Compliance Auditor Resume

Samantha Gray

North Highlands CA 95660

(916) 987-6543

[email protected]

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Job Objective

I aim to secure a Compliance Auditor position within a growing company in which I can utilize my training and skills.

Highlights of Qualifications:

  • Remarkable experience in audit planning and finance researching reimbursement
  • Comprehensive knowledge of Medicare and Medicaid regulations, billing, coding and documentation
  • Profound ability to develop data requirements and work with Compliance Analyst and other analytical groups to extract, organize and analyze coded data
  • Excellent computer skills with sound knowledge of Word and Excel
  • Amazing ability to maintain confidentiality of physician, patient and sensitive information
  • Familiarity with multiple reimbursement systems and healthcare regulations
  • Superior analytical skills with ability to work independently
  • Excellent interpersonal, and written and oral communication skills

Professional Experience:

Compliance Auditor, August 2005 – Present

UnitedHealth Group, Boise, ID

  • Collaborated with the business operations leadership and personnel throughout the audit process.
  • Applied identified requirements to business operations when developing and conducting compliance audits.
  • Managed multiple audits and collaborated across multiple business segments.
  • Developed and presented reports and results of audits.
  • Coordinated with Legal Counsel as needed.
  • Ensured to keep abreast on all Medicare Parts C & D regulations, guidance documents and bulletins.

Compliance Auditor, May 2000 – July 2005

Kaiser Permanente, Boise, ID

  • Identified coding risk areas, & ensured that the medical center training activities are addressing appropriate areas.
  • Collaborated with Compliance Analyst and workgroups and identified audit movement and risk factors.
  • Identified operational audits & regulatory issues.
  • Supervised coding performance.
  • Prepared and performed regional & medical center auditing analysis.
  • Ensured compliance of operational procedures.


Bachelor’s Degree in Health Services Administration, Thomas Edison State College, Trenton, NJ