Remote Revenue Integrity RN Charge Auditor

Intermountain Healthcare Inc.; City of Albany (NY); On-site; USD 57,000 - 86,000; Full time

Job summary

Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor to conduct clinical charge audits for hospitals and clinics, focusing on denials reviews, defense audits, and retrospective reviews. You will serve as a clinical resource for all Revenue Cycle departments to ensure compliance and protect information.

Responsibilities include applying criteria like MCG or InterQual, analyzing payer policies and regulations, collaborating with multidisciplinary stakeholders, and guiding

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

• Consult on clinical charge audits for Intermountain Health.
• Execute clinical charge audits of medical records for denials review and retrospective reviews.
• Serve as clinical resource for Revenue Cycle departments.
• Communicate denial activity to stakeholders up to medical review boards and court of law.

Skills

Collaboration

Problem solving

Critical thinking

Detail-oriented

Clinical judgement

Written communication

Patient advocacy

Computer literacy

Efficiency

Results focus

Education

RN licensure

AAPC/AHIMA coding certification

MS Office / EMR proficiency

Tools

EPIC

Job description

Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor to conduct clinical charge audits for hospitals and clinics, focusing on denials reviews, defense audits, and retrospective reviews. You will serve as a clinical resource for all Revenue Cycle departments to ensure compliance and protect information.

Responsibilities include applying criteria like MCG or InterQual, analyzing payer policies and regulations, collaborating with multidisciplinary stakeholders, and guiding