What Is a Medical Auditor? How the Role Differs from a Medical Coder In the world of healthcare compliance, the roles of medical coders and medical auditors are often misunderstood, even by those working within the field. While both are essential to documentation integrity and revenue cycle success, they serve very different functions. So, what…
The Audit Starts Before the Note Article Reference Code: NAMAS.01.16.2026 Written by: Shannon O. DeConda, CPC, CPMA, CEMA, CEMC, CPA-EDU When we think about an audit, we often picture a finalized encounter. The note is signed, dated, and ready for review. But the reality is, the audit does not begin with the note. It begins much…
Developing a Comprehensive Coding and Auditing Plan for 2026 Article Reference Code: NAMAS.12.26.2025 Written by: Lindsey Chatelain, CPC, CRC Accurate medical coding and auditing are fundamental to maintaining compliance, optimizing reimbursement, and safeguarding the integrity of clinical documentation. While there is often an expectation that coders will identify and correct every discrepancy, the reality is…
5 Steps to Update Your Audit Plan for Office Visits via Telehealth Article Reference Code: NAMAS.12.19.2025 Written by: Sonal Patel, BA, CPMA, CPC, CMC, ICDCM Is your practice overwhelmed by all the noise? When it comes to updating your audit plan, it’s best to keep the focus on each service line you provide. For example,…
Not Just About Errors: Why Precision Is the Real Measure of Audit Quality Article Reference Code: NAMAS.12.05.2025 Written by: Allyson Woolard, MBA, RHIA, CPMA, CPC, CPB, CMRS, CMCS, CDBS, CDC If you’re new to medical auditing or an experienced auditor, you’ve probably come across terms like error rate and precision error rate. Do you know…