Medical Auditor Cover Letter

In response to your job posting for medical auditor, I am including this letter and my resume for your review.

In the previous role, I was responsible for a comprehensive and proactive Medical affairs service that encompasses, as appropriate, Medical Support, Medical Information and Pharmacovigilance.

My experience is an excellent fit for the list of requirements in this job:

• Registered Nurse (RN) with current, active, unrestricted RN license in the state of operations (or reciprocity)
• Verbal and written communication skills to respond to internal and external inquiries, compose policies and communicate policy changes, and facilitate training
• Experience in analytic builds
• Coordination of Benefits (COB), Fraud Waste and Abuse (FWAE) and/or data mining background
• PAWS experience
• Rally / Agile experience
• Proficiency with Microsoft Excel, Word, SharePoint and Access
• Medical audit experience and credentialed as a Certified Medical Audit Specialist (CMAS) from American Association of Medical Audit Specialists (AAMAS) preferred

In response to your job posting for medical auditor, I am including this letter and my resume for your review.

Previously, I was responsible for support and required information to medical staff, medical executive committee and board as appropriate to the credentialing process.

Please consider my qualifications and experience:

• Knowledge of related clinical and business practices, policies, and procedures for billing and collection of professional fee services, and audit processes preferred
• Demonstrated communication, analytical and organizational skills are essential
• Proficient in Microsoft Word applications including Excel and Word, Outlook or equivalent e-mail, and internet usage
• Experience with IDX Billing and Accounts Receivable system, EPR, Meditech, Eclypsis, Epic, and other clinical information systems preferred
• Experience in managed care or experience with health claims processing is preferred
• No record of felony convictions, any record of Medicaid, Medicare or Private Payer sanctions for fraud, abuse or inappropriate billing
• Advanced course work or training in quality management systems and/or relevant regulatory requirements
• Completed Lead Auditor training for any standard (preferably ISO 13485), but will train if needed

I submit this application to express my sincere interest in the medical auditor position.

Previously, I was responsible for suggestions on appropriate documentation to ensure complete and accurate billing that reflect current demands of regulatory and third party payers.

My experience is an excellent fit for the list of requirements in this job:

• A nursing practitioner or with a broad background in fields such as medical fitness assessments, scientific knowledge or laboratory experience
• A health and safety qualification preferably NEBOSH General Certificate (or equivalent)
• An understanding of railway standards with regards to Medical and Alcohol and Drugs screening
• Working knowledge of the Implementation of quality management systems in a clinical, phlebotomy laboratories or medical environments
• Health and safety regulations and legal requirements and standards
• Quality or Health and safety systems such as OHSAS18001, ISO14001, ISO9001, SA8000
• Willing to travel – National coverage is essential
• Extensive experience within Quality or Compliance (ideally Medical Devices experience, alternatively experience within a highly regulated manufacturing environment)

I would like to submit my application for the medical auditor opening. Please accept this letter and the attached resume.

Previously, I was responsible for audit service and information to clients regarding medical records documentation including answering questions and concerns on quality and scheduling issues.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Strong working knowledge of international regulatory compliance requirements and operating procedures
• Demonstrated proficiency at critically reviewing quality documentation and records
• Ideally strong working knowledge of FDA, ISO 13485, MDSAP, European Medical Device Directive and Medical Device Regulation, and applicable industry Standards
• Effective facilitation skills to lead discussions around audit findings, driving to consensus and resolution of identified non-conformances
• Effective facilitation skills to lead large group training sessions at sites across the organization
• Project management skills, to lead large projects to completion, on time, on budget, with appropriate escalation of risks to management
• Proven success in facilitation and training
• Previous participation in the performance improvement programs, preferred

I submit this application to express my sincere interest in the medical auditor position.

In my previous role, I was responsible for direct patient care according to physician's order and appropriate protocols as evidenced by documentation in patient's medical record and direct supervisor or peer observation.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Working knowledge of utilization review, case management, hospital coding, hospital billing, payer regulatory requirements and payer reimbursement
• Working knowledge of billing/coding terminology
• Extensive knowledge of governmental and non-governmental payers, their rules and regulations
• Sound judgment, organizational, and analytical skills
• Prior experience in dialysis strongly preferred
• Knowledge of medical records documentation requirements
• Strong understanding of FDA, ICH, and other regulatory and audit issues in clinical trials and compliance
• An understanding of medical terminology and technical writing