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A certified medical auditor, also referred to as a compliance auditor, is responsible for auditing and reviewing clinical documents, physician billing records, administrative records, and coding records. Healthcare administrators are responsible for ensuring compliance with industry regulations and maintaining quality control. They need a bachelor's degree in healthcare management to enter the field. Health care administrators are responsible for large-scale decisions for the facilities and institutions they work for. The employers of AAPC Approved Instructor District of Columbia billing departments should be aware that their staff must take accredited medical billing and coding courses to earn continuing education credits. These credits are used to retain their certifications and avoid their expiration.