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Become A Medical Auditor

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Working As A Medical Auditor

  • Getting Information
  • Processing Information
  • Documenting/Recording Information
  • Interacting With Computers
  • Organizing, Planning, and Prioritizing Work
  • Mostly Sitting

  • Repetitive

  • $57,000

    Average Salary

What Does A Medical Auditor Do

Medical records and health information technicians, commonly referred to as health information technicians, organize and manage health information data by ensuring that it maintains its quality, accuracy, accessibility, and security in both paper files and electronic systems. They use various classification systems to code and categorize patient information for insurance reimbursement purposes, for databases and registries, and to maintain patients’ medical and treatment histories.

Duties

Health information technicians typically do the following:

  • Review patients’ records for timeliness, completeness, accuracy, and appropriateness of data
  • Organize and maintain data for clinical databases and registries
  • Track patient outcomes for quality assessment
  • Use classification software to assign clinical codes for reimbursement and data analysis 
  • Electronically record data for collection, storage, analysis, retrieval, and reporting
  • Maintain confidentiality of patients’ records

Health information technicians document patients’ health information, including their medical history, symptoms, examination and test results, treatments, and other information about healthcare services that are provided to patients. Their duties vary by employer and by the size of the facility in which they work.

Although health information technicians do not provide direct patient care, they work regularly with registered nurses and other healthcare professionals. They meet with these workers to clarify diagnoses or to get additional information to make sure that records are complete and accurate.

The increasing adaptation and use of electronic health records (EHRs) will continue to change the job responsibilities of health information technicians. Technicians will need to be familiar with, or be able to learn, EHR computer software, follow EHR security and privacy practices, and analyze electronic data to improve healthcare information, as more healthcare providers and hospitals adopt EHR systems.

Health information technicians can specialize in many aspects of health information. Some work as medical coders, sometimes called coding specialists, or as cancer registrars.

Medical coders typically do the following:

  • Review patient information for preexisting conditions, such as diabetes
  • Assign appropriate diagnoses and procedure codes for patient care, population health statistics, and billing purposes
  • Work as a liaison between the health clinician and billing offices

Cancer registrars typically do the following:

  • Review patients’ records and pathology reports to verify completeness and accuracy
  • Assign classification codes to represent the diagnosis and treatment of cancers and benign tumors
  • Conduct annual followups to track treatment, survival, and recovery
  • Compile and analyze cancer patient information for research purposes
  • Maintain facility, regional, and national databases of cancer patients

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How To Become A Medical Auditor

Health information technicians typically need a postsecondary certificate to enter the occupation, although some may need an associate’s degree. Certification is often required.

Education

Postsecondary certificate and associate’s degree programs in health information technology typically include courses in medical terminology, anatomy and physiology, health data requirements and standards, classification and coding systems, healthcare reimbursement methods, healthcare statistics, and computer systems. Applicants to health information technology programs may increase their chances of admission by taking high school courses in health, computer science, math, and biology.

A high school diploma or equivalent and previous experience in a healthcare setting are enough to qualify for some positions, but most jobs for health information technicians require postsecondary education.

Important Qualities

Analytical skills. Health information technicians must be able to understand and follow medical records and diagnoses, and then decide how best to code them in a patient’s medical records.

Detail oriented. Health information technicians must be accurate when recording and coding patient information.

Integrity. Health information technicians work with patient data that are required, by law, to be kept confidential. They must exercise caution and a strong sense of ethics when working with this information in order to protect patient confidentiality.

Interpersonal skills. Health information technicians need to be able to discuss patient information, discrepancies, and data requirements with other professionals such as physicians and finance personnel.

Technical skills. Health information technicians must be able to use coding and classification software and the electronic health record (EHR) system that their healthcare organization or physician practice has adopted.

Licenses, Certifications, and Registrations

Most employers prefer to hire health information technicians who have certification, or they may expect applicants to earn certification shortly after being hired. A health information technician can earn certification from several organizations. Certifications include the Registered Health Information Technician (RHIT) and the Certified Tumor Registrar (CTR), among others.

Some organizations base certification on passing an exam. Others require graduation from an accredited program. Many coding certifications also require coding experience in a work setting. Once certified, technicians typically must renew their certification regularly and take continuing education courses.

A few states and facilities require cancer registrars to be licensed. Licensure requires the completion of a formal education program and the Certified Tumor Registrar (CTR) certification.

Advancement

Health information technicians may advance to other health information positions by receiving additional education and certifications. Technicians may be able to advance to a position as a medical or health services manager after completing a bachelor’s or master’s degree program and taking the required certification courses. Requirements vary by facility.

