RN-Auditor
Course Outline
Please Note: It is assumed
at all Certified RN-Auditor Institute registrants have a basic
understanding of medical coding, CPT, ICD9 and HCPCS.
The reality
of the healthcare system in the United States today is that the
medical record is no longer used only to support patient care.
Today, what is contained in the medical record is used as an audit
tool to demonstrate that services were provided, as well as reasonable
and medically necessary. More than ever before, the patient's
chart will provide the necessary information for coding and reimbursement
of hospital and physician services.
Usually working
independently under indirect supervision of the hospital CFO,
the RN-Auditor® audits medical charts and records for compliance
with federal coding regulations and guidelines. The RN-Auditor®
uses clinical knowledge of procedures and diagnoses to (1) assure
everything provided to the patient has been documented, then (2)
provides a second level review of codes assigned to medical diagnoses
and clinical procedures, ensuring that medical billing conforms
to legal and procedural requirements. The RN-Auditor® reviews,
develops and/or modifies client procedures, systems and protocols
to achieve and maintain compatibility with Medicare billing requirements
and compliance standards.
In
the unique RN-Auditor® Boot Camp, whether you are currently or
working towards becoming a provider auditor for the hospital/physician
industry, or a cost containment auditor for the health insurance
industry, this course will give you the following basic information,
leading to the certification by the
American Association of Clinical Coders & Auditors, the
nation’s only certification body for clinical coders and auditors.
AACCA is non-profit, tax-exempt 501(c)6 and is a member in good
standing of
NOCA –
the National Organization of Credentialing Agencies, Washington,
D.C.
Each day
runs 8am to 5pm (and sometimes until 5:30pm). Please be
on time each day, with all your materials and homework/questions
ready to go. Please bring the required coding manuals to
class each day. There is approximately 1.5-2 hours of “homework”
each evening. There are 2 15-mnute breaks AM/PM (snacks
provided), and lunch is on your own
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Pricing & Payment Methods Here
To
print the syllabus, please go to "file" on the top left
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40 CE Contact Hours (CA BRN
#13482) This is an accelerated program for
RNs and other clinical personnel. Because of the RN-Auditor®
Boot Camp’s fast-paced schedule, it is highly recommended that
all Boot Camp registrants have at least one year of coding experience.
While prior inpatient or outpatient coding experience is helpful,
this Boot Camp is also designed for clinical individuals who are
interested in developing their coding and auditing skills for
Medicare compliance and reimbursement. This Boot Camp is
also ideal for individuals either already handling cost containment
management or who would like to have a career as an RN-Auditor®
with a third-party payer.
Homework
is assigned each evening for the next day's discussion.
It is important to complete all assignments before coming to class,
in order to get the most out of the lecture and assignments each
day. Please plan for 1-2 hours reading & assignments.
The
following required materials are not included in the cost
of your institute class registration. It is your responsibility
to locate and purchase the manuals listed below.