AUDIT INTEGRITY - AUDIT SPECIALIST

Mountain View Hospital; Idaho Falls (ID); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical, Dental and Vision Insurance

Paid Time Off

401K with match

Bonus Program

Education Reimbursement

Discount for procedures

Job summary

Mountain View Hospital in Idaho Falls is seeking an Audit Specialist to process external audits, track internal audit schedules, and report data related to quality measures and payment.

You will work with the Medical Auditor and Management to ensure audits meet Federal and State guidelines, with opportunities for training and career growth. This full-time role offers benefits including health coverage, retirement plan, and bonus programs.

Qualifications

• High school diploma or GED required; CPC preferred.
• 1-3 years medical experience.
• Knowledge of medical terminology and regulatory guidelines.
• Proficient with Excel and Word.
• Ability to work independently and meet deadlines.

Responsibilities

• Performs reviews of medical records, summarizes findings and enters data.
• Resolves issues with records or processes.
• Tracks data accuracy and timeliness per guidelines.
• Compiles reports to analyze trends for improvement activities.
• Partners with departments to ensure payment and quality compliance.
• Trains clinicians and staff on protocols.

Skills

Medical terminology knowledge

Regulatory compliance

Data analysis

Microsoft Excel

Word

Education

High School Diploma or GED

CPC certification preferred

Tools

Microsoft Excel

Microsoft Word

Job description

Job DetailsJob Location: Energy Plaza - Idaho Falls, ID 83401Position Type: Full TimeEducation Level: High SchoolJob Category: Health CareMountain View Hospital is looking for an Audit Specialist to join our team!

JOB SUMMARY

The Audit Specialist will be responsible for processing external audits, including specialized or focused audits and projects. The individual will also be responsible for tracking and reporting of internal audit schedules and results including analyzing and reporting data for both quality measures and payment. The Audit Specialist will work directly with the Medical Auditor and Management team to ensure audits are conducted in accordance with Federal and State regulatory guidelines.

BENEFITS

• Medical, Dental and Vision Insurance
• Paid Time Off (vacation, holidays and sick days) and Medical Paid Time Off
• Retirement Plans (401K with up to 6% match)
• Earned Quarterly Bonus Program
• Education Reimbursement Program
• Discount for medically necessary procedures performed at Mountain View Hospital and Idaho Falls Community Hospital

Please note benefits are based on eligibility according to full-time, part-time or PRN status classification.

DUTIES AND RESPONSIBILITIES

1. Performs reviews of medical records, summarizes the findings and accurately enters information into databases as specified.
2. Solves problems with regard to unique record or process issues.
3. Tracks and validates data accuracy and timeliness in accordance with established guidelines.
4. Compiles data into reports to analyze trends and patterns to assist in the identification of improvement activities and reports information to the appropriate departments, committees or individuals in relation to established goals.
5. Works with various departments to assist them in being compliant with payment guidelines and quality measures
6. Helps train clinicians and other staff on protocols.
7. Participates in presentations to educate staff on outcomes and new or changing protocols and collaborates with the clinical team to use outcome data in education.
8. Actively participates in problem identification and resolution and coordinates resolution between the appropriate parties.
9. Accurately interprets and follows frequently changing data definitions and guidelines.
10. Takes ownership of projects, researches data and follows through with detailed action plans to completion.
11. Maintains a good working relationship

About Mountain View

Mountain View Hospital and our 29 affiliate clinics are committed to providing compassionate, cutting edge care to our patients. We serve the entire Snake River Valley – all the way from Pocatello to Rexburg. Our medical capabilities span everything from wound care to urgent care, oncology to neurology, physical therapy to speech therapy, a Level III NICU, robust robotic surgery department and a continuously expanding rural health practice.

Our work environment is mission driven, people-centric and supportive. It is what sets apart and makes people excited to come to work each day. If you are looking for a career where you can make a difference in your community, we invite you to apply.

Qualifications

Education/Certification: High School Diploma or GED. CPC certification not required, but preferred. Knowledge of medical terminology, regulatory guidelines and revenue cycle.

Experience: 1-3 years of medical experience.

Equipment/Technology: Proficient computer skills, to include the navigation of several electronic databases. Knowledge of Microsoft Excel and Word.

Language/Communication: Excellent written and verbal communication skills, demonstrated ability to work independently, show initiative, and meet established goals and deadlines.

Mathematical Skills: Basic understanding of math and concepts to calculate percent of accuracy and deficiencies.

Mental Capabilities: Can concentrate for long periods of time in order to complete assigned tasks with a better than average attention span in order to listen, read and remember verbal and written instructions.

Interpersonal: Contributes toward effective, positive working relationships with internal and external colleagues. Demonstrates cooperation, flexibility, reliability, and dependability in all daily work activities, and a willingness to collaborate with others for the good of the organization.

Performance: Can work well under pressure and meet multiple and competing deadlines. Hold oneself to high standards and professionalism