Compliance Auditor Resume Sample
Wilford Cremin
237 Crist Mission,
Phoenix,
AZ
+1 (555) 457 0516
Work Experience
Senior Compliance Auditor
04/2017
-
PRESENT
Chicago, IL
- Support site KPI’s
- Ensure providers have a compliance plan and policies and procedures that detail provider expectations. Review, monitor and report on providers' effective implementation of the plan
- Review documents and determine if transactions are according to regulations and company policies
- Analyze data and provide summary of observations
- Interact autonomously with Middle Management as requested by the Monitoring Lead
- Assist the Monitoring Lead in preparing draft recommendations and reports for Senior Management and the Compliance Committee
- Learn and understand internal processes and Regeneron products and recommend process improvements
- Demonstrate an understanding of performance improvement principles using Lean / Six Sigma tools and techniques to identify opportunities for improvement supporting CSL Behring’s continuous improvement initiatives
- Coordinate with other departments to address internal audit observations, responses, CAPAs through audit completion
Compliance Auditor
09/2012
-
02/2017
Chicago, IL
- Review the TMG Compliance Program to determine the effectiveness of TMG’s compliance efforts and make recommendations to the Compliance Manager on improvements to be made to the TMG compliance program
- Conduct bill/claim audits for professional and hospital claims (encompasses both CMS-1500 and UB04 claim formats)
- Assess claims for various lines of business including, but not limited to: Medicare, MediCal, USDOL, State Workers' Compensation, Third Party Lien, Self-pay and DHMO
- Utilize expert knowledge of coding based on AMA's CPT, ICD-9-CM, HCPCS II, and OMFS guidelines
- Review claim fields in accordance with the Gold Standards set forth by each payer and mandated by the organization
- Applies expertise on different levels of regulations. These regulations vary by each line of business or payer. Follows specific state and/or federal regulations on billing and coding. Conducts post implementation assessments of various automated and manual charge captures
- Assess quality of various automated charge triggers as implemented, including, but not limited to: ambulatory E/M, radiology, laboratory and pathology services/charges
- Assess accuracy of various manual charge captures as implemented, including, but not limited to: infertility and non-KP facility professional charge captures
- Identifies, in detail, any conflicting and accurate data collected and reported that pertains to bill samples. Captures and reports audit findings to the highest quality
Student Loan Compliance Auditor
12/2009
-
03/2012
Philadelphia, PA
- Perform independent review of Regulatory Submissions
- Coordinate and chair the cross-functional Material Review Request evaluation and risk analysis meetings and report “high risk” materials to CSL Behring’s Sr. Management Team
- Report department responsible KPIs for monthly management review
- Act as delegate for department management during monthly review meetings, as requested
- Provide supplier assessment support, as requested, to Global Supplier Quality
- Support the TMG compliance program by leading and directing the monitoring and auditing function to ensure that operational departments are operating in compliance with contractual requirements and applicable state and federal laws
- Lead and perform all aspects of an audit, including planning, testing of controls, data analysis, preparing accurate work papers to properly document findings, outcome education and best practices and ensuring adequate documentation supports the audit findings and compliance with Compliance department standards and guidelines
- Identify, analyze and assess complex enterprise-wide environment, regulatory compliance inquiries and issues and compliance program needs
- Report audit results to the Compliance Manager, Compliance Committee and other senior leaders
Education
National American University - Independence Campus
2004 - 2008
Bachelor's Degree in Accounting
Professional Skills
- Strong and credible personal and influencing skills, and evidence of networking effectively and building relationships with key and challenging stakeholders
- Demonstrated organizational skills, planning and priority setting
- Excellent communication skills (verbal and written) and ability to communicate effectively with internal and external stakeholders
- Strong investigative, analytical and problem solving skills, demonstrating attention to detail and robust decision making in all actions
- Good analytical and problem-solving skills and have experience in report writing and oral communications
- Excellent documentation skills; ability to document work papers that satisfy the test objectives and support the conclusions reached during testing
- Excellent analytical, critical thinking, operational and problem solving skills
How to write Compliance Auditor Resume
Compliance Auditor role is responsible for interpersonal, analytical, microsoft, audit, software, excel, compliance, computer, presentation, organization.
