Title: Describe the role of an auditor.
Course: Medical Coding and Billing II (14151-IV) > Section: Understanding Issues with Fraud and Abuse

Description should include reviewing documentation to ensure it was billed and coded in accordance with regulatory rules and standards.

Process/Skill Questions:

- What circumstances will trigger an audit?
- What are the consequences of a failed audit?
- What are the different types of and ways to conduct audits?
- How is an auditor’s role the same as an educator’s? Why should they not be viewed as the enemy?