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

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.