LiveCareer-Resume

medical auditor compliance specialist resume example with 14+ years of experience

Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Summary

As a youth residential medical auditor and compliance specialist for nearly two years now, I have ensured that all medical procedures and practices are in compliance with regulatory requirements and standards. I am responsible for reviewing medical records, policies, and procedures to ensure they meet legal and ethical guidelines. Additionally, I work with staff to identify areas for improvement and develop and implement corrective action plans to address deficiencies. This requires great attention to detail, strong analytical skills, and the ability to communicate effectively. My Experience ranges from conducting regular internal audits and risk assessments to identifying compliance gaps and help develop corrective action plans. I have a deep understanding of the critical role that regulatory compliance plays in the care of in residential facilities. I have helped to ensure the safety and well-being of vulnerable youth in residential care. Overall, With my dedication and expertise I believe I will make a valuable asset to any organization in this field.

Skills
  • Attention to Detail
  • Word Processing Software
  • Clerical Functions
  • Appointment Scheduling
  • Time Management
  • Interpersonal Communication
  • Data Entry
  • Patient Data Abstracts
  • Treatment Documentation
  • Verbal and Written Communication
  • Medical Release of Information ROI
  • Microsoft Excel
  • Medical Terminology
  • Records Scanning
  • Medical Information Acquisition
  • Charting and Clinical Documentation
  • Compliance Verification
  • Patient Health Information Access
  • Medical Translation
  • Medical Transcription
  • Outstanding Customer Service
  • Health Codes Compliance
  • Multitasking and Prioritization
  • Violations and Infractions
  • Risk Identification
  • Policy Enforcement
  • Compliance Reporting
  • Compliance Oversight
  • Safety Compliance
  • Document Review
Education and Training
College of Southern Nevada Las Vegas, NV Expected in 05/2024 Associate of Science : Surgical Technology - GPA :
  • [Fall-Spring, 2021] - Dean's List
  • [Fall, Spring 2022] - Dean's List
University of Missouri - Columbia Columbia, MO Expected in 05/2007 Bachelor of Science : Biology - GPA :
Centennial High School Las Vegas, NV, Expected in 05/2001 High School Diploma : - GPA :
Penn Foster Career School Scranton, PA Expected in : Sterile Processing Technology - GPA :
Experience
White Plains Hospital Center - Medical Auditor & Compliance Specialist
Mount Kisco, NY, 06/2021 - Current
  • Collaborated with external partners to complete audits.
  • Researched and implemented best practices to improve audit results.
  • Liaised with auditors to complete annual audits and maintain compliance with local, state and federal requirements.
  • Checked records for required signatures by closely reviewing documents.
  • Adhered to deadlines in optimizing regulatory and operational performance.
  • Analyzed data from multiple sources to systematically document work and results.
  • Established working relationships with regulatory agencies.
  • Maintained confidentiality of records relating to clients' treatment.
  • Evaluated medical insurance details and informed patients of uncovered fees.
  • Adhered to HIPAA requirements to safeguard patient confidentiality.
  • Scheduled and confirmed patient appointments and consultations.
  • Transmitted medical records and other correspondence by mail, e-mail, or fax.
  • Scheduled tests, lab work or x-rays for patients based on physician orders.
  • Collaborated with multi-disciplinary staff to improve overall patient care and response times.
  • Compiled and coded patient information or data in appropriate computer system.
  • Oversaw regulatory and strategic initiatives to ensure accuracy of medical claims.
  • Performed audits of operational and financial areas to check compliance.
  • Discovered flaws in client safety program and provided immediate remediation to keep operations in compliance with federal regulations.
  • Advised staff and customers through audits and remedy compliance issues.
  • Planned and executed compliance audits to check company policies, procedures and controls.
  • Monitored compliance risk controls to identify deviations and offer recommendations.
Hei Hotels & Resorts - Medical Assistant
New York, NY, 02/2021 - 06/2021
  • Set up, maintained and calibrated medical laboratory equipment.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Assisted with customer requests and answered questions to improve satisfaction.
  • Measured vital signs and took medical histories to prepare patients for examination.
  • Cleaned and maintained medical equipment following procedures and standards.
  • Maintained inventory, vaccination and product expiration logs to record updated documentation for tracking purposes.
  • Conducted insurance verification and pre-certification and pre-authorization functions.
  • Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
  • Organized charts, documents and supplies to maintain team productivity.
Station Casinos - VIP Bartender
City, STATE, 05/2008 - 03/2020
  • Effectively multitasked within fast-paced environment.
  • Greeted guests with friendliness and professionalism.
  • Worked in close collaboration with team members to ensure customers received high-quality service.
  • Measured and mixed house ingredients to prepare both custom and menu drink orders.
  • Maintained safety and sanitation standards with firm enforcement amongst bar staff.
  • Made friendly conversation with customers to provide enjoyable bar experience.
  • Managed accurate bar tabs and processed cash and credit card transactions.
  • Cleaned up spills and broken glassware and safely disposed of sharp pieces.
  • Monitored bar inventory and promptly restocked low items before depletion.
  • Studied industry trends to inform planning of bar menu and development of new drink recipes.
Languages
Portuguese :
Professional
Negotiated :

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

Your data is safe with us

Any information uploaded, such as a resume, or input by the user is owned solely by the user, not LiveCareer. For further information, please visit our Terms of Use.

Resume Overview

School Attended

  • College of Southern Nevada
  • University of Missouri - Columbia
  • Centennial High School
  • Penn Foster Career School

Job Titles Held:

  • Medical Auditor & Compliance Specialist
  • Medical Assistant
  • VIP Bartender

Degrees

  • Associate of Science
  • Bachelor of Science
  • High School Diploma

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

*As seen in:As seen in: