Clinical Auditor Resume

Samantha Gray

North Highlands CA 95660

(916) 987-6543

[email protected]

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Job Objective

Seeking an opportunity to work with growing company by filling the Clinical Auditor position and putting my skills to good use.

Professional Experience:

Clinical Auditor, August 2005 – Present

Outcomes Health Information Solutions, Oklahoma City, OK

  • Performed chart reviews and Quality Analysis for HEDIS, HOS, MRAs, PIA etc.
  • Maintained set productivity requirements by project.
  • Maintained a positive work environment and enhanced professional credibility of Outcomes.
  • Managed to deal with diverse opinions in an objective manner.
  • Ensured to accurately track time worked through the company assigned program.
  • Ensured to foster an environment of trust and openness with team, peers and management.

Clinical Auditor, May 2000 – July 2005

Maricopa Integrated Health System, Oklahoma City, OK

  • Administered a variety of auditing assignments.
  • Reviewed patient charts completely and appropriately.
  • Analyzed information, and ensured precision in coding and billing and compliance with government guidelines.
  • Communicated effectively the evaluation and recommendations to all levels of management.
  • Analyzed the audit results and provided recommendations for corrective action.
  • Ensured compliance with established policies and procedures.

Summary of Qualifications:

  • Remarkable experience in clinical documentation, coding and chart/bill audits
  • Comprehensive knowledge of medical terms and patient care services
  • Proficient with data processing systems and personal computer software
  • Sound ability to perform multiple concurrent assignments within established timeframe
  • Excellent problem solving and analytical skill
  • Proficient with MS Office tools, email, internet and related software
  • Sound oral and written communication skills


Bachelor’s Degree in Healthcare, North Dakota State University, Fargo, ND