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Compliance auditor skills for your resume and career

Updated January 8, 2025
5 min read
Quoted experts
Dr. Kelly Green,
Stacy Mastrolia Ph.D.
Compliance auditor example skills
Below we've compiled a list of the most critical compliance auditor skills. We ranked the top skills for compliance auditors based on the percentage of resumes they appeared on. For example, 6.9% of compliance auditor resumes contained audit findings as a skill. Continue reading to find out what skills a compliance auditor needs to be successful in the workplace.

15 compliance auditor skills for your resume and career

1. Audit Findings

Here's how compliance auditors use audit findings:
  • Recommended corrective actions upon audit findings of non-compliance within departments; would re-audit to ensure corrective measures were taken as necessary.
  • Prepare written reports of audit findings and recommendations deliberating audit issues to management and operational units for follow up.

2. Compliance Audits

A compliance audit is a report on the assessment of a company and its adherence to policies and regulatory guidelines. They evaluate the strength, policy adherence, user access, and risk and complex issue management.

Here's how compliance auditors use compliance audits:
  • Prepared for and conducted hundreds of process compliance audits, analyzing documentation and eliciting further information through interview techniques.
  • Conducted clinical department billing compliance audits; analysis of appropriate billing, medical documentation and ICD9-CPT coding.

3. Audit Reports

Here's how compliance auditors use audit reports:
  • Prepare final audit reports and communicate to departmental and delegated entities the corrective action required to correct the deficiencies identified.
  • Improved dealer efficiency and profitability by preparing and submitting to management complete audit reports noting deficiencies at the dealer.

4. Audit Results

Here's how compliance auditors use audit results:
  • Led and participated in multiple projects designed to evaluate compliance with regulatory requirements and determine key metrics for audit results.
  • Document audit results and provide executive management with an analysis that identifies strengths, improvement opportunities & recommended corrective measures.

5. CPT

CPT is a medical term that stands for Current Procedural Terminology. Whenever a procedure like surgery or diagnosis occurs or some other medical service is rendered to a patient, it is reported to the concerned physician, insurance company, or organization. The aforementioned practice is widely referred to as CPT.

Here's how compliance auditors use cpt:
  • Provide expertise on physician practice coding regarding evaluation and management coding (CMS 95/97 guidelines) ICD-9 and CPT procedure codes.
  • Reviewed and analyzed policies and procedures for CPT, ICD 9 and HCPC coding to perform key process functions.

6. Compliance Program

A Compliance Program is a collection of rules, policies, and processes which are found within a company, business, organization, or some other form of an institution, all of which are created and followed with the main purpose of compliance with the laws, rules, and regulations of a country or of an industry, or to otherwise uphold some idea or reputation and quality of a company and its work. It is also known as the compliance and ethics program of a company.

Here's how compliance auditors use compliance program:
  • Developed audit strategies and maintained the HIPAA medical privacy and information security compliance programs in a given organization.
  • Reported coding patterns identified within chart audits and develop corrective measures for compliance program.

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7. ICD-10

Here's how compliance auditors use icd-10:
  • Gap Analysis auditing to prepare all providers for implementation of ICD-10 and compliant supporting documentation.
  • Provide ICD-10 training and support to all providers for go-live on Oct. 1, 2015.

8. Patients

Here's how compliance auditors use patients:
  • Review clinical documentation to determine that documentation clearly reflects the level of services rendered to patients.
  • Worked with physicians and patients requesting and receiving documentation to support medical necessity.

9. Risk Assessments

The process of analyzing and identifying the acts or events that have the potential to negatively affect an individual, asset, or business is called risk assessment. Risk assessments are important because they form an integral part of an organization as well as occupational safety plans

Here's how compliance auditors use risk assessments:
  • Lead analyst for reporting technical risk assessments for corporate emergency and disaster recovery planning and business continuity planning.
  • Managed through critical organizational Consumer Lending Risk Assessments, which included Refinance Restrictions and Titling and Securities.

10. Medicaid

Here's how compliance auditors use medicaid:
  • Conducted in-service presentations to staff regarding regulation changes in Medicaid, Medicare and other governmental agencies laws.
  • Research Medicare, Medicaid, and private payer issues/requirements requested by physicians and administrators.

11. Customer Service

Customer service is the process of offering assistance to all the current and potential customers -- answering questions, fixing problems, and providing excellent service. The main goal of customer service is to build a strong relationship with the customers so that they keep coming back for more business.

Here's how compliance auditors use customer service:
  • Instituted/monitored customer service policies by assembling/correlating data/facts for accurate/timely written response to inquiries from government officials/private organizations/citizens on financial management issues.
  • Developed tracking databases for Customer Service Management and Corrective /Preventative Actions Tracking systems.

12. CMS

A Content Management System or CMS is computer software that works as a framework where content can be assembled and managed by using a database. CMS is an important asset in web development. This platform enables users to create, edit, collaborate on, publish and store digital content. It helps users to manage their content and modify it from a single system.

Here's how compliance auditors use cms:
  • Consult with Legal department for interpretation of CMS compliance regulations and vendor contract requirements.
  • Ensured organization operated within all established parameters to maintain CMS and Joint Commission accreditation.

13. State Regulations

State regulations are the rules made by the state authorities under a specific Act. When a government intervenes in the private market to implements policies, they are known as state regulations. These policies help in achieving the economic, political, and social targets which might not be able to achieve otherwise.

Here's how compliance auditors use state regulations:
  • Continue professional education training regarding various federal and state regulations and data systems.
  • Interpreted Federal and State regulations and ensured company compliance.

14. Corrective Action

Here's how compliance auditors use corrective action:
  • Investigated and identified deviations from standard accounting and financial procedures and NAHASDA laws and regulations to provide recommendations for corrective action.
  • Assist in the development and implementation of corrective actions necessary to address audit, examination or quality review findings.

15. HCPCS

Here's how compliance auditors use hcpcs:
  • Analyze medical records for consistency and completeness using ICD-9, CPT-4 and HCPCS Level II established criteria and regulations.
  • Summarized findings and reports to Compliance Officer Trained coders on correct abstraction of ICD-9, CPT-4 and HCPCS coding.
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What skills help Compliance Auditors find jobs?

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What compliance auditor skills would you recommend for someone trying to advance their career?

Dr. Kelly GreenDr. Kelly Green LinkedIn profile

Assistant Professor, University of Louisiana at Lafayette

Education and Certificates pull a lot when determining the salaries and positions offered. Quite simply higher degrees and relevant certifications will lead to higher salaries. Aside from that, gaining experience and staying up to date with salary trends in your particular field of accounting will allow you to explore new opportunities with higher salaries.

What soft skills should all compliance auditors possess?

Stacy Mastrolia Ph.D.

Associate Professor of Accounting, Bucknell University

According to the U.S. Department of Labor, accountants should possess analytical skills, critical-thinking skills, and communication skills. They should also be detail-oriented and possess strong math and organizational skills (www.bls.gov). Of course, we can all agree that technology and teamwork skills are also necessary for successful accountants.

While these skills are still in high demand for accountants, post-pandemic, I believe we will see an increased need for job candidates to demonstrate flexibility and adaptability. This year's graduates are entering a work environment that is not "traditional"; at this point it seems unlikely that this year's graduates will start their careers in a traditional office (or at a client) in close proximity to more experienced professionals who are immediately available to provide instruction and assistance. So, this year's graduates need to be prepared - professionally and emotionally - to adapt to the work environment in place at their employer. And they need to be prepared for that environment to change with little warning. This semester I am teaching almost exclusively undergraduate seniors, and at Bucknell we started classes in-person, after one week we went remote for two weeks and now we are back to in-person learning. During these transitions, I have found that some students are struggling to keep up with the material; they are falling behind and missing deadlines in far greater numbers than in previous semesters. The ability to be flexible and adapt to changing circumstances while still accomplishing goals will be in great demand by employers.

I also think that graduates should place an emphasis on developing time-management skills and the ability to prioritize effectively. Alternative work environments, like working remotely, remove certain cues that the day is passing. For example, in a "normal" work day, a young professional would find routines including a mid-morning coffee break and lunch with friends or colleagues and these daily routines would help to mark the passing of time. When someone works from home, these cues may not occur naturally so time can "slip away". Also, working from home provides any number of distractions that may seem urgent in the moment but are not important to achieve that day's work goals; effectively prioritizing tasks in a distracting environment is a skill that will also be in great demand by employers.
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List of compliance auditor skills to add to your resume

Compliance auditor skills

The most important skills for a compliance auditor resume and required skills for a compliance auditor to have include:

  • Audit Findings
  • Compliance Audits
  • Audit Reports
  • Audit Results
  • CPT
  • Compliance Program
  • ICD-10
  • Patients
  • Risk Assessments
  • Medicaid
  • Customer Service
  • CMS
  • State Regulations
  • Corrective Action
  • HCPCS
  • Regulatory Compliance
  • Internal Controls
  • HIPAA
  • Audit Procedures
  • Compliance Issues
  • Regulatory Agencies
  • Federal Laws
  • Internal Audit
  • OIG
  • EMR
  • Audit Process
  • Data Analysis
  • ICD-9
  • FDA
  • Strong Analytical
  • E/M
  • Home Health
  • Audit Programs
  • ISO
  • Federal Regulations
  • Financial Statements
  • Compliance Reviews
  • State Laws
  • External Audits
  • QA
  • Appeals
  • Sarbanes-Oxley
  • GMP
  • HCC
  • Process Improvement
  • Business Processes
  • CAPA
  • Develop Corrective Action
  • SOX
  • Audit Issues

Updated January 8, 2025

Zippia Research Team
Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

Updated January 8, 2025

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