CCFA Core Curriculum


CCFA-Certified Clinical Financial Auditor
CCFA Core Curriculum




I. Medical Audit Proficiency 20%

    • Finance 
    • Statistics
    • HIM principles 
    • Accounting principles
    • Research methods

II. Medical Audit Professional Values 5%

    • Ethics
    • Standards of conduct
    • Policies
    • Confidentiality

III. Medical Audit Environment 15%

    • National Healthcare Audit Guidelines
    • Federal and State laws
    • NCD National Coverage Determination
    • HIPPA
    • Medicare, Medicaid and Insurance reimbursement methodologies
    • OIG and JCAHO

IV. Medical Audit Process and Procedure 60%

    • Coding and billing validation and accuracy ICD-10, CPT, HCPCS, E&M
    • Payment methodologies
    • Revenue code and charges validation
    • UB04-CMS 1450 and CMS 1500
    • Utilization review and denials
    • Contracting
    • Electronic health records, databases and spreadsheets

Click here to download the Core Curriculum


We welcome new members interested in this rewarding field of healthcare financial auditing. Gain access to research, networking with other audit professionals, and ongoing education.

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