Roland Martinez 100 Broadway Lane New Cityland, CA, 91010 Cell: (555) 987-1234 firstname.lastname@example.org
Meticulous Medical Auditor thoroughly examining medical records and insurance billing information, tracking reported expenditures and identifying inaccuracies or omissions. Focused on ensuring compliance with regulatory guidelines. Utilizing comprehensive knowledge of health-related billing procedures and medical terminology to effectively carry out duties.
Comprehension of accounting principles
Accounting software proficiency
Medical terminology familiarity
Insurance billing procedures
Solid reputation for accuracy
Great interpersonal skills
October 2014 to Present Resolution Health Care—New Cityland, CA Medical Auditor
Evaluate medical records for inaccurate or missing documentation.
Examine physician notes to verify that paperwork has been signed.
Confirm that proper medical procedures were followed with regards to patient testing and scheduled follow-up care.
Issue citations to the appropriate medical staff member when violations are discovered.
Conduct follow-up reviews to confirm that identified problems were rectified in an acceptable manner. February 2009 to September 2014 West Coast Health Group—New Cityland, CA Medical Auditor
Reviewed accounting statements and billing statements.
Checked to see what patients were charged the proper amount minus what was covered by their insurance.
Verified that inventory and maintenance costs reported by various medical facilities within the health group were accurate.
Reported fraudulent or misleading charges to the proper state or federal authorities. October 2008 to January 2009 Horizon Insurance—New Cityland, CA Medical Auditor
Prepared required medical audit reports to confirm billings from medical facilities and doctors’ offices.
Identified and reported charges that appeared to be suspicious or irregular.
Conducted random audits to identify billing inaccuracies.
Confirmed that patient procedures were properly authorized.
2011 American Academy of Professional Coders Professional Medical Auditor Certification 2011 University of California, New Cityland, CA Bachelor of Science, Accounting 2008 Seaside Community College, New Cityland, CA Associate’s Degree, Applied Science
Customer Service: 855.213.0348 Mon-Fri 8AM-8PM CST, Sat 8AM-5PM CST, Sun 10AM-6PM CST