Healthcare Auditor Resume Example & Writing Guide

Use this Healthcare Auditor resume example and guide to improve your career and write a powerful resume that will separate you from the competition.

Healthcare auditors review healthcare organizations’ operations to ensure they’re in compliance with regulations and standards. They review insurance claims and medical records, examine medical equipment and facilities, and interview patients and staff members to make sure all systems are running smoothly.

If you’re passionate about healthcare and enjoy digging into complex issues, this could be the right role for you. Follow these tips and resume example to write a healthcare auditor resume that hiring managers will love.

Mary Thompson
Los Angeles, CA | (123) 456-7891 | [email protected]

Seasoned healthcare auditor with over 10 years of experience in auditing, compliance, and risk management across the healthcare industry. Skilled in process improvement, data analysis, and problem solving. Proven track record in leading and managing teams to deliver on strategic objectives.

University of Phoenix Jun '10
B.S. in Healthcare Management
MiraCosta College Jun '06
A.A. in Business Administration
Company A, Healthcare Auditor Jan '17 – Current
  • Conducted audits of healthcare organizations to ensure compliance with applicable regulations and standards, including the Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security Rules.
  • Analyzed audit findings for accuracy, completeness, reliability, relevance, and clarity; prepared written reports that clearly communicate results of each audit.
  • Provided recommendations to improve operations based on identified deficiencies in order to reduce risk or increase efficiency within healthcare organizations.
  • Assisted management in developing corrective action plans for non-compliance issues found during an audit as well as long term strategies for continuous improvement by providing education regarding regulatory requirements related to their business activities.
  • Developed a working knowledge of Medicare/Medicaid reimbursement rules and regulations pertaining to hospitals and other health care providers through training provided by the state agency audited.
Company B, Healthcare Auditor Jan '12 – Dec '16
  • Performed risk assessments on all aspects of the hospital, including patient care and employee safety
  • Conducted audits on medical records to ensure that they were complete and accurate
  • Ensured that proper documentation was in place for billing purposes; identified over $100K in improper charges
  • Reviewed financial documents to determine if any fraud had been committed by employees or patients
  • Analyzed data from surveys and interviews with staff members to identify areas of improvement
Company C, Healthcare Claims Processor Jan '09 – Dec '11
  • Reviewed and processed healthcare claims in accordance with insurance company guidelines.
  • Resolved claims by working with patients, providers, and insurance companies to obtain missing information.
  • Submitted appeals for claims that were denied.
  • Certified Healthcare Auditor
  • Certified Professional in Healthcare Compliance
  • Certified in Healthcare Privacy and Security

Industry Knowledge: HIPAA, Medicare/Medicaid, CPT, ICD-9, CPT, ICD-10, DRG, E/M, CPT, ICD-10, DRG, E/M
Technical Skills: Microsoft Office Suite, Excel, Visio, Access, PowerPoint, Word, Outlook, SQL
Soft Skills: Communication, Leadership, Teamwork, Problem Solving, Time Management, Organization

How to Write a Healthcare Auditor Resume

Here’s how to write a resume of your own.

Write Compelling Bullet Points

Bullet points are the most important part of your resume because they’re the first thing recruiters and hiring managers will see. And they’re the best way to showcase your experience and qualifications.

So it’s important to use them to their full potential. And that means using them to describe your accomplishments and results. So rather than saying you “audited financial statements,” you could say you “audited financial statements for $10B+ healthcare system, resulting in $2M+ in cost savings.”

The second bullet point is much more powerful because it provides specific details about what you did and the results of your work.

Identify and Include Relevant Keywords

Most healthcare organizations use an applicant tracking system (ATS) to manage the influx of resumes they receive for open positions. The ATS will scan your resume for certain keywords related to the job opening. If your resume doesn’t have enough of the right keywords, the ATS might automatically reject your application.

The best way to make sure your resume makes it past the ATS is to include relevant keywords throughout all sections of your resume. You can start by reading through the job posting and highlighting any terms that seem important. Then, use those same words throughout your resume in places like the work experience, skills summary, and education.

Here are some of the most commonly used healthcare auditor keywords:

  • Healthcare
  • Auditing
  • Internal Audit
  • Hospitals
  • Healthcare Management
  • Financial Audits
  • Finance
  • Healthcare Information Technology (HIT)
  • U.S. Health Insurance Portability and Accountability Act (HIPAA)
  • Medicare
  • Accounting
  • Healthcare Regulatory Affairs
  • Medicaid
  • Revenue Cycle
  • Electronic Medical Record (EMR)
  • Medicaid Reimbursement
  • Hospital Management
  • Risk Assessment
  • Healthcare Industry
  • Healthcare Consulting
  • Internal Controls
  • Financial Reporting
  • Account Reconciliation
  • Financial Accounting
  • Generally Accepted Accounting Principles (GAAP)
  • Consolidation
  • Sarbanes-Oxley Act
  • Analytical Skills
  • Management
  • Team Leadership

Showcase Your Technical Skills

As a healthcare auditor, you will need to be proficient in the use of various software programs and systems. This might include experience with healthcare-specific software, like electronic health records (EHR) systems, as well as general accounting and auditing software. Additionally, you will need to be familiar with data mining and analysis techniques in order to effectively review and assess healthcare data.


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