Overview
This online training course covers medical record standards and documentation guidelines allowing them to confidently communicate with providers. Coding and documentation compliance are key to a successful practice. This course arms the certified medical auditor with information to assist with improvements in the practice's documentation compliance. Coding and reimbursement concepts assist in a smooth work flow from scheduling the patient visit to the practice being paid for the visit. Understanding these concepts reduce overhead and reduce turnaround time for payment of services, thereby increasing the financial well-being of a practice. Medical record abstraction helps identify risk areas to a practice. Understanding what a provider documents and what will improve the provider's documentation are key to compliance.
Learning how to communicate information back to a provider improves this process. Understanding audit scope and statistical sampling methods and category risk analysis help identify where a compliance office can focus and receive the most benefit from audits. This course prepares an experienced coder to improve the financial well-being as well as the compliance of provider practices.
Upon completion of this course you will be prepared for the AAPC Certified Professional Medical Auditor (CPMA®) exam. The registration fee for the exam, AAPC membership, and CPMA practice exams are included with this course.
Learning how to communicate information back to a provider improves this process. Understanding audit scope and statistical sampling methods and category risk analysis help identify where a compliance office can focus and receive the most benefit from audits. This course prepares an experienced coder to improve the financial well-being as well as the compliance of provider practices.
Upon completion of this course you will be prepared for the AAPC Certified Professional Medical Auditor (CPMA®) exam. The registration fee for the exam, AAPC membership, and CPMA practice exams are included with this course.
- Voucher Included: Yes
- Course ID: GES166
- Total Hours: 80
- Format: Asynchronous/Self-Paced
- Location: Online
- Schedule: 6 Months (Self-Paced)
- Credit(s) Earned: 8 CEU
- Instructor: Ed2go
- Cost: $1,850.00
- Category: Healthcare

If attending with a WIOA workforce grant, your course access is dependent on 20 hours of completed coursework each week and the length of the course. Instructions will be provided at time of acceptance.
Requirements
Prerequisites:
The Certified Professional Medical Auditor course is specifically designed to help individuals with prior coding/billing knowledge prepare for the CPMA exam. Certification exams offered by AAPC are only available online to candidates located in the US.
Hardware Requirements:
- This course can be taken on either a PC or Mac. Chromebooks are not compatible.
Software Requirements:
- PC: Windows 8 or later.
- Mac: macOS 10.6 or later.
- Browser: The latest version of Google Chrome or Mozilla Firefox are preferred. Microsoft Edge and Safari are also compatible.
- Adobe Acrobat Reader.
- Software must be installed and fully operational before the course begins.
Other:
- Email capabilities and access to a personal email account.
Instructional Material Requirements:
The instructional materials required for this course are included in enrollment. The following textbooks will be shipped to you approximately 7-10 business days after enrollment:
- Medical Auditing Training: CPMA® (PDF)
- CPT® Professional Edition
- ICD-10-CM Code Set
- HCPCS Level II
Please note: You will receive a digital book if the physical book is on backorder.

What you will learn
- Define fraud and abuse and explain regulatory guidelines for key regulations
- Explain the impact of the OIG Work Plan and Corporate Integrity Agreements (CIAs)
- List the elements of compliance plans and identify potential compliance risk areas
- Identify National Correct Coding Initiative (NCCI) and Medically Unlikely Edit (MUE) risk areas
- Explain the HIPAA privacy rule, including details on protected health information, minimum necessary, sharing of information, and enforcement
- Identify medical record documentation standards and record retention standards
Program Outcomes
- Learn to communicate with medical professionals and assess medical documents
- Develop the skills needed to work in medical auditing
- Learn the legal standards necessary to perform well on the job
- Understand best insurance and reimbursement practices so as to relay them to patients
- Upon completion of this course you will be prepared for the AAPC Certified Professional Medical Auditor (CPMA©) exam.
