Medical auditors verify medical claims for accuracy and compliance with guidelines. While a high school diploma and experience in a health-related position are typically required, some employers prefer candidates with a bachelor’s degree. Good communication, organizational, and analytical skills are important, as is knowledge of medical plans, insurance, and regulations. Work experience or courses in coding or medical claims billing can also be helpful.
A person who wants to become a medical auditor can do so without pursuing a specific degree or attending a specific type of school. Requirements for this position vary from location to location and employer to employer; as such, there is no standard level of higher education that a person needs to secure employment as a medical auditor. However, an individual interested in this career typically has a high school diploma or equivalent credential, as well as some experience in a health-related position. He may also need knowledge of medical plans and insurance. Some employers prefer applicants with a bachelor’s degree; therefore, earning one can help a person get more job opportunities.
A medical auditor is a person who checks medical claims to be sure they are complete and accurate. This person also checks claims to ensure that the costs listed make sense for the type of healthcare provided. An individual in this field typically verifies claims to ensure compliance guidelines are met and is usually responsible for compiling reports and maintaining accurate records. This position may report to a medical audit coordinator.
A person who wants to become a medical auditor typically needs good communication skills, both written and verbal. He can start developing these skills while in high school and hone them in college, at a vocational school, or even by gaining work experience. He must also be organized and able to pay close attention to detail. While he may report to a supervisor or coordinator, the ability to work independently is also important. Above-average analytical skills can also help a person excel in this job.
While some employers may be impressed with a candidate who has earned a bachelor’s degree, especially in the healthcare, business, finance, insurance, billing or related fields, many may be more interested in the skills and knowledge of an aspiring auditor. . An individual who wants to become a medical auditor generally needs a good understanding of computers as well as health care coding and crediting processes. The successful job seeker may also need knowledge of regulations and standards surrounding insurance contracts. An individual can gain this knowledge by working in a doctor’s office or through employment with a health or insurance organization. A person who wants to become a medical auditor can also take courses in coding or medical claims billing.
Protect your devices with Threat Protection by NordVPN
