CMAS - Certified Medical Audit Specialist

The Certified Medical Audit Specialist (CMAS) certification is a professional credential for healthcare professionals who specialize in medical auditing. Administered by the Council for Certification of Medical Auditors (CCMA), this certification demonstrates expertise in reviewing medical records for compliance with healthcare standards, regulations and billing practices. It’s designed for individuals who work in health insurance, healthcare facilities and consulting firms, focusing on ensuring accuracy and adherence to laws and guidelines in medical documentation and billing.

Completion Time: 4 hours

Cost: Current fees are not listed on the website. For the most accurate and up-to-date information, contact CCMA directly.

Exam Format

The CMAS exam is administered in a single, continuous 4-hour block without any breaks. It covers four main core curriculum domains supported by task-specific categories and sub-categories representing the scope and job responsibilities of medical auditors nationwide, including:

• Professional Standards and Audit Behavior (8%)

• Medical Audit Process and Methodology (58%)

• Audit Skill (21%)

CCMA uses the Modified Angoff method to determine the passing score.

The most recent update to the test content was in September 2024. Be sure to confirm with CCMA for the latest version, and ask whether the exam is currently offered in person, online, or both.

Eligibility

• Current member of a recognized revenue integrity organization or quality management organization (HFMA, HCCA, AAPC, AHIA)

• 2 years of authenticated healthcare audit experience

  • Working at least 20 hours weekly

• Minimum of 60 college semester units or a licensed healthcare professional 

Eligibility criteria were last updated in September 2024. Please confirm with CCMA for the most recent requirements.

Application Process

• Apply online or by using the paper application in the Candidate Handbook

• Complete an official CMAS application form

• Include current resume

• Submit exam fee

  • Applications not accepted at testing sites

• Receive confirmation letter of eligibility to test

The CMAS credential must be renewed every 3 years.

• Apply online or by using the paper application in the Recertification Handbook

• Payment must be made electronically even if mailing a paper renewal application

• Must maintain  continuous active membership in an approved revenue integrity organization or quality management organization and complete continuing education (CE)

Renewal Fees

Current fees are not listed on the website. For the most accurate and up-to-date information, contact CCMA directly.

Applicants must complete 24 hours of continuing education during each 3-year certification cycle. CE must meet the CMAS Core Curriculum Domains.

The CCMA offers a renewal handbook upon request.

• Certificate for OASIS Specialist - Clinical (COS-C)

• Home Care Coding Specialist-Diagnosis (HCS-D) ICD-10-CM certification

• Home Care Clinical Specialist - OASIS (HCS-O)