Medical Abstractor/Auditor Salary
For Medical Auditors, hourly average wages total $16.03 per hour. Most workers in this position report high levels of job satisfaction. Medical Auditors who responded to the questionnaire are largely women, dominating at 85 percent. Health benefits are not claimed by all — just under a third lack any form of coverage — but the greater part have medical insurance, and the larger part have dental, too.
Job Description for Medical Abstractor/Auditor
Medical abstractors/auditors work in the health care industry for hospitals, doctors' offices, medical clinics, and similar facilities to analyze, categorize, and review medical coding to ensure its accuracy. They must thoroughly understand all relevant privacy polices to protect confidentiality and sensitive information, and they also retrieve requested documentation to be sent to authorized parties according to company procedures and guidelines, typically to obtain medical reimbursements related to services rendered to patients.Read More...
When working with health information, medical abstractors/auditors must adhere to all relevant laws, regulations, and HIPAA guidelines and keep their knowledge up-to-date regarding third-party payer billing requirements and compliance rules. Applicants should be able to use relevant software and applications such as Cobius, CAS, and Cobius-esMD, and proficiency in Microsoft Office programs may also be required.
Those in this position should be able to work independently as well as in a team environment, and a high school diploma and relevant prior experience may be minimum requirements for this position. Interpersonal and customer service skills are important for medical abstractors/auditors, and communication skills are also beneficial. They are encouraged to attend various training classes to keep their skills and knowledge up-to-date.
Medical Abstractor/Auditor Tasks
- Review and audit medical records and patient claims, ensuring clinical data concurs with the claim.
- Assess and evaluate the level of coding and billing procedures to comply with regulations.
- Identify, compile and code patient data, using standard classification systems.
- Examine and evaluate audit results, recommending controls to ensure system reliability and data integrity.
- Enter data, such as history and extent of disease, diagnostic procedures and treatment into computer.
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Pay by Experience Level for Medical Abstractor/Auditor
Median of all compensation (including tips, bonus, and overtime) by years of experience.
Experience is an important factor influencing the compensation of Medical Auditors. At career start (within the first five years), average income sits near $33K, and the average for folks who have worked for five to 10 years is only slightly higher at $34K. The average pay reported by folks with 10 to 20 years of experience is around $43K. Old hands who claim more than two decades on the job enjoy average earnings of $56K.