To write great resume for compliance auditor job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Compliance Auditor Resume
The section contact information is important in your compliance auditor resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your Compliance Auditor Resume
The section work experience is an essential part of your compliance auditor resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous compliance auditor responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular compliance auditor position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Compliance Auditor resume experience can include:
- Excellent problem solving skills and the ability to handle multiple, competing work demands
- Strong understanding of customer service excellence to include call handling skills
- Excellent planning, analytical, organizational, and communication skills are essential
- Excellent relationship building skills across different organization levels
- Support departmental goals by prioritizing work effectively and efficiently
- Working effectively with other departments/external sources
Education on a Compliance Auditor Resume
Make sure to make education a priority on your compliance auditor resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your compliance auditor experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in Compliance Auditor Resume
When listing skills on your compliance auditor resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical compliance auditor skills:
- Effective verbal and written communication skills and interpersonal skills with the ability to effectively listen and communicate to varied levels
- Strong analytical and problem-solving skills to enable effective problem resolution
- Demonstrated strong analytical skills and the ability to execute detailed forensic audit testing with large sample size
- Demonstrated strong analytical skills and the ability to execute detailed forensic audit testing with larger sample size
- Strong problem solving and work prioritization skills
- Proven experience as an auditor in Good Pharmacovigilance Practice (GPvP). GCP experience would also be advantageous
List of Typical Experience For a Compliance Auditor Resume
1
Experience For Senior Compliance Auditor Resume
- Outstanding data analysis skills including ability to create reports, preferably with strong spreadsheet and database query expertise (e.g. SQL)
- Strong problem-solving, analytical and reasoning skills
- Strong computer skills and use of software application(s), including MS Windows, MS Office (Word, Excel, PowerPoint) are required
- Very strong written and verbal communication skills in English
- Proven investigative and complaint resolution skills
2
Experience For Quality Compliance Auditor Resume
- Detail oriented and self-directed with excellent follow-up skills; and
- Solid project management with proven experience successfully planning, executing and maintaining a project from start to finish
- Related work experience to include strong working knowledge of FMCSA regulations, CSA program, and completing research online
- Interpersonal skills relating to negotiating, integrity, trust, composure and interpersonal savvy
- Demonstrates metrics driven approach to measuring success of compliance projects with strong analytical background
- Advanced computer skills including Microsoft Office’s suite of software applications
- Partner with different Revenue Cycle departments to obtain key documents necessary to conduct assessments completely and effectively
3
Experience For IT Compliance Auditor Resume
- Possess the knowledge, skills and disciplines essential to the performance of compliance reviews
- Documenting testing results which evidence conclusions reached
- Preparing clearly-written, concise, accurate and evidence-based audit report
- Demonstrated working knowledge and understanding of natural gas operations
- Demonstrated working knowledge and understanding of pipeline safety regulations
- Directs transactional testing performed by off-shore Quality Auditors as necessary; validates the accuracy of such testing
4
Experience For Global Trade Compliance Auditor Resume
- Experience using Microsoft Office Products including: Word, Excel & Outlook
- Maintain effective systems for the recording/reporting of compliance audit findings, root cause analysis and continual improvement actions
- Experience of working with Microsoft Office applications (Word, Excel, Outlook)
- Provide training and guidance to less experienced auditors
- Experience of auditing on construction and services operations
5
Experience For Senior SOX Compliance Auditor Resume
- Prioritise and manage conflicting projects/demands
- Experience with risk assurance related projects in regulated industries (e.g. Life Sciences, Healthcare, Banking, etc)
- Excellent working knowledge of CPT, ICD-10 and HCPCS codes is required
- 1) Experience with Monitoring Security Controls
- 2)Experience testing security controls
- Typically requires 2-5 years of related experience in clinical monitoring, quality control or compliance
- Experience developing security and compliance deliverables
- Experience managing projects across departmental teams
6
Experience For Senior Physician Compliance Auditor Resume
- Strives to develop partnerships, teamwork and good working relationships
- MS Excel experience in complex data management and auditing
- Compliance auditing experience
- Experience required in Healthcare Billing/Revenue Cycle
- Experience required in Risk Planning/Compliance
7
Experience For Sustainability Compliance Auditor Resume
- Addresses issues, defines and implements effective corrective and preventative actions to adhere to compliance regulations
- Effectiveness of compliance programs
- Experience in the Pharmaceutical, Biologics, Medical Device or other Health Care industry is also required
- BS/BA, or comparable related experience
- Interviews and obtains audit evidence
- Experience with Oracle financial applications, ACL (or similar software) and Visio required
- Demonstrated knowledge of service area
8
Experience For Trade Compliance Auditor Resume
- Experience with Sarbanes-Oxley (SOX) controls testing
- Previous experience in conducting compliance audits or reviews
- Experience in health care compliance, privacy or another relevant field
- Reviewing and assessing corrective and preventive action plans according to specified timelines to ensure resolution of audit findings and prevent recurrence
- Understanding of layered software architectures using Open Source in middleware and other technical functions
- Understanding of programming principles, particularly in Java and C++ languages
- Performing all phases of compliance related audits and support activity (e.g., hotline, excluded party screening)
- Tracking and reviewing various legal contracts
9
Experience For Bill Quality Compliance Auditor Resume
- Researching various issues related to trade documentation and reporting findings
- Evaluating independently and critically the quality management system and operations, balancing weaknesses against requirements and expectations
- Performing and documenting analyses of audit findings where indicated
- Working knowledge of MS Office, especially Excel, Powerpoint, Sharepoint
- Performing all phases of facility site reviews
10
Experience For Revenue Compliance Auditor Resume
- Serving on project implementation teams
- Working as part of a team who support each other to accomplish set goals and objectives together
- Working knowledge of applicable software's utilized at the customer location (FieldGlass, IQN/Beeline, Provade, etc.)
- Working knowledge of interface systems that include the EyeMed claims system, Filebound, Cura.
- Understanding of audit procedures and internal controls
- Working knowledge of data analytics
List of Typical Skills For a Compliance Auditor Resume
1
Skills For Senior Compliance Auditor Resume
- Excellent communication skills (both oral and written) and interpersonal and customer service skills
- Strong computer skills required. Ability to use current software including word processing, and Excel
- Good mathematics skills, negotiation and reasoning ability
- Good time/task management skills – self-motivated, high throughput
- Strong work management skills and the ability to consistently perform against targets and Key Performance Indicators
- Strong management skills, ability to manage multiple tasks simultaneously
- Maintains strong writing skills required to write and edit policies and procedures, issue memorandums and compile program reports
- Exhibits good presentation skills with large and small audiences
2
Skills For Quality Compliance Auditor Resume
- Medical billing and coding experience (with radiation oncology coding experience desirable)
- Strong knowledge of quality standards, procedures, and regulations. GCP monitoring or auditing experience is required
- Communication Skills: Above Average Verbal, Writing /Composing, Correspondence/Reports
- Experience in auditing various segments of the banking or an equivalent amount of related other audit or financial services experience
- Previous experience using computerized systems for health information storage and retrieval Experience with paper, computerized and hybrid medical records
- Experience, preferable in Big 4 Public or National Accounting firm, or comparable business experience
- Prior experience in financial auditing
- Proficiency with Microsoft Access and advanced skills using Excel
3
Skills For IT Compliance Auditor Resume
- All written narratives are presented in a logical, clear and grammatically correct manner. Employ active listening and respond effectively to directions
- Superb communication, organizational, and writing skills with attention to detail
- Intermediate Microsoft Excel skills, including the ability to create/modify Pivot Table reports and perform “V Look-ups”
- Microsoft Excel, Word, Power Point (basic skillset: i.e. graphs, formatting, basic formulas)
- Effectively communicates audit issues to management and clients verbally and in writing
- Evidence of devising, implementing and delivering against, effective strategic and operational plans and processes
- Prior experience with the Department's system(s) such as CBMS and/or MMIS
4
Skills For Global Trade Compliance Auditor Resume
- Effectively work in a team oriented environment that is open, honest, and competitive
- Knowledge and application of international requirements of Good Pharmacovigilance Practice (GPV) (required) Good Clinical Practice (GCP)
- Makes good decisions in a timely manner based on analysis, experience, and judgment, even with incomplete information or under time pressure
- Effectively communicates in English, in both written and oral forms
- Exhibits Business acumen, problem solving and analytical skills and an understanding of operational processes and technology concepts
- Regulatory, compliance, and/or audit skills are desired
- Collecting information through effective interviewing, listening, observing and reviewing documents, records and data
- Produces engagement planning, tests planning, documents findings, defines appropriate remediation and consolidated metrics for reporting purposes
- Experience leading Supplier Audits, writing Supplier Audit reports, and ensuring corrective actions are implemented and adhered to
5
Skills For Senior SOX Compliance Auditor Resume
- Experience developing training materials and presenting to a large group of professionals
- Previous experience in developing and delivering training to adult learners,
- 3) Experience analyzing data and presenting finding to management
- Skilled in developing and delivering presentations
- Experience working and communicating with multiple different parties
- Experienced with Medicare Medicaid regulations regarding billing audits and OCR’s HIPAA audits
- Data management experience for report writing and tracking
- Strong working knowledge of federal and state banking laws and regulations
6
Skills For Senior Physician Compliance Auditor Resume
- Experience working with Microsoft Access, Microsoft Excel or other reporting tools
- Two years of college or five years working experience in a healthcare environment related to auditing of medical records and CMS compliance
- Experience related to the development of training material and presenting to a population up to 30 people
- Experience of reviewing/auditing complex information and files within a regulatory or compliance environment
- Experience of working autonomously and under direction, collaborating as part of a functional and/or cross-functional team
7
Skills For Sustainability Compliance Auditor Resume
- At least one year on the road experience driving a vehicle requiring a Class A CDL (such as a semi/tractor trailer)
- Experience performing audits to assess full compliance with statutory and regulatory requirements and identifying fraudulent activity
- Experience interpreting and applying rules and regulations in a regulatory environment
- Previous training experience and/or presenting materials to a group
- Demonstrated understanding of industry regulations, including detailed knowledge of FDA QMS and ISO 13485
- At least five (5) years of experience in managing accounts in a gaming industry
8
Skills For Trade Compliance Auditor Resume
- Demonstrates flexibility in response to unexpected changes in work volume, emergencies, staffing and scheduling
- Experience with compliance, auditing, and/or credentialing
- Manage and prioritise a demanding and varying workload
- Experience with a risk-based auditing approach to assuring compliance
- Strong business acumen, including understanding of linkages between processes, risks and controls
- Experience working with Bank Secrecy Act/Anti-Money Laundering
- Experience working within a compliance program
9
Skills For Bill Quality Compliance Auditor Resume
- Skilled in problem solving and critical analysis
- Skilled in building organizational relationships
- Significant work experience in Quality System Auditing (ASQ certification or ISO Lead Audit certification is required)
- Experience interacting with Health Authority Agencies
- Demonstrates commitment to delivering a high-quality work product
10
Skills For Revenue Compliance Auditor Resume
- Four years of experience conducting compliance audits or investigations
- Three years of compliance audits experience in a hospital setting
- Experience completing a developed audit program
- Computer experience including Excel, Outlook, and Word
- Experience working with Medicare, Medicaid or Commercial benefits & regulations
- Use effective and efficient approaches for choosing a course of action; take action that is consistent with available facts
- Auditing experience is required
- Excellent working knowledge of CPT, ICD-9 and HCPC codes and their use is required
List of Typical Responsibilities For a Compliance Auditor Resume
1
Responsibilities For Senior Compliance Auditor Resume
- Strong organizational (file management) skills. Excellent written, verbal and interpersonal skills
- Excellent interpersonal and relationship skills; ability to build and develop business relationships with customers and business partners
- Excellent interpersonal skills verbal and written, with the ability to communicate to all levels of staff within the organization
- Strong risk assessment and analytical skills
- Strong interpersonal and persuasion skills
- Proven ability to work independently and effectively with minimal supervision
- Related work experience, major public accounting firm experience is also desirable. (big 4 or top tier public accounting firm)
- Proficient writing skills, preparation of work papers and reports, and presentation of clear and concise findings (oral and written) are also required
2
Responsibilities For Quality Compliance Auditor Resume
- Prior experience in compliance or system auditing
- Proven experience from biopharmaceutical industry
- Demonstrated collaborative experience
- Report any/all findings of misconduct or weaknesses in the compliance program to the Compliance Director promptly and effectively
- Effectively present information to top management and team members
- Work effectively and be accountable in a professional team environment
- Advanced computer skills in applications such as Microsoft Work and Excel along with
- Applying audit principles, procedures, and methods to prioritize and focus on matters of significance
3