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Medical Auditor Career Paths

Medical Auditor
Office Manager Case Manager Registered Nurse Case Manager
Nursing Director
9 Yearsyrs
Office Manager Case Manager
Patient Care Manager
5 Yearsyrs
Office Manager House Manager Case Manager
Medical Case Manager
8 Yearsyrs
Consultant Manager Director
Administrative Director
8 Yearsyrs
Consultant Supervisor Clinical Supervisor
Clinical Manager
8 Yearsyrs
Consultant Manager Operations Manager
Practice Manager
9 Yearsyrs
Team Leader Supervisor Unit Manager
Nurse Manager
9 Yearsyrs
Team Leader Customer Service Manager Collections Manager
Accounts Receivable Manager
6 Yearsyrs
Team Leader Manager Property Manager
Compliance Manager
9 Yearsyrs
Billing Manager Business Office Manager
Business Office Director
8 Yearsyrs
Billing Manager Accounts Receivable Manager Accounting Manager
Business Office Manager
7 Yearsyrs
Billing Manager Owner Information Technology Director
Director Of Information Management
10 Yearsyrs
Assistant Manager Assistant General Manager Front Office Manager
Revenue Manager
8 Yearsyrs
Assistant Manager Assistant Office Manager
Office Manager Of Human Resources
6 Yearsyrs
Assistant Manager Kitchen Manager Food Service Manager
Patient Services Manager
7 Yearsyrs
Billing Supervisor Business Office Manager
Medical Records Director
5 Yearsyrs
Billing Supervisor Quality Assurance Manager Test Manager
Data Manager
6 Yearsyrs
Medical Instructor Medical Coder
Health Information Manager
7 Yearsyrs
Medical Instructor Medical Coder Medical Records Supervisor
Management Information System Manager
7 Yearsyrs
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Do you work as a Medical Auditor?

Medical Auditor Demographics

Gender

Female

68.1%

Male

16.5%

Unknown

15.3%
Ethnicity

White

59.0%

Hispanic or Latino

19.0%

Black or African American

11.2%

Asian

7.0%

Unknown

3.7%
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Foreign Languages Spoken

Spanish

65.7%

French

5.7%

Hmong

5.7%

Romanian

2.9%

Japanese

2.9%

Urdu

2.9%

Hindi

2.9%

Polish

2.9%

Korean

2.9%

Arabic

2.9%

Italian

2.9%
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Medical Auditor Education

Schools

University of Phoenix

22.6%

The Academy

8.1%

Walden University

7.3%

University of Illinois at Chicago

4.8%

Kaplan University

4.8%

Temple University

4.0%

Webster University

4.0%

Capella University

4.0%

University of Wisconsin - Milwaukee

4.0%

Remington College

4.0%

Colorado Technical University

4.0%

University of South Florida

3.2%

Everest Institute

3.2%

Regis College

3.2%

Lamar University

3.2%

Austin Community College

3.2%

Northern Illinois University

3.2%

Central State University

3.2%

East Los Angeles College

3.2%

College of Saint Scholastica

2.4%
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Majors

Health Care Administration

23.9%

Nursing

17.2%

Business

16.1%

Medicine

5.8%

Medical Assisting Services

5.4%

Accounting

4.5%

Computer Information Systems

4.1%

Psychology

3.6%

General Studies

2.1%

Management

2.1%

Insurance

2.1%

Biology

1.8%

Medical Technician

1.8%

Health/Medical Preparatory Programs

1.5%

Liberal Arts

1.5%

Communication

1.5%

Education

1.4%

Finance

1.4%

Criminal Justice

1.2%

Nursing Assistants

1.2%
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Degrees

Other

30.2%

Bachelors

25.6%

Masters

13.9%

Associate

13.9%

Certificate

7.3%

Doctorate

4.3%

Diploma

3.9%

License

0.8%
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Job type you want
Full Time
Part Time
Internship
Temporary
Average Yearly Salary
$57,000
View Detailed Salary Report
$30,000
Min 10%
$57,000
Median 50%
$57,000
Median 50%
$57,000
Median 50%
$57,000
Median 50%
$57,000
Median 50%
$57,000
Median 50%
$57,000
Median 50%
$110,000
Max 90%
Highest Paying City
Oakland, CA
Highest Paying State
Delaware
Avg Experience Level
2.6 years
How much does a Medical Auditor make at top companies?
The national average salary for a Medical Auditor in the United States is $57,531 per year or $28 per hour. Those in the bottom 10 percent make under $30,000 a year, and the top 10 percent make over $110,000.

How Would You Rate The Salary Of a Medical Auditor?

Have you worked as a Medical Auditor? Help other job seekers by rating your experience as a Medical Auditor.

Top Skills for A Medical Auditor

  1. Medical Records
  2. Audit
  3. Ensure Compliance
You can check out examples of real life uses of top skills on resumes here:
  • Review and analyze medical records against billed procedures to ensure accuracy of diagnostic and Evaluation and Management codes.
  • Charged with responsibility for conducting audits on 15 clinical and various non-clinical departments.
  • Educate physicians on clinical documentation to ensure compliance with coding guidelines and reimbursement reporting requirements.
  • Maintained and organized high-risk patient records, professional interaction with therapist and psychiatrists regarding patient care.
  • Conducted thorough review of medical records to ensure completeness, accuracy and compliance with Federal & State regulations.

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Top 10 Best States for Medical Auditors

  1. New Jersey
  2. Connecticut
  3. Minnesota
  4. Rhode Island
  5. Alaska
  6. Delaware
  7. Colorado
  8. Oregon
  9. Tennessee
  10. Massachusetts
  • (215 jobs)
  • (120 jobs)
  • (126 jobs)
  • (26 jobs)
  • (17 jobs)
  • (31 jobs)
  • (128 jobs)
  • (65 jobs)
  • (118 jobs)
  • (146 jobs)

Top Medical Auditor Employers

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Jobs From Top Medical Auditor Employers

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