Business Office Auditor

CommonSpirit Health•Phoenix, AZ

42d

About The Position

As our Auditor, you will be a critical guardian of compliance and financial integrity, optimizing operational efficiency across our facility. Every day, you will conduct comprehensive audits of financial records, processes, and regulatory compliance. You’ll identify risks, evaluate internal controls, and provide insightful recommendations to enhance performance, mitigate fraud, and ensure adherence to healthcare laws, directly supporting sound decision-making. To be successful, you’ll combine strong analytical and investigative skills with an in-depth understanding of healthcare regulations, sharp attention to detail, and the ability to communicate complex findings persuasively, transforming audit insights into tangible improvements. Demonstrate a solid understanding of accounts receivable and your role as a Business Office Auditor: Payor Rules & Regulations Understanding contract language CCI Coding Issues Read and interpret DOFR Comprehend how transactions affect account Coordination of Benefits rules Offsets / Takebacks Payment Posting Ability to determine correct systems to locate pertinent info: IDX MPV Medical Records Systems Insurance Payor Web Sites Code Correct Web Site CUBS Ability to manage multiple expectations, task and deadlines effectively. Timely review of electronic communication to stay informed of changes that affect your position. Research and analyze account thoroughly including direct contact with payor to determine if action(s) taken are in compliance with current workflows, guidelines, policies and procedures. Proactively organize and manage case load to ensure timely feedback to staff.

Requirements

MUST RESIDE IN ARIZONA
MINIMUM High School Diploma or GED
5-7 years experience in professional medical billing office with 3 years in a multispecialty medical group.
Excellent written and verbal communication skills.
Results oriented attitude, good interpersonal abilities required to deal effectively with job responsibilities.
Must be able to use a high level of judgment, initiative, and resourcefulness when dealing with internal and external customers.
Working knowledge of IDX.
Knowledge of physician billing regulations.
Understanding of professional claims and billing procedures
Knowledge of Federal and State regulations applicable to Government and Insurance Collections.