applying for.

Our resume examples are written by certified resume writers and is a great representation of what hiring managers are looking for in a Medical Coding Auditor Resume. Use this example for reference as you create your own resume or use this easy resume builder that will guide you through every step of your building your resume in just a few minutes.

Here is the Medical Coding Auditor Resume example:

Jerry Kim

2419 Kincheloe Road

Beaverton, OR 97006

(555)-555-5555

[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

  • 1.0.0Version
  • 544Download
  • 1File Count
  • March 1, 2024Create Date
  • March 1, 2024Last Updated
Average Rating

4.5/5 stars with 304 reviews