Remote Revenue Integrity RN Auditor

Intermountain Healthcare Inc.; Helena (MT); Remote; USD 57,000 - 86,000; Full time

Benefits offered by this job

Generous benefits package

Remote work options

Job summary

Intermountain Health is seeking an RN Charge/Coding Auditor to consult on clinical charge audits for Intermountain hospitals and clinics, focusing on denials review and retrospective studies. The role acts as a clinical resource across Revenue Cycle with emphasis on compliance and audit readiness.

Remote-friendly work arrangement is noted, with potential on-site elements per posting. Candidates should hold RN licensure and coding certification, and have strong EMR and data analysis skills.

Qualifications

• Current licensure as a registered nurse (RN) required.
• Current coding certification through AAPC or AHIMA.
• Experience in Microsoft Office, EMR systems and electronic databases.
• Demonstrates in depth knowledge of the healthcare claim denial process.
• Demonstrates clear understanding of the healthcare revenue cycle.

Responsibilities

• Use utilization review criteria (MCG/InterQual) to determine audit viability.
• Assess clinical appeal requests by payer policies and regulations.
• Collaborate with multidisciplinary stakeholders during audits.
• Identify root causes for denials and communicate with care teams.
• Serve as SME for hospital charging, documentation, and medical necessity.
• Support ancillary departments with policy development and education.
• Develop understanding of projects, systems, and data tools.
• Complete ongoing education and CEU requirements to maintain licensure.

Skills

Collaboration

Problem solving

Critical thinking

Detail-oriented

Sound clinical judgement

Effective communication

Patient/hospital advocacy

Computer literacy

Efficiency oriented

Results Focused

Education

Nursing licensure (RN)

AAPC/AHIMA coding certification

Tools

EPIC

Microsoft Office

EMR systems

Job description

Intermountain Health is seeking an RN Charge/Coding Auditor to consult on clinical charge audits for Intermountain hospitals and clinics, focusing on denials review and retrospective studies. The role acts as a clinical resource across Revenue Cycle with emphasis on compliance and audit readiness.

Remote-friendly work arrangement is noted, with potential on-site elements per posting. Candidates should hold RN licensure and coding certification, and have strong EMR and data analysis skills.