Reference no: EM133337488

Auditing Practices

As a future medical coder or reimbursement specialist, you may find that auditing is part of your regular job duties. There are different types of audit processes that may be used by a medical practice. For internal audits, this may be prospective or retrospective reviews. If the auditing is being completed by an external party such as a third-party payer or designee, then pre-payment or post-payment audits will be conducted.

Explore the main types of audits performed with best practices for doing so.

Include the following aspects in the discussion:

1. Identify the pros and cons of the prospective and retrospective audit process.

2. Highlight reasons why it is best practice to conduct internal audits.

3. Describe why external audits may be conducted.

4. Discuss your interest in auditing as part of a medical coder or reimbursement specialist duties. Is this a skill that you feel would be advantageous?