Business Office Auditor

Hello humankindness Dignity Health Medical Group is the employed physician group of Dignity Health Arizona. Dignity Health Medical Group (DHMG) employs approximately 400 providers and 1200 support staff that cover a wide variety of specialties. The medical group has had tremendous success over the past few years and now provides more than 73 subspecialty services. The physicians provide clinical services in their areas of specialty and many serve in pivotal academic, research and leadership roles. DHMG is also heavily involved in preparing tomorrow's healthcare providers. DHMG has 84 medical school students and approximately 200 residents and fellows throughout the 25 academic programs. Clinical services are complemented with translational and bench research to augment medical education for residents and students. The mission of Dignity Health Medical Group is consistent with Dignity Health's mission and St. Joseph's guiding principles with a focus on innovative clinical care and the pursuit of excellence through scholarly activities. As part of the Dignity Health hospital system, DHMG has full access to the staff and all facilities on our hospital campuses. This unique relationship with our hospital allows Dignity Health Medical Group to provide its patients with state-of-the-art patient services including care of the poor and disenfranchised. Look for us on Facebook and follow us on Twitter. For the health of our community ... we are proud to announce that we are a tobacco-free campus

**Must reside in Arizona

Under the supervision of the Business Office Leadership, the Business Office Auditor role is responsible for monitoring the quality of work performed within the Business Office consistent with the mission and philosophy of CHW Medical Foundation.

• 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.
• Ability to independently research and resolve complex issues with available resources and tools

MINIMUM

• High School Diploma or GED.

• 5-7 years experience in professional medical billing office with 3 years in a multi specialty medical group.

• Knowledge of physician billing regulations.

• Understanding of professional claims and billing procedures.

• Knowledge of Federal and State regulations applicable to Government and Insurance Collections.

• 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
• Working knowledge of computers and demonstrated proficiency in
  using Email systems, Internet and MS office software applications
  with emphasis in Word and Excel.

PREFERRED

• Previous auditing experience.