All About Medical Auditing

If you think all medical coding jobs are the same, think again. Becoming a Certified Professional Coder (CPC®) is just the first step in your medical billing and coding journey. The next step? Choosing an additional certification to hone your craft and develop your specialty so you can increase your earning potential and give your resume a boost.

One of the additional certifications you can pursue is the CPMA, or Certified Medical Auditor. Read on to discover what medical auditing is all about and how to actually become one.

What Does Medical Auditing Look Like?

Audits are important for a variety of industries. In general, they ensure that information is accurate, documentation is organized and that everything is operating as efficiently and effectively as possible. As it applies to the medical industry, auditing ensures clinical documentation and medical records are correct, among other things.

Tasks a medical auditor performs on a regular basis include: protecting against fraudulent claims and billing activity, using correct codes for procedures, identifying problem areas with insurance, using appropriate claims procedures and preventing governmental audits, to name a few. Overall, medical auditors are extremely important for the livelihood of medical practices, doctors and medical facilities. Attention-to-detail is a must for medical auditors.

How to Become a Medical Auditor

Certified Medical Auditors (CPMAs) utilize their knowledge of medical coding and documentation guidelines to improve the revenue cycle of medical practices. A medical auditing career includes working with medical records technology and health services administration, applying your medical coding skills in a new realm.

Taught in Dallas, the Medical Coding Auditor Certificate & Exam Prep Course will help you pass the national board exam on the first try so you can become a professional medical auditor. Here’s what you’ll learn about in the course:

• Medical Records
• Coding Concepts
• Reimbursement Methods
• Quality Assurance
• Risk Analysis
• Case Abstracting
• Pathophysiology
• Scope Sampling
• Modifiers

If you’re interested in a career as a medical auditor, be sure to sign up for the course today. Or, why not start with the CPC? Click the image below to get started.