Remote Revenue Integrity RN Charge Auditor

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

Job summary

Intermountain Health seeks an experienced Revenue Integrity RN Charge/Coding Auditor to perform clinical charge audits of medical records for denials review, defense audits, disallowed charges, and retrospective reviews. This role will serve as a resource across Intermountain hospitals and clinics, ensuring compliance with coding rules and medical necessity decisions.

Remote option may be available per posting; candidates must be able to participate in video screens and Teams interviews.

Qualifications

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

Responsibilities

• Conduct clinical charge audits of medical records for denials review, defense audits, disallowed charges and retrospective reviews.
• Consult on clinical charge audits for Intermountain hospitals and clinics.
• Identify root causes for denials and communicate findings to the healthcare team.
• Serve as a subject matter expert for hospital charging, documentation, clinical disease processes, and medical necessity decisions.
• Provide guidance for policy, procedures, training and clinical education to reduce denials.

Skills

Collaboration

Problem solving

Critical thinking

Detail-oriented

Clinical judgement

Written and oral communication

Patient/hospital advocacy

Computer literacy

Efficiency oriented

Results Focused

Education

RN license

AAPC AHIMA coding certification

Tools

Microsoft Office

EMR systems

Electronic databases

Job description

Intermountain Health seeks an experienced Revenue Integrity RN Charge/Coding Auditor to perform clinical charge audits of medical records for denials review, defense audits, disallowed charges, and retrospective reviews. This role will serve as a resource across Intermountain hospitals and clinics, ensuring compliance with coding rules and medical necessity decisions.

Remote option may be available per posting; candidates must be able to participate in video screens and Teams interviews.