I am a medical auditor in an academic setting (University - College of Medicine). You will utilize your analytical & interpersonal skills on a daily basis.
As an auditor you will be doing a lot of research and acting as an educator to physicians, mid levels and staff in the areas of billing, coding and documentation.
You should not lose your coding skills as you will actually be monitoring and evaluating others and will be responsible for making recommendations on how to improve the quality of documentation.
You will be investigating potential areas of concern identified by others i.e. coding staff, physicians, revenue cycle operations etc. and implementing corrective action plans.
You will be dealing with statistics, spreadsheets and the reporting of data to various committees.
You may be asked to develop educational material for training purposes; power point presentations, C.U.R.E. notes, auditing tools etc.
Education & training are an important part of medical auditing and may involve one on one provider training or a large group depending on the practice size.
If a hot line is in place you would trouble shoot any questions or anonymous reports relative to compliance related issues.
Maria A. Candia CPC, CPC-H, CPCO, CPMA, CEMC
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