# CPMA > Edoxi's 20-hour Certified Professional Medical Auditor (CPMA) Course will prepare you for the AAPC CPMA exam. Enrol and start a career in healthcare compliance! ## Course Details - Rating: 4.9/5 (43 reviews) - Category: Test Preparation - Sub-Category: Entrance Exam ## Course Introduction Edoxi’s 20-hour Online CPMA training equips you with the skills to conduct medical auditing and abstracting of coding and billing for medical claims. The training aligns with the official AAPC CPMA syllabus and prepares you for the Certified Professional Medical Auditor (CPMA) Exam. The course covers healthcare regulations, clinical documentation integrity, and standardised medical auditing methodologies. Practical training using ICD-10-CM, CPT, and HCPCS is included. You will learn to conduct code validation, identify discrepancies, and support accurate claims processing. Upon course completion, you will receive a CPMA certification from Edoxi, adding value to your resume. Enrol now and get started! ## Course Overview - Delivery Modes: Online - Course Duration: 20 hours - Corporate Days: 4 Days - Learners Enrolled: 500+ - Module: 6 ## What You’ll Learn from the Certified Professional Medical Auditor (CPMA) Training? **Healthcare Compliance and Regulatory Frameworks** You will gain in-depth knowledge of healthcare laws, CMS guidelines, and payer-specific compliance protocols essential for performing medical audits in clinical and administrative settings. **Clinical Documentation and Coding Integrity** You will learn to critically analyse patient records, identify documentation gaps, and ensure alignment between clinical notes, diagnosis codes, and billing practices. **Audit Methodologies and Compliance Strategies** You will develop proficiency in prospective, retrospective, and random audit techniques. Apply structured audit workflows to detect inconsistencies and reduce regulatory exposure. **Healthcare Fraud Detection and Billing Accuracy** You will identify patterns of improper billing, upcoding, and downcoding. Implement internal controls to reduce fraud risks and improve audit outcomes. **Regulatory Risk Assessment and Mitigation Planning** You will conduct structured risk analysis in healthcare documentation. Design mitigation strategies that address audit findings and strengthen organisational compliance. **Revenue Cycle Optimisation through Auditing** You will understand the auditor’s role in revenue cycle performance. Apply denial management, claims reconciliation, and appeals optimisation to protect reimbursement accuracy. ## About This Course ## About Our CPMA Course The Certified Professional Medical Auditor (CPMA) Course will help you advance your career in healthcare compliance. Edoxi’s 20-hour CPMA Course will help you build advanced expertise in clinical auditing, regulatory compliance, and documentation validation. You will develop key competencies in coding audit execution, clinical documentation integrity, and fraud risk mitigation, boosting your professional credibility in the healthcare compliance field. Edoxi’s CPMA training program is delivered online through live virtual classrooms, offering flexibility and accessibility for working professionals. This live online CPMA course is supported by interactive sessions, digital reference materials, and recorded classes for future review. With flexible scheduling options, you can choose a training time that fits your professional commitments.  For organisations, we provide customised corporate training solutions tailored to meet specific needs. Our corporate CPMA training includes customised modules and organisation-specific case studies. The training is delivered at a selected hotel, your company premises, or Edoxi’s training centre.  The Online CPMA course structure includes 6 modules that cover various aspects of medical auditing, including types of audits, compliance, medical documentation, fraud, audit scope, and medical record standards. Edoxi’s CPMA Course includes hands-on practicals through case-based simulations and audit exercises that reflect real-world compliance challenges and payer requirements. You will receive practical training using ICD-10-CM, CPT, and HCPCS to conduct code validation, identify discrepancies, and support accurate claims processing.  Enrol in our CPMA certification course to become a Certified Professional Medical Auditor. Get prepared for advanced job roles in audit compliance, healthcare fraud detection, and risk assessment across hospitals, insurers, and regulatory institutions. Additionally, the CPMA training program prepares candidates for the CPMA certification exam, governed by the American Academy of Professional Coders (AAPC), a globally recognised authority in healthcare compliance credentialing.  ### CPMA Exam Details The CPMA certification exam is governed by the American Academy of Professional Coders (AAPC), a globally recognised authority in healthcare compliance credentialing. Edoxi’s Online CPMA Course prepares you for the CPMA certification exam.  Exam Criteria Details Exam Code CPMA Exam Name Certified Professional Medical Auditor (CPMA) Exam Duration 4 Hours Number of Questions 100, Multiple Choice Passing Score 70% Fees $530 for 2 attempts Certification Validity 3 Years Membership Renewal Renewal required every 3 years through continuing education credit (CEUs) points. Exam Administration Authority AAPC (American Academy of Professional Coders)   Read More ## Features of Certified Professional Medical Auditor (CPMA) Course **Clinical Audit Simulation Exercises** Engage in high-fidelity audit simulations that replicate real-world healthcare compliance scenarios, enhancing proficiency in clinical documentation review and medical coding audit execution. **Regulatory Compliance Documentation Suite** Access a comprehensive toolkit featuring coding manuals, payer-specific audit guidelines, OIG regulations, and sample audit reports for professional reference and ongoing compliance readiness. **Peer-to-Peer Compliance Analysis Workshops** You will participate in collaborative workshops that explore complex audit cases, fostering knowledge-sharing and deeper understanding of healthcare compliance protocols and regulatory enforcement trends. **Healthcare Fraud Analytics Training** You will develop skills to detect billing anomalies, upcoding patterns, and documentation manipulation using real medical records and audit techniques aligned with fraud prevention strategies. **Multi-Speciality Coding Validation Labs** You will practise auditing medical charts across various specialities using ICD-10-CM, CPT, and HCPCS codes to verify coding integrity and ensure reimbursement accuracy. **Proactive Risk Assessment Framework Development** You will learn to build and implement enterprise-level risk assessment models that identify compliance gaps, support internal audit planning, and mitigate regulatory exposure. ## Who Can Join the Online CPMA Course? **Healthcare Operations and Compliance Administrators** Administrative professionals in hospitals or clinics aiming to enhance their skills. **Certified Medical Coders and Billing Specialists** Ideal for coding and billing experts looking to advance into auditing roles. **Regulatory Compliance and Audit Officers** Compliance professionals responsible for internal audits, risk analysis, and adherence to CMS, HIPAA, and payer-specific regulatory requirements. **Healthcare Risk and Quality Management Professionals** Risk managers who need to identify audit-related vulnerabilities, evaluate documentation risks, and implement mitigation strategies **Insurance Claims and Reimbursement Analysts** Professionals managing medical claims who seek to audit for claim integrity, detect billing discrepancies, and ensure payer compliance. **Clinicians and Practice Leaders Seeking Compliance Roles** Recommended for nurses, practice managers, and healthcare leaders aiming to transition into audit-focused roles in clinical documentation and regulatory oversight. ## CPMA Course Modules ### Module 1: Compliance and Regulatory Guidelines **Chapter 1.1: Federal Regulations** - Lesson 1.1.1: Overview of Key Federal Regulations in Healthcare **Chapter 1.2: Office of Inspector General (OIG)** - Lesson 1.2.1: Role and Responsibilities of the OIG **Chapter 1.3: Centers for Medicare & Medicaid Services (CMS)** - Lesson 1.3.1: CMS Guidelines and Compliance Standards ### Module 2: Medical Record Standards and Documentation Guidelines **Chapter 2.1: Introduction to Medical Records** - Lesson 2.1.1: Purpose and Importance of Medical Documentation **Chapter 2.2: HIPAA Regulations** - Lesson 2.2.1: Health Insurance Portability and Accountability Act (HIPAA) Overview **Chapter 2.3: Structure of Medical Records** - Lesson 2.3.1: Understanding the Medical Record - Lesson 2.3.2: Medical Record Components ### Module 3: Coding and Reimbursement **Chapter 3.1: Introduction to Coding** - Lesson 3.1.1: Basics of Medical Coding and Reimbursement **Chapter 3.2: CPT Coding Concepts** - Lesson 3.2.1: Overview of Current Procedural Terminology (CPT) **Chapter 3.3: Audit Tips** - Lesson 3.1.1: Audit Tips for