Remote Revenue Integrity RN Charge Auditor

Intermountain Healthcare Inc.

Cheyenne (WY)

Remote

USD 57,000 - 86,000

Full time

2 days ago
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Job summary

Intermountain Health in West Valley City, Utah, seeks an RN Charge/Coding Auditor to perform clinical charge audits across hospitals and clinics for denials, retrospective reviews, and financial accuracy. You will consult on documentation, coding standards, and payer policies, acting as a subject-matter expert in hospital charging and clinical necessity decisions.

The role requires an active RN license, coding certification, and familiarity with EMR systems.

Qualifications

  • Current licensure as a registered nurse is required.
  • Active coding certification through AAPC or AHIMA is required.
  • Experience with Microsoft Office, EMR systems, and coding environments.
  • Thorough knowledge of healthcare claim denial processes and revenue cycle.

Responsibilities

  • Use evidence-based criteria to determine audit viability with documentation.
  • Assess appeal requests by payer policies and Federal/State regulations.
  • Collaborate with multidisciplinary stakeholders during audits.
  • Identify and communicate root causes for denials with the care team.
  • Serve as subject matter expert for hospital charging and medical necessity.
  • Support policy development, training, and education for denials reduction.
  • Develop understanding of projects, technology, and systems involved.
  • Maintain licensure through ongoing education and CEUs.

Skills

Collaboration
Problem solving
Critical thinking
Detail-oriented
Sound clinical judgement
Effective communication
Patient/hospital advocacy
Computer literacy
Efficiency oriented
Results Focused

Education

RN license
AAPC/AHIMA coding certification

Tools

EPIC EHR
EMR systems
Microsoft Office

Job description

Intermountain Health in West Valley City, Utah, seeks an RN Charge/Coding Auditor to perform clinical charge audits across hospitals and clinics for denials, retrospective reviews, and financial accuracy. You will consult on documentation, coding standards, and payer policies, acting as a subject-matter expert in hospital charging and clinical necessity decisions.

The role requires an active RN license, coding certification, and familiarity with EMR systems.

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