Alamance Community College
2020 Calendar Year

Medical Auditor Diploma

Course
Number
Course
TITLE
contact
hours
Credit
hours
ENG-111 Writing and Inquiry 3 3
ENG-111   Writing and Inquiry PREREQUISITES and COREQUISITES • Take DRE-098

This course is designed to develop the ability to produce clear writing in a variety of genres and formats using a recursive process. Emphasis includes inquiry, analysis, effective use of rhetorical strategies, thesis development, audience awareness, and revision. Upon completion, students should be able to produce unified, coherent, well-developed essays using standard written English.

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MAT-152 Statistical Methods I 5 4
MAT-152   Statistical Methods I PREREQUISITES and COREQUISITES • NONE

This course provides a project-based approach to introductory statistics with an emphasis on using real-world data and statistical literacy. Topics include descriptive statistics, correlation and regression, basic probability, discrete and continuous probability distributions, confidence intervals and hypothesis testing. Upon completion, students should be able to use appropriate technology to describe important characteristics of a data set, draw inferences about a population from sample data, and interpret and communicate results.

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OST-141 Medical Office Terms I 3 3
OST-141   Medical Office Terms I PREREQUISITES and COREQUISITES • NONE

This course uses a language-structure approach to present the terminology and vocabulary that will be encountered in medical office settings. Topics include word parts that relate to systemic components, conditions, pathology, and disorder remediation in approximately one-half of the systems of the human body. Upon completion, students should be able to relate words to systems, pluralize, define, pronounce, and construct sentences with the included terms.

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OST-142 Medical Office Terms II 3 3
OST-142   Medical Office Terms II PREREQUISITES and COREQUISITES • NONE

This course is a continuation of OST 141 and continues the study, using a language-structure approach, of medical office terminology and vocabulary. Topics include word parts that relate to systemic components, conditions, pathology, and disorder remediation in the remaining systems of the human body. Upon completion, students should be able to relate words to systems, pluralize, define, pronounce, and construct sentences with the included terms.

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OST-148 Medical Insurance and Billing 3 3
OST-148   Medical Insurance and Billing PREREQUISITES and COREQUISITES • NONE

This course introduces fundamentals of medical insurance and billing. Emphasis is placed on the medical billing cycle to include third party payers, coding concepts, and form preparation. Upon completion, students should be able to explain the life cycle of and accurately complete a medical insurance claim.

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OST-149 Medical Legal Issues 3 3
OST-149   Medical Legal Issues PREREQUISITES and COREQUISITES • NONE

This course introduces the complex legal, moral, and ethical issues involved in providing health-care services. Emphasis is placed on the legal requirements of medical practices; the relationship of physician, patient, and office personnel; professional liabilities; and medical practice liability. Upon completion, students should be able to demonstrate a working knowledge of current medical law and accepted ethical behavior.

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OST-243 Med Office Simulation 4 3
OST-243   Med Office Simulation PREREQUISITES and COREQUISITES • OST 148

This course introduces medical systems used to process information in the automated office. Topics include traditional and electronic information resources, storing and retrieving information, and the billing cycle. Upon completion, students should be able to use the computer accurately to schedule, bill, update, and make corrections.

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OST-247 Procedure Coding 4 3
OST-247   Procedure Coding PREREQUISITES and COREQUISITES • NONE

This course provides in-depth coverage of procedural coding. Emphasis is placed on CPT and HCPCS coding systems. Upon completion, students should be able to properly code procedures and services performed in a medical facility.

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OST-248 Diagnostic Coding 4 3
OST-248   Diagnostic Coding PREREQUISITES and COREQUISITES • NONE

This course provides an in-depth study of diagnostic coding. Emphasis is placed on ICD coding system. Upon completion, students should be able to properly code diagnoses in a medical facility.

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OST-264 Medical Auditing 3 3
OST-264   Medical Auditing PREREQUISITES and COREQUISITES • NONE

This course provides instruction on how to apply regulations and policies to perform medical record audits for provider services. Emphasis is placed on understanding the scope of an audit, statistical sampling methodologies, performing a medical record audit, and compiling data for reports to improve the revenue cycle for healthcare services. Upon completion, students should be able to perform a medical audit.

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OST-265 Healthcare Compliance and Regulations 4 3
OST-265   Healthcare Compliance and Regulations PREREQUISITES and COREQUISITES • NONE

This course provides instruction in the areas of healthcare regulations, medical necessity, health and privacy laws, and compliance practices. Emphasis is placed on regulatory control and compliance issues as well as Medicare regulations related to billing. Upon completion, students should be able to abstract the medical documentation for the purpose of medical necessity and apply regulations that are important in the medical auditing process.

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OST-266 Advanced Medical Auditing 4 3
OST-266   Advanced Medical Auditing PREREQUISITES and COREQUISITES • NONE

This course provides instruction on finalizing the audit report, determining trends of a healthcare facility, and communicating the audit report. Emphasis is placed on determining the audit report contents, analyzing the coding trends, compiling a formal report of findings, and delivering the audit results. Upon completion, students should be able to develop and present an audit report to the healthcare facility.

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Semester Total 43 37

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