A Medical Records Auditor is responsible for auditing, examining, verifying, adjusting, and correcting medical records and bills and ensures consistency and accuracy. Typical work activities associated with the post are listed on the Medical Records Auditor Resume as – reporting discrepancies to personnel and ensuring corrective action is taken, auditing physician billing practice against documentation in the medical record, ensuring compliance with all federal, state, and third-party billing requirements, rules and regulations; and making sure everything is in compliance and that all codes match correctly for billing purposes.
The applicant must be a registered nurse and have some college-level courses in the field of healthcare. Other core competencies expected from job applicants are – strong analytical skills, basic training skills, basic knowledge of diagnostic-related groups and coding, and knowledge of disease processes, findings; and quality assurance.
Headline : As a Medical Records Auditor, responsible for Directly consulting with the clinical staff for clarification of conflicting or ambiguous clinical data, and also Using computer applications with varied functions to produce a wide range of reports, to abstract records, and review assigned codes.
Skills : Microsoft Office, Adobe Photoshop Suites, Time Management.
Description :
Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).
Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
Prepared patient charts accurately and neatly.
Prepared patient charts, pre-admissions and consent forms as necessary.
Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation of recorded data.
Researched questions and concerns from providers and provided detailed responses.
Maintained strict patient and physician confidentiality.
Experience
5-7 Years
Level
Executive
Education
Bachelor Of Science
Medical Records Auditor Resume
Objective : A detail-oriented, ambitious individual, seeking an opportunity to use my skills and abilities to grow within your organization, Planning to utilize previous education and experience as a HIM professional to accurately and efficiently perform the job duty requirements of the Site Coordinator position. By utilizing my experience with multiple EMR systems, strong communication and interpersonal skills, and adaptive learning abilities, I can efficiently perform the job duties entailed.
Skills : MS Office, Documentational Skills.
Description :
Assembled and maintained all medical charts in chronological order upon discharge or when deceased.
Analyzed and purged all resident medical charts per monthly update with physician and nursing staff.
Created standard primary diagnosis codes (ICD-9) of residents condition while under hospital care.
Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
Responded to correspondence from insurance companies.
Worked closely with ancillary departments in the direction of visitor traffic.
Prepared fee tickets, hardcopy face sheets and status forms for upcoming appointments.
Experience
2-5 Years
Level
Executive
Education
MS
Medical Records Auditor Resume
Headline : As a Medical Records Auditor, responsible for working well within a team environment by accepting and offering honest and constructive feedback; by supporting team goals and encouraging other team members; and by collaborating with team members to consolidate work, solve problems, create new methods and/or reduce costs.
Skills : Microsoft Office, Vital Signs, Phlebotomy, Appointment Scheduling, Epic.
Description :
Managed and organized quality assurance for data collection procedures for a national research study.
Managed personal travel for projects, including but not limited to expense reports.
Managed and organized data collection procedures for a national research study.
Managed personal travel for projects, including expense reports.
Input data and audited data inputted within the system.
Verified completeness and accuracy of data through data integrity measures.
Suggested process improvements in effort to facilitate fluidity within the system.
Experience
5-7 Years
Level
Executive
Education
MS In Mental Health Counseling
Medical Records Auditor Resume
Objective : Responsible for Assisting the Medical Records Department with audits and review of medical records In-service with the license nursing staff regarding correct chart documentation Daily reports to the D.O.N.
Skills : Excel, Outlook, Verify Insurance For Blue Cross Through Web Denis, Value Oprions, HAP, BCN, Authorizations, Prior Authorizations, Customer Service Experience, Front Desk, Answer Multi Phone Lines, Usage Of Most Office Equipment.
Description :
Conducted telephone intakes including case assignment, benefits verification, and insurance authorization.
Worked with our psychiatrist.
Initiated correspondence for coordination of care, lapse-in-treatment, and discharge daily.
Interacted with billing staff regarding accounts and insurance issues.
Managed the Medical Records Room; maintain open, closed, and stored chart files.
Audited clinical records for documentation compliance.
Discussed quality issues with clinicians.
Experience
2-5 Years
Level
Junior
Education
BS In Accounting
Medical Records Auditor Resume
Headline : To obtain the responsibility of Medical Records Auditor at a renowned organization wherein my skills and abilities will enhance the growth and efficiency of your company.
Skills : ICD-9, ICD-10, Billing, MS Excel, MS Access, Ms Powerpoint, Customer Service.
Description :
Audited medical records to identify improperly coded services.
Prepared reports of findings.
Met with providers to provide training on accurate coding practices and compliance issues.
Provided second level review of billing performances to ensure optimal reimbursements.
Researched, analyzed, and responded to inquiries regarding compliance, inappropriate coding, denials, and billable services.
Interacted with physicians and other patient care providers regarding billing, policies, procedures, and regulations.
Provided technical support regarding medical coding analysis and compliance.
