Medical Auditor is a concentration under the Medical Office Administration curriculum title. Medical auditors perform coding quality audits and review of clinical documents, physician billing records, administrative data, and coding records. They ensure compliance with industry regulations as well as maintain quality assurance. They also provide ongoing feedback and analysis of the education needs for the providers and staff. Certified medical auditors are also known as compliance auditors. This requires knowledge of federal, state, and payer-specific regulations (Medicare and Medicaid) and policies pertaining to documentation, coding, and billing. A knowledge of ICD-10-CM, CPT, and HCPCS coding is required.
The Medical Office Administration curriculum prepares individuals for employment as medical administrative personnel in the areas of medical office, medical billing and coding, dental office, patient services, and medical documents.
Course work includes medical terminology, computer applications, medical office management, medical coding, medical insurance and billing, medical legal and ethical issues, oral and written communication, and other topics depending on the subject area selected within this curriculum.
Graduates should qualify for employment opportunities in a variety of medical office positions in medical and dental offices, hospitals, insurance companies, laboratories, medical supply companies, and other healthcare related organizations. Upon graduation, students may be eligible to sit for industry recognized certification exams.