PHYSICIAN MANAGEMENT SERVICES - RISK CODING & AUDITING SPECIALIST

MOUNTAIN VIEW HOSPITAL LLC • Idaho Falls, ID

6d • Onsite

About The Position

Mountain View Hospital is seeking a Risk Coding & Auditing Specialist to assist with or conduct audits of medical records, coding, and billing information, including records and billing from outside departments and physician practices. The specialist prepares reports of audit findings and shares them with appropriate sources. Reporting also helps identify providers, locations, or target areas for future audits. The specialist assists with appeals or rebuttals to external auditing sources and completes audits within timelines established by the Director. The role also provides education at the Director’s direction.

Working collaboratively with the department manager, department supervisor, and compliance team, the specialist supports the assessment, planning, implementation, and evaluation of educational activities. The role assists with and oversees continuing education for clinic coders, tracks coder CEUs, identifies education opportunities, helps coders find CEUs, and organizes educational events. The educator’s roles include educator, facilitator, change agent, collaborator, advisor, mentor, consultant, researcher, and leader.

Mountain View Hospital and its 29 affiliate clinics provide care across the Snake River Valley, from Pocatello to Rexburg. Its services include wound care, urgent care, oncology, neurology, physical therapy, speech therapy, a Level III NICU, robotic surgery, and rural health services. The organization describes its work environment as mission driven, people-centric, and supportive.

Requirements

• High school diploma or GED.
• Certified Professional Coding Certificate or Certified Professional Auditing Certificate.
• Minimum of 3 years of coding experience.
• Working knowledge of CPT, ICD-10-CM, ICD-10-PCS, and HCPCS.
• Ability to concentrate for extended periods and maintain better-than-average attention when listening, reading, and remembering verbal and written instructions.
• Ability to understand input from a supervisor or manager concerning errors and instructions.
• Ability to handle conflict issues with staff and providers.
• Maintain high standards and professionalism when performing audits and providing education.

Responsibilities

• Assist with or conduct audits of medical records, coding, and billing information.
• Review outside department and physician records and billing.
• Prepare informational reports of audit findings and relay information to appropriate sources.
• Generate reporting to track providers, locations, or target areas needing audits.
• Assist in preparing appeals or rebuttals to external auditing sources.
• Complete audits within timelines established by the Director.
• Provide education at the direction of the Director.
• Collaborate with the department manager, department supervisor, and compliance team to assess, plan, implement, and evaluate educational activities.
• Assist with and oversee clinic coder continuing education.
• Track coder CEUs and help identify education opportunities.
• Help coders find CEUs and organize education events.
• Perform educator functions including facilitating, supporting change, collaborating, advising, mentoring, consulting, researching, and leading.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• Paid time off, including vacation, holidays, and sick days
• Medical paid time off
• Retirement plans, including a 401(k) with up to 6% match
• Earned quarterly bonus program
• Education reimbursement program
• Discounts for medically necessary procedures performed at Mountain View Hospital and Idaho Falls Community Hospital

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED