A person who wants to work as a medical auditor does not need to pursue a specific degree or attend a specific type of school. The requirements for this position differ from one location to the next and from one employer to the next; as a result, there is no standard level of higher education required to work as a medical auditor. However, a person interested in this field usually has a high school diploma or an equivalent credential, as well as some prior work experience in a health-related field. He might also need to be familiar with medical plans and insurance. Some employers prefer candidates with bachelor’s degrees, so earning one may increase job opportunities.
A medical auditor examines medical claims to ensure that they are complete and accurate. This person also double-checks claims to ensure that the costs listed are reasonable for the type of health-care service provided. This type of worker examines claims to ensure that compliance guidelines are followed, and he is usually in charge of compiling reports and keeping accurate records. A medical audit coordinator may be the person in charge of this position.
A person who wants to work as a medical auditor should have excellent written and verbal communication skills. He could start developing these skills in high school and refine them in college, a vocational school, or even while working. He should also be well-organized and able to pay close attention to the smallest of details. Though he may report to a supervisor or coordinator, he must also be able to work independently. An individual with above-average analytical skills may also be able to succeed in this position.
While some employers may be impressed by a job candidate with a bachelor’s degree, particularly in health care, business, finance, insurance, billing, or a related field, many others may be more interested in an aspiring auditor’s skill and knowledge. A medical auditor typically requires a strong understanding of computers, as well as health care coding and claim adjudication processes. A successful job candidate may also need to be familiar with insurance contract regulations and standards. Working in a medical office or for a health or insurance company can help an individual gain this knowledge. Courses in medical claims coding or billing are also available to those interested in becoming a medical auditor.