Sample Nurse Auditor Resume

Posted in Auditor Resume Examples

Raymond Folks
2460 High Meadow Lane
Lewisburg, PA 17837
(333)-899-4416
[email]

Career Objective Inspiring Nurse Auditor seeking employment with challenging organization in which to enhance my experience in the field and to help company meet long-term goals.

Summary of Qualifications:

  • Excellent knowledge of clinical auditing and experience with internal auditing and case management
  • Sound knowledge of acute hospital charge and posting practices charge bundling
  • In-depth knowledge of medical terms and records
  • Proficiency with PC applications, specifically MS Office
  • Ability to interpret, analyze and apply complex rules and regulations
  • Ability to effectively handle multiple priorities and deadlines
  • Detail oriented with strong math skills

Work Experience:

Nurse Auditor, August 2005 – Present
Advanced Pharmacy Concepts, Lewisburg, PA

  • Conducted desk audits and onsite audits of health plans.
  • Analyzed sources of error in quality and compliance reporting.
  • Worked with a multidisciplinary team of health professionals.
  • Reviewed patient billing correctly.
  • Generated reports of audit results.
  • Adhered to government regulations on medical quality and compliance.

Nurse Auditor, May 2000 – July 2005
University Medical Center, Lewisburg, PA

  • Enhanced charge and coding processes accurately and coordinated with patients and doctors.
  • Prepared pre-billing charge reports.
  • Established techniques to prepare documents, and track and communicate regarding findings.
  • Participated in departmental quality improvement projects.
  • Maximized excellence in customer service by utilizing analytical and interpersonal skills.
  • Cooperated among varied workforce and patients.

Education

Bachelor’s Degree in Nursing, Stonehill College, Easton, MA

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