Medical Office Administration, Medical Auditor Concentration A.A.S. (A25310A)

Location(s): Carrington-Scott Campus (Graham Campus)

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Program Description

This curriculum prepares individuals for employment in medical and other health-care related offices. Course work will include medical terminology; information systems; office management; medical coding, billing and insurance; legal and ethical issues; and formatting and word processing. Students will learn administrative and support functions and develop skills applicable in medical environments. Employment opportunities are available in medical and dental offices, hospitals, insurance companies, central billing office and other health-care related organizations.

Program Learning Outcomes

Graduates of this program should be able to:

Utilize principles of medical auditing. In addition, there will have knowledge of key areas of regulations, Corporate Integrity Agreements (CIAs), medical record documentation and chart abstraction.
Demonstrate knowledge of and apply billing guidelines through identifying common errors found in documentation for evaluation and management, anesthesia, surgery, radiology, pathology and laboratory, and medicine services.
Apply diagnostic and procedural codes by extrapolating key information from the Medical Record and Define steps of the audit process and identify statistical sampling types and factors as well as provide practical application of auditing operative reports and evaluation and management services.
Demonstrate understanding of the regulatory bodies by defining fraud and abuse and explain regulatory guidelines for key regulations. Explaining the impact of the OIG Work Plan and Corporate Integrity Agreements (CIAs) Listing the elements of compliance plans and identify potential compliance risk areas. Identifying National Correct Coding Initiative (NCCI) and Medically Unlikely Edit (MUE) risk areas.
Identify the purposes of recovery audit contractors and how to prepare for potential RAC audits. Explain the HIPAA privacy rule, including details on protected health information, minimum necessary, sharing of information, and enforcement.

First Year

Fall 1st Semester

ACA 111 - College Student Success 1 Credit Hour(s)
OR
ACA 122 - College Transfer Success 1 Credit Hour(s)
MAT 152 - Statistical Methods I 4 Credit Hour(s)
OST 131 - Keyboarding 2 Credit Hour(s)
OST 137 - Office Applications I 3 Credit Hour(s)
OST 141 - Med Office Terms I 3 Credit Hour(s) *
OST 148 - Med Ins & Billing 3 Credit Hour(s)

Semester Total: 16 Credit Hour(s)

Spring 2nd Semester

MED 116 - Introduction to A & P 4 Credit Hour(s)
OST 134 - Text Entry and Formatting 3 Credit Hour(s)
OST 142 - Med Office Terms II 3 Credit Hour(s) *
OST 164 - Office Editing 3 Credit Hour(s)
OST 247 - Procedure Coding 3 Credit Hour(s)
Humanities/Fine Arts Elective 3 Credit Hour(s) **see table below

Semester Total: 19 Credit Hour(s)

Summer 3rd Semester

ENG 111 - Writing and Inquiry 3 Credit Hour(s)
OST 248 - Diagnostic Coding 3 Credit Hour(s)

Semester Total: 6 Credit Hour(s)

Second Year

Fall 4th Semester

OST 149 - Medical Legal Issues 3 Credit Hour(s)
OST 153 - Office Finance Solutions 3 Credit Hour(s)
OST 181 - Office Procedures 3 Credit Hour(s)
OST 184 - Records Management 3 Credit Hour(s)
OST 264 - Medical Auditing 3 Credit Hour(s)
Social/Behavioral Science Elective 3 Credit Hour(s) * **see table below

Semester Total: 18 Credit Hour(s)

Spring 5th Semester

ENG 115 - Oral Communication 3 Credit Hour(s)
OR
COM 231 - Public Speaking 3 Credit Hour(s)
OST 243 - Med Office Simulation 3 Credit Hour(s)
OR
WBL 112 - Work-Based Learning I 2 Credit Hour(s)
OST 265 - Healthcare Comp & Reg 3 Credit Hour(s)
OST 266 - Adv Medical Auditing 3 Credit Hour(s)
OST 286 - Professional Development 3 Credit Hour(s)