Healthcare Audit Specialist - Compliance & Data Insight

Mountain View Hospital; Idaho Falls (ID); On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Medical, Dental and Vision Insurance

Paid Time Off

401K with match

Bonus program

Education Reimbursement

Discount on procedures

Job summary

Mountain View Hospital is seeking an Audit Specialist to join our team in Idaho Falls. The role involves processing external audits, tracking internal audit schedules, and reporting data related to quality measures and payments.

You will work with the Medical Auditor and Management to ensure audits comply with Federal and State guidelines, and you will help train staff on protocols and best practices to improve outcomes.

Qualifications

• High School Diploma or GED required; CPC certification preferred.
• 1–3 years of medical experience.
• Knowledge of regulatory guidelines and revenue cycle.
• Proficient with Microsoft Excel and Word.
• Knowledge of medical terminology.

Responsibilities

• Performs reviews of medical records, summarizes findings, and enters data into databases.
• Tracks and validates data accuracy and timeliness according to guidelines.
• Compiles data into reports to analyze trends and assist improvement activities.
• Ensures compliance with payment guidelines and quality measures across departments.
• Helps train clinicians and staff on protocols.
• Participates in presentations to educate staff on outcomes and protocols.
• Coordinates resolution of issues between parties.
• Interprets data definitions and follows changing guidelines.
• Takes ownership of projects and follows through with action plans.
• Maintains positive working relationships.

Skills

Communication

Data entry

Attention to detail

Education

High School Diploma or GED

CPC certification preferred

Tools

Microsoft Excel

Microsoft Word

Job description

Mountain View Hospital is seeking an Audit Specialist to join our team in Idaho Falls. The role involves processing external audits, tracking internal audit schedules, and reporting data related to quality measures and payments.

You will work with the Medical Auditor and Management to ensure audits comply with Federal and State guidelines, and you will help train staff on protocols and best practices to improve outcomes.