Remote Revenue Integrity RN Charge Auditor

Intermountain Healthcare Inc.; Hagåtña (GU); Hybrid; USD 57,000 - 86,000; Full time

Benefits offered by this job

Benefits package

Job summary

Intermountain Health seeks an experienced Revenue Integrity RN Charge/Coding Auditor to audit clinical records, review denials, and support revenue cycle departments. The role requires RN licensure and coding certification, with proficiency in EMR systems and MS Office.

The position offers remote options where approved, with occasional on-site requirements. Responsibilities include applying standard criteria for audits, analyzing payer policies, and communicating findings to stakeