Certified medical auditors are also called compliance auditors and their job duties primarily involve reviewing clinical documents, administrative & patient health data and physician billing & coding records.
This ensures that providers comply with industry regulations and maintain high quality standards.
Like auditors belonging to other disciplines, certified medical auditors are typically required to work full-time during regular business hours.
Some may choose to work independently while others prefer collaboration with fellow medical auditors and other staff like accountants and medical office managers.
If you’re interested in becoming a certified professional medical auditor, follow this guide!
Step 1: Earn A Bachelor’s Degree
Aspirant medical auditors can benefit greatly from a bachelor’s degree in programs like business, with majors in accounting & financing, anatomy and operations management or in health services administration with courses in health economics, organizational behavior and related topics.
Such degree programs enable students to become well-prepared to excel in their careers as professional medical auditors.
Step 2: Gain Work Experience
With the ever-increasing competition in the field of medical auditing, employers are looking for candidates with at least 3-5 years of relevant clinical experience in medical coding, nursing or legal compliance.
A popular entry-level position for medical auditors is healthcare administration or clinical nursing. Hence, candidates gain competitive advantage if they have a solid knowledge base in medical coding terminology, coding procedures and state healthcare regulations.
Step 3: Earn A Certification
Many employers seeking certified medical auditors prefer candidates with certifications from the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA). The institutes recommend aspirants to earn an associate’s degree before applying for these certifications.
Some other certifications include Registered Health Information Administrator (RHIA), Certified Medical Auditor Specialist (CMAS), Certified Coding Specialist, or Certified Professional Coder (CPC).
· Certification Requirements:
These certifications show the candidate’s efficacy in health information and records management. The key requirements of earning these certifications are an accredited bachelor’s degree in a healthcare-related discipline, 2 years’ of experience in healthcare claims auditing, experience as a licensed healthcare professional, as well as passing a written exam.
When it comes to medical audit certification programs, the duration may vary depending on the regimen of the program, the kind of certification you’re seeking etc. It’s important to choose a school that offers credible training programs.
Certified Professional Medical Auditor Training
Allied Prep Technical Institute is a one-of-a-kind medical audit, medical coding and medical billing school based in Louisiana. We have accredited, experienced and professional instructors on our team that offer meticulously-designed certification programs for aspirants. These programs are available in an on-campus setting as well as virtual classrooms.
We also offer online Pharmacy Technician Certification Board exam preparation and study guides to students wanting extra help getting ready for the exam.
Get in touch with us today to learn more about the services we offer.