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Best claim auditor certifications
Claim auditor certifications allow job seekers to demonstrate their competency as an claim auditor to employers. However, not all claim auditor certifications provide the same value for job seekers.
The best certifications for a claim auditor are Certified Billing and Coding Specialist (CBCS), Certified Professional Coder (CPC), and Dental Assistant (RDA).
Below is a list of the best claim auditor certifications. Obtaining an claim auditor certification will give you a leg up when you apply for jobs and increase your potential salary.
4 best certifications for claim auditors
| Rank | Claim auditor certification | Organization |
|---|---|---|
| 1 | Certified Billing and Coding Specialist (CBCS) | NHA |
| 2 | Certified Professional Coder (CPC) | AAPC |
| 3 | Dental Assistant (RDA) | AMT |
| 4 | Certified Medical Office Manager (CMOM) | PMI |
4 best claim auditor certifications
1. Certified Billing and Coding Specialist (CBCS)
A Certified Billing and Coding Specialist (CBCS) primarily focuses on converting a medical procedure, diagnosis, or symptom into specific codes to submit a claim for reimbursement.
- More than two years of education or training after high school required? Yes
- More than two years of work experience required? Yes
- Oral or written exam required? Yes
- Renewal required? Every 2 year(s)
2. Certified Professional Coder (CPC)
A Certified Professional Coder (CPC) is an individual of high professional integrity who has passed a coding certification examination sponsored by the American Academy of Professional Coders (the AAPC). The examination consists of questions regarding the correct application of CPT, HCPCS procedure and supply codes and ICD-9-CM diagnosis codes used for billing professional medical services to insurance companies.
- More than two years of education or training after high school required? No
- More than two years of work experience required? No
- Oral or written exam required? Yes
- Renewal required? Every 2 year(s)
3. Dental Assistant (RDA)
A Dental Assistant is an integral member of the dental health team, competent via education, experience, and understanding of patient welfare. The Dental Assistant is qualified to provide support in administrative duties: chairside, laboratory, and radiological procedures, as defined by existing state laws. As an agent of the Dentist, the Dental Assistant strives to cultivate good will and confidence within the dental practice.
- More than two years of education or training after high school required? Yes
- More than two years of work experience required? Yes
- Oral or written exam required? Yes
- Renewal required? Every 3 year(s)
4. Certified Medical Office Manager (CMOM)
Experienced medical office professionals with exceptional administrative skills are eligible to sit for the Certified Medical Office Manager (CMOM) exam. To attain CMOM certification, all candidates must demonstrate a high level of knowledge in financial management, managed care contracting, personnel, and time management. Risk management, medical record keeping and facility management issues should also be mastered.
- More than two years of education or training after high school required? No
- More than two years of work experience required? No
- Oral or written exam required? Yes
- Renewal required?
What is the best certification for a claim auditor?
The best claim auditor certification is Certified Billing and Coding Specialist (CBCS). The Certified Billing and Coding Specialist (CBCS) is awarded by the National Healthcareer Association. This certification is great to have as it shows an improvement in your competency to perform your role. You can earn this certification at the beginning of your career, as it often doesn't require a minimum education level and work experience.
Here's a bit more background on how to obtain this claim auditor certification:
- To become a certified Certified Billing and Coding Specialist (CBCS), you need to pass the exam.
- This certificate requires more than two years of work experience.
- Renew certification every 2 year.
What are some of the most in-demand certifications for claim auditors?
The most in-demand claim auditor certification is Certified Professional Coder based on all active job postings. Having this claim auditor certification will give you access to more claim auditor jobs with higher salaries.
The most common combination of claim auditor certifications include: Certified Billing and Coding Specialist (CBCS), Certified Professional Coder (CPC), and Dental Assistant (RDA).
Online courses for claim auditors to earn certifications
1. Data Science for Healthcare Claims Data
Learn and practice how to transform raw healthcare claims data into valuable knowledge and actionable insights!...
2. Construction Claims Management
This Master Course will provide you with a professional claims management system for all your construction projects...
3. Contracts, Delays and Claims with Primavera P6
Learn all about Contracts, Delays & Claims along with practical Delay Analysis using Primavera P6 software...
4. Construction Claims Management - (9 PDUs)
Construction Claims Management ... Step-by-step from Definition to Submital...
5. Construction: Pricing Extension of Time Claims: Vol 1 of 2
This course provides professional training on the preparation of Quantum calculations for Extension of Time claims...
6. Construction Claims - Master Foundation Course
The perfect course for any construction professional looking to gain a firm understanding of construction claims...
7. Medical coding for U.S. healthcare industry
Jump start your career in the fastest growing career choice in the healthcare industry...
8. ICD 10 & 11 Medical Coding and Billing
Preparation for Medical Coding Certification Exam...
9. Quantity Surveying Templates for Effective Cost Management
Quantity Surveying, Payment Application, Payment Tracker, Variation, Claim, Material Claim, Guarantees, Price Comparison...
10. AMCI Introduction to Medical Coding (I2MC) Course
Introduction to Medical Coding (I2MC) Course...
11. Medical Coding: ICD-10-CM Diagnosis Code Training
Learn medical coding and prepare yourself for today's healthcare workplace...
12. Lead Auditor Tools for a Professional Internal Audit
Be a Pro Internal Auditor. This is the only course with 1-on-1 online meeting with the instructor & e-mail support...
13. Understanding HIPAA for the Medical Office
A healthcare professional's guide to understanding the requirements HIPAA...
14. Certified Quality Auditor Training
Certified Quality Auditor (CQA) Exam Preparation Course - Confidently pass the exam in the first attempt...
15. Certified Internal Auditor (CIA) Part 1 - Full Study Course
Full study course and instructor support for the Certified Internal Auditor (CIA) Part 1...
16. Certified Internal Auditor (CIA) Part 2 - Full Study Course
Full study course and instructor support for the Certified Internal Auditor (CIA) Part 2...
17. Get to Know Your Food: Claims, Labels & Ingredients
Learn how to make the healthiest and best food choices amidst processed and packaged foods...
18. Medical Coding CPC (Certified Professional Coder) Training
ICD 10, CPT, HCPCS, Rules and Regulations...
19. Certified Internal Auditor (CIA) Part 3 - Full Study Course
Full study course and instructor support for the Certified Internal Auditor (CIA) Part 3...
20. ISO 9001:2015 Quality Management Systems Lead Auditor Course
How to Implement & Audit an ISO 9001:2015 Quality Management Systems Lead Auditor/ Auditor course...