Responsibilities For IT Compliance Auditor Resume
- Confirming the sufficiency and appropriateness of audit evidence to support audit findings and conclusions
- Experience with working with systems, databases and reporting tools for data analytics required
- Conduct audits, effectiveness reviews, internal controls testing, and other monitoring activities over compliance and regulatory programs
- ·2 to 4 years of experience working in auditing or compliance background
- Knowledge of and skill in objectively applying internal auditing principles and practices
- Skill in maintaining composure under pressure while meeting multiple deadlines
4
Responsibilities For Global Trade Compliance Auditor Resume
- Work experience in auditing (internal or external), internal control, risk management, quality assurance or similar job function
- Able to manage varying and high workload and sets priorities accordingly
- Strong working knowledge of software programs, specifically Excel, Access and Visio
- Ensure quality compliance and cost effectiveness of the supply chain (i.e. dual sourcing)
- Prioritize, produce succinct and comprehensive reports and meet deadlines
- Strong knowledge of enterprise compliance and regulations which affect healthcare companies
- Analyze, review, and validate healthcare claims payments and contracts
- Follows-up and provides data required for data trending and analysis to monitor and report on the effectiveness of the Compliance Program
5
Responsibilities For Senior SOX Compliance Auditor Resume
- Determine whether operational customer service processes/controls are efficient and effective
- Conduct a comprehensive review of sale transaction files prior to the scheduled close of escrow
- Performs audits on the credentialing process to ensure clinician files meet the standard requirements prior to start of assignment
- Act as Lead Auditor or team member for quality system audits to ensure the QMS operates in a state of compliance and continuous improvement
- Verify the effectiveness of corrective actions taken as a result of the audit
- Audit or related experience
- Relevant experience in a regulatory, risk and compliance or professional services environment
- Experience of operating autonomously and collaborating as part of cross functional team
- Demonstrated ability to manage multiple projects and tight deadlines
6
Responsibilities For Senior Physician Compliance Auditor Resume
- Proven knowledge of R&D processes and operations
- Enior audit /global compliance experience
- Audit experience (e.g. compliance audit, quality reviews, quality assurance)
- Relevant, progressive experience in the area of specialization
- Demonstrated ability to work independently or "out in the field"
- Experience in investigation is highly desirable
7
Responsibilities For Sustainability Compliance Auditor Resume
- Anticipates and manages obstacles and can formulate effective solutions
- Builds, develops and maintains strong business relationships with colleagues on team and business and technology partners
- Experienced lead auditor for medical device industry
- Clinical site audit experience
- Experience related to legal, regulatory compliance, or a supervisory role in patient financial services or HIM services
- Experience in the health insurance industry
- Knowledge of industry standards established for effective Compliance Programs
- Effective written and oral communication with ability to interact with all levels of employees, physicians and colleagues within and outside UPA
8
Responsibilities For Trade Compliance Auditor Resume
- Accurately assess and prioritize work
- Demonstrates computer literacy and is able to function independently within an environment that relies heavily on technology for information and communication
- Identify priorities and function independently required
- Some level of clinical experience, LPN, CNA, COTA or equivalent
- Demonstrated knowledge of audit methodologies, project management and system development methodologies, control frameworks and risk management practices
- Demonstrated ability to complete projects and work with others to achieve results under tight deadlines
- Experience with UCITS and/or ETF products
- Demonstrates work commitment: sets high standards of performance; pursues aggressive goals and works efficiently to achieve them
9
Responsibilities For Bill Quality Compliance Auditor Resume
- Shall have the knowledge and experience in related field
- Planning and performing SOX walkthroughs and testing at assigned locations in accordance with the departmental test strategy while meeting project deadlines
- Assisting in the development of educational and training presentations/modules on various compliance subjects for workforce members
- Conducting in-person compliance/HIPAA training, as-needed
- Working knowledge and understanding of concepts of cGMP and GLP
10
Responsibilities For Revenue Compliance Auditor Resume
- Understanding of industry standard operational/manufacturing practices
- Understanding of internal control concepts and frameworks
- Managing documents and processes required to get our 3rd party consultant auditors access to new TrackWise Audit Management System
- Willing to travel as needed, domestically and internationally, with overnight stays from one to two days to up to two weeks
- Understanding of pharmaceutical procedures and GMPs
- Understanding of healthcare compliance and compliance related principles
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