Experience
5-7 Years
Level
Executive
Education
High School Diploma
Medical Records Auditor Resume
Headline : Reliable and diligent office assistant with extensive experience and solid organizational skills, working in a dynamic office environment. Known for being attentive listener who follows directions to the letter, but also able to express opinions and suggest alternatives. Key Skills, Core Strengths and Competencies Eight years of office experience - Office management/organization and book-keeping.
Skills : 10-key By Touch, Keyboarding, Customer Service,.
Description :
Reviewed of medical records to ensure they have all required documents per Medicare guidelines.
Processed of invoices and employee expense reports in a timely manner.
Usaged of medical records system entitled Allscripts.
Assisted in intake as needed i.e entering patient information, scheduling, entering ICD10 codes, obtaining insurance authorization, and sending all necessary documentation to the clinicians assigned to the patient.
Used various Microsoft programs including Word, Excel and Outlook on a daily basis.
Processed invoices and employee expense reports for payment.
Provided excellent customer service via email, phone and in person.
Experience
5-7 Years
Level
Executive
Education
Diploma
Medical Records Auditor Resume
Objective : Medical Records Auditor professional seeking an occupation utilizing additional skills and experience in Customer Service. Skills & Experience: Injections IV Starting Vital Signs Autoclaving Centrifuge Bandaging Strep testing Stitch Removal Phlebotomy X-Rays CPR/First Aid Urinalysis Record patients' medical history, vital statistics and information such as test results in medical records.
Skills : Medical Assistant, Phlebotomist, Medical Records.
Description :
Managed and coordinated organ/tissue donor cases.
Interviewed families regarding medical /social history of loved ones.
Coordinated arrival/departure of deceased and notify loved ones of recovery completion.
Acted as a liaison with hospitals, funeral homes, and families regarding case setup arrangements of donor gifts.
Prepared paperwork through researching medical records, gathering information and sending it to processor for final review before physical examination of approval/acceptance of donor gifts and assisting with saving lives through excellence.
Saved lives through excellence in organ/tissue donation.
Used Professional, empathetic, paying great attention to detail and accuracy, time management, organization, effective, caring.
Experience
2-5 Years
Level
Executive
Education
GED
Medical Records Auditor Resume
Headline : To obtain a Medical Records Auditor position with a growing company that will allow me, as well as my future employer to take advantage of my skills and experience developed over the years.
Skills : Certified Medical Records Coder, CPC, ICD 9, CPT, McKesson Practice Partner EMR, 3M Health Data Management Comp. App., AHLTA, CHCS, CCE, Dept Of Defense Experience.
Description :
Assigned diagnostic and procedural codes to patient records using ICD-9-CM and CPT/HCPCS and any other designated coding classification system in accordance with coding and documentation guidelines.
Reviewed and analyzed medical records against billed procedures to ensure accuracy of diagnostic and Evaluation and Management codes.
Communicated documentation improvement opportunities and coding issues to physicians and appropriate clinical staff by providing onsite visits and teleconferences.
Provided detailed summary reports of audit findings and educational materials for reference to physicians and appropriate clinical staff.
Provided administrative assistance to practice managers as well as other duties as assigned.
Worked independently with a high degree of attention to detail and reliable decision making abilities.
Reviewed and audited patients account.
Experience
5-7 Years
Level
Executive
Education
Diploma In Medical Coder/Biller
Medical Records Auditor Resume
Headline : Medical Records Auditor Professional demeanor and attire, Working well with a wide variety of people and dedicated to helping them. Experienced in maintaining client databases. Billing analyst and collection specialist. Computer Proficient in Microsoft Word, Excel and custom medical programs.
Skills : Inventory Management, Computer Skills, All Office Equipment, Research For Coding And Electronic Medical Records.
Description :
Responsible for opening and closing the clinic daily.
Answered calls and scheduled appointments for counselors.
Prepared charts scheduled for appointments for the following day.
Prepared all new charts in alphabetical order with names, labels and any pertinent flags such as allergies.
Prepared necessary correspondence related to medical records of patients including requesting copies of medical record from outside physicians and making copies of records.
Responsible for filing and other duties related to medical clerk.
Assist the Medical Records Department with audits and review of medical records In-service with the license nursing staff regarding correct chart documentation Daily reports to the D.O.N.
Experience
5-7 Years
Level
Executive
Education
MS
Medical Records Auditor Resume
Objective : To obtain a Medical Records Auditor position that will enable me to use my strong organizational skills, educational background, and ability to work well with people.
Skills : Bilingual, Proficient With Microsoft Office Lotus, CPR Certified, Proficient With Medical Terminology.
Description :
Reviewed and audited medical records for completeness and accuracy.
Maintained all records and data logs Investigated and resolved billing, coding, and medical necessity.
Surpassed client and employer expectations by exceeding the daily standard quota.
Worked independently and in a team, environment to achieve goals set by management.
Audited medical records for required documentation and clinical support; prepare reports and/or roadmaps/packets of findings for the initial response of ADRs.
Assisted with all levels of the appeal process, including but not limited to preparation of claims for Redetermination, Reconsideration, and the ALJ.
Researched, analyzed, and responded to audit inquiries, including but not limited to claim review as well as medical record review.
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