Specific Services **Chapter 3.4: Service Categories** - Lesson 3.4.1: Categories and Subcategories of Service **Chapter 3.5: E/M Services** - Lesson 3.5.1: Evaluation and Management (E/M) Services Guidelines **Chapter 3.6: Use of Modifiers** - Lesson 3.6.1: Understanding Coding Modifiers **Chapter 3.7: Medical Necessity** - Lesson 3.7.1: Defining and Documenting Medical Necessity **Chapter 3.8: Teaching Physician Guidelines** - Lesson 3.8.1: Rules for Teaching Physician Involvement **Chapter 3.9: Shared/Split Services** - Lesson 3.9.1: Guidelines for Shared and Split Services ### Module 4: Medical Auditing **Chapter 4.1: The Audit Process** - Lesson 4.1.1: Steps in the Medical Audit Process ### Module 4.5: Risk Analysis and Communication **Chapter 4.1: Introduction to Risk Analysis** - Lesson 4.1.1: Purpose and Importance of Risk Analysis in Auditing **Chapter 4.2: Validation and Analysis** - Lesson 4.2.1: Validation of Audit Results - Lesson 4.2.2: Analysis and Reporting of Audit Findings **Chapter 4.3: Communication and Reporting** - Lesson 4.3.1: Communicating Audit Results Effectively **Chapter 4.4: Special Audit Types** - Lesson 4.4.1: Voluntary Re-Payment Audits - Lesson 4.4.2: Self-Disclosure Audits **Chapter 4.5: Action Planning** - Lesson 4.5.1: Developing Corrective Action Plans ### Module 6: Exercises & Assessment **Chapter 6.1: Case Studies and Practical Application** - Lesson 6.1.1: Application of Audit Skills through Case Studies **Chapter 6.2: Practice Exams** - Lesson 6.2.1: Practice Questions and Mock Exams for Readiness ## Hands-On Lab Activities **Coding Integrity and Medical Documentation Audit** Conduct a full-scope audit of clinical records to assess documentation completeness, validate diagnostic and procedural code accuracy, and evaluate medical necessity using standardised audit protocols. **Organisational Compliance Risk Profiling** Develop a comprehensive compliance risk assessment model for a healthcare organisation. Identify high-risk operational areas and propose mitigation strategies to support regulatory audit readiness. **Healthcare Fraud Analytics and Billing Integrity Review** Analyse billing data sets to detect fraudulent trends, such as upcoding, unbundling, and medically unnecessary services, using specialised audit tools and fraud detection methodologies. **E/M Level Validation and CPT Code Accuracy** Review complex outpatient encounters to verify Evaluation and Management level selection, ensure documentation compliance, and apply time-based coding principles under current CPT guidelines. **Interdepartmental Healthcare Compliance Audit** Execute a structured audit across hospital departments, including emergency, inpatient, and outpatient care. Identify non-compliance issues using interdisciplinary audit workflows and regulatory benchmarks. ## CPMA Course Outcome and Career Opportunities The Certified Professional Medical Auditor course establishes a solid foundation in regulatory compliance auditing, healthcare documentation accuracy, and reimbursement integrity across clinical and administrative environments. Here are a few outcomes that you can expect after completing Edoxi’s Online CPMA Course; - You will boost your career in audit-driven compliance, financial risk mitigation, and clinical coding validation - You will qualify for roles in hospitals, payer organisations, and regulatory bodies. - You will gain hands-on experience through mock audits and real-world scenarios. - You will strengthen your knowledge of healthcare documentation and billing accuracy. - You will improve your ability to detect and prevent coding and billing errors. - You will understand regulatory standards to support reimbursement integrity. ## Job Roles After Completing the CPMA Course Medical Audit Assistant, Junior Medical Coder, Certified Medical Auditor, Compliance Analyst, Healthcare Compliance Officer, Risk Management Director ## CPMA Training Options **Live Online Training** - 20-hour online CPMA training - Flexible Scheduling Options - Interactive Virtual Classrooms - Digital Reference Materials - Recorded Sessions for Review **Corporate Training** - Custom Corporate training - Training modules tailored to organisational goals - Organisation-Specific Case Studies - Group Learning Discounts - Training delivered at a selected hotel, Client premises or Edoxi - Post-Training Support System ## How to Get CPMA Certified? Here’s a four-step guide to becoming a certified CPMA professional. 1. Enrol in Edoxi’s Online CPMA Course 2. Get CPMA training from industry experts 3. Apply and attend the CPMA exam 4. Ace the exam and become a Certified Professional Medical Auditor ## Why Choose Edoxi Training Institute for CPMA Training? Here are a few reasons why you should choose Edoxi for CPMA Training; **Expert-Led Instruction by Certified Audit Professionals** Our CPMA course is delivered by credentialed instructors with clinical audit expertise and healthcare compliance experience across hospitals, payer systems, and international regulatory environments. **Regulatory Case Simulations with Localised Relevance** Training modules feature real-world audit scenarios from healthcare systems, helping participants identify documentation gaps, code assignment errors, and compliance vulnerabilities. **Collaborative Audit Workshops and Applied Learning** Engage in interactive compliance workshops, peer-to-peer case reviews, and guided mock audits that reinforce core auditing techniques and regulatory framework interpretation. **Curriculum with Compliance Integration** The course aligns with AAPC CPMA exam standards while incorporating audit regulations, including DHA and MOH guidelines for regional audit readiness. **CPMA Exam Preparation** The training program is structured to thoroughly prepare you for the CPMA certification exam, offering in-depth review sessions, exam-style practice questions, and tips to boost your test-taking confidence and performance. **Extended Post-Certification Mentorship and Support** You will receive three months of post-course access to exam prep materials, audit tools, compliance updates, and instructor guidance for practical application in healthcare settings. ## Frequently Asked Questions **Q: What is the CPMA certification, and how does it benefit my career?** A: The Certified Professional Medical Auditor (CPMA) certification validates your expertise in medical auditing and healthcare compliance. This credential enhances your career prospects, increases earning potential, and establishes your credibility in healthcare risk management and compliance roles. **Q: What are the prerequisites needed to enrol in the Online CPMA course?** A: While a basic understanding of medical coding, healthcare regulations, and billing processes is recommended, our course is designed to accommodate professionals at various experience levels. Healthcare administrative experience or a medical coding background provides a helpful foundation. **Q: How is the CPMA course delivered, and what is the time commitment?** A: The CPMA course is available online, with a total duration of 20 hours. We offer flexible scheduling options, including weekday and weekend batches to accommodate working professionals' schedules. **Q: What types of practical training are included in the Online CPMA training?** A: The program includes extensive hands-on components such as mock audits, case studies based on real medical records, compliance risk assessments, and fraud detection exercises using actual coding systems like ICD-10-CM, CPT, and HCPCS. **Q: What job opportunities are available for CPMA certification holders?** A: CPMA-certified professionals can pursue roles such as Medical Auditor, Compliance Analyst, Healthcare Compliance Officer, and Risk Management Director with organisations like NMC Healthcare, TPA, and healthcare consultancies. ## Trainer - Name: Dr. Shivani Khasnis - Designation: CPMA Trainer Dr. Shivani Khasnis is an accomplished CPMA, CPC, and DRG trainer at Edoxi Training Institute, with over 15 years of industry experience spanning Pharmacovigilance, Clinical Research, and Medical Coding. Her expertise lies in ICD-10-CM, CPT, and HCPCS coding systems, alongside a strong command of HIPAA and regulatory guidelines. She possesses a postgraduate diploma in Clinical Research from the UK and certifications including CPMA (AAPC, USA) and CPC (Skyline Training Institute, Dubai). Dr. Shivani is known for her clarity in instruction, up-to-date domain knowledge, and ability to train medical professionals in both technical and regulatory aspects of coding. She has delivered specialised training for major healthcare and insurance organisations such as Cleveland Clinic Abu Dhabi and Abu Dhabi National Insurance Company (ADNIC), covering DRG coding, inpatient prospective payment systems (IPPS), and exam-focused medical coding programs. Her professional journey also includes key roles at Tata Consultancy Services and Crest Pre-media Solutions, further strengthening her industry knowledge. ## Enrol in This Course - Course URL: https://www.edoxi.com/cpma-course - Phone: +971 43801666 - Email: info@edoxi.com