Compliance Auditor Certification
The exam is typically offered twice a year.
Compliance auditor certification. Certified hedis compliance auditors are the only people allowed to complete hedis compliance audits. Ncqa will send you the auditor requirements and an application to become certified auditor. The bureau of compliance boc works to educate assist and assess medicaid program providers in meeting their obligation to establish and operate effective compliance programs by monitoring and enforcing mandatory compliance program and compliance certification requirements. How to become a certified hedis compliance auditor.
Submit an inquiry through my ncqa. We recommend the individual also have at least an associates degree in healthcare. The next exam review and session will be in january 2020 at ncqa headquarters in washington dc. To earn this certification you must be sponsored by a licensed organization.
We are a non profit 501c3 organization the mission of the american institute of healthcare compliance aihc is to provide classroom and web based training programs to provide education certification and continuing education to health care administrators to improve competency in the management of medical facilities in an increasingly complex regulatory environment at a reasonable cost. Hedis compliance audit certification the healthcare effectiveness data and information set hedis is widely used to measure and improve health care quality and is relied on by government regulators health plans provider organizations employers and others to identify quality and compare plan performance. While there is no experience requirement we strongly recommend that the candidate have at least two years experience working with compliance programs and the associated laws and regulations. Medical auditing is a critical piece to compliant and profitable physician practices.
A minimum of three years of this experience must be in a decision making position. To become a certified hedis compliance auditor you must pass the hedis compliance audit exam. The exam is typically offered twice a year. Certified professional medical auditor cpma certification exam advance your career with the certified professional medical auditor cpma credential.
Select hedis audit as the program type. Candidates must have eight years of on the job experience in one or more of the areas of the certified quality auditor body of knowledge.