AUDIT INTEGRITY - AUDIT SPECIALIST

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

Benefits offered by this job

Medical, Dental and Vision Insurance

401K with up to 6% match

Paid Time Off and PTO

Job summary

Mountain View Hospital is seeking an Audit Specialist to manage external and internal audits, track schedules, and report results. The role involves data analysis, ensuring compliance with Federal and State guidelines, and collaboration with medical staff and management to improve payment accuracy and quality measures.

The ideal candidate has 1–3 years in medical audits, familiarity with revenue cycle, and strong Excel/Word skills. Education includes a high school diploma or GED; CPC preferred.

Qualifications

• High School Diploma or GED required; CPC preferred but not required.
• Knowledge of medical terminology and regulatory guidelines.
• Experience in revenue cycle and healthcare audits.
• Strong data analysis and attention to detail.

Responsibilities

• Review medical records, summarize findings, and enter data into databases.
• Track data accuracy and timeliness per established guidelines.
• Compile data into reports to analyze trends for improvement.
• Ensure departments comply with payment guidelines and quality measures.
• Train clinicians and staff on protocols; present outcomes to teams.
• Coordinate problem resolution across relevant parties; follow through on action plans.
• Maintain up-to-date knowledge of changing data definitions and guidelines.

Skills

Medical terminology

Regulatory guidelines

Data analysis

Revenue cycle

Education

High School Diploma or GED

Tools

Microsoft Excel

Microsoft Word

Job description

Mountain 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:Taking care for our community starts with taking care of our own team. Mountain View Hospital is proud to offer its employees competitive and comprehensive benefit packages. Benefits include:Medical, Dental and Vision InsurancePaid Time Off (vacation, holidays and sick days) and Medical Paid Time OffRetirement Plans (401K with up to 6% match)Earned Quarterly Bonus ProgramEducation Reimbursement ProgramDiscount for medically necessary procedures performed at Mountain View Hospital and Idaho Falls Community HospitalPlease 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 measures6. 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 relationshipAbout 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.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 organizationPerformance: Can work well under pressure and meet multiple and competing deadlines. Hold oneself to high standards and professionalism