PHYSICIAN MANAGEMENT SERVICES - RISK CODING & AUDITING SPECIALIST

Mountain View Hospital; Idaho Falls (ID); On-site; USD 80,000 - 105,000; Full time

Benefits offered by this job

Medical, Dental and Vision Insurance

401K with up to 6% match

Earned Quarterly Bonus Program

Education Reimbursement Program

Paid Time Off

Job summary

Mountain View Hospital in Idaho Falls, Idaho is seeking a Risk Coding & Auditing Specialist. The role audits medical records, coding and billing information, and reviews outside departments and physician records to produce actionable reports for providers and locations.

You will assist in education initiatives, track coder CEUs, and support education activities under the Director and Compliance team, leveraging your CPT/ICD knowledge. Minimum 3 years coding experience required.

Qualifications

• High School Diploma or GED.
• Certified Professional Coding Certificate.
• Certified Professional Auditing Certificate.

Responsibilities

• Audit medical records, coding and billing information.
• Review outside departments and physician records and billing.
• Prepare informational reports of findings for stakeholders.
• Educate and assist in coder CEU tracking and continuing education opportunities.
• Collaborate with the Compliance team and Director to plan and evaluate educational activities.

Education

High School Diploma or GED

Certified Professional Coding Certificate

Certified Professional Auditing Certificate

Tools

CPT

ICD-10-CM

ICD-10-PCS

HCPCS

Job description

Mountain View Hospital is looking for a Risk Coding & Auditing Specialist to join our team!JOB SUMMARY:Specialist will be responsible for assisting/ conducting audits of medical records, coding and billing information. The auditor will look at outside departments and physician records and billing. Auditors will put together informational reports of finding and relay the information to the appropriate source. Reporting will be generated to help track which providers, locations or target areas need to be audited. The medical auditor will assist in putting together appeals/ rebuttals for external auditing sources. Auditor should have audits completed within a timely manner that is set up with the Director. Auditor will provide education at the direction of the Director.Works collaboratively with the department manager, department supervisor, and the compliance team to support in assessing, planning, implementing and evaluating educational activities.Assists with and oversees clinic coder continuing education. Tracks coder CEU’s and helps identify education opportunities. Assists coders in finding CEU’s and helps organize events for education. The roles of the educator include: educator, facilitator, change agent, collaborator, advisor, mentor, consultant, researcher, and leader.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.BENEFITS:Taking care of 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.Education/Certification: High School Diploma or GED, Certified Professional Coding Certificate or Certified Professional Auditing CertificateEquipment/Technology: Minimum of 3 years of coding experience. Working knowledge of CPT, ICD-10-CM, ICD-10-PCS, HCPCS.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. Can understand input from the supervisor and/or manager concerning errors and instructions.Performance: Must be able to handle conflict issues with both staff and providers. Hold oneself to high standards and professionalism while performing audits and providing education.