PHYSICIAN MANAGEMENT SERVICES - RISK CODING & AUDITING SPECIALIST

Mountain View Hospital; Idaho Falls (ID); Vor Ort; USD 60.000 - 90.000; Vollzeit

Benefits dieser Stelle

Medical, Dental and Vision Insurance

Paid Time Off (vacation, holidays and)

Retirement Plans (401K with up to 6%)

Earned Quarterly Bonus Program

Education Reimbursement Program

Discount for medically necessaryProced

Discount for medically necessaryProced

Zusammenfassung

Mountain View Hospital is looking for a Risk Coding & Auditing Specialist to join our team. Specialist will audit medical records, coding and billing information, and prepare reports to relay findings to the appropriate sources.

They will support compliance and education initiatives with the Director. Collaborating with managers, supervisors and the compliance team, the auditor will help assess and implement educational activities and oversee coder continuing education, organizing CEU

Qualifikationen

• Education/certifications as listed: coding and auditing credentials.
• Experience with CPT/ICD-10-CM/PCS and HCPCS required.
• Strong attention to detail and compliance focus.

Aufgaben

• Audit medical records, coding, and billing information.
• Prepare informational reports and communicate findings.
• Support education activities and CEU opportunities for coders.

Kenntnisse

Auditing

Ausbildung

High School Diploma or GED

Certified Professional Coding Certificate

Certified Professional Auditing Certificate

Tools

CPT

ICD-10-CM

ICD-10-PCS

HCPCS

Jobbeschreibung

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.

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.

Qualifications

Education/Certification: High School Diploma or GED, Certified Professional Coding Certificate or Certified Professional Auditing Certificate

Equipment/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.