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 A medical auditor conducts  internal or external reviews of coding accuracy, policies, and  procedures to ensure an organization is running an efficient and  liability-free operation. The auditor must possess knowledge of  medical coding, medical terminology, clinical documentation, compliance,  and regulatory guidelines 

 There are several reasons to perform medical audits. Auditing can help protect against fraudulent claims and billing activity,  identify problems before challenged with inappropriate coding, identify  opportunity for reimbursement, and recognize the use of incorrect  codes, just to name a few. 

 Audits are typically scheduled for three months from beginning to end, which includes four weeks of planning, four  weeks of fieldwork and four weeks of compiling the audit report. 

316 Medical Solutions can help you by providing you with an independent review of the accuracy and health of your claims. We give peace of mind by allowing you to know whether your office is operating in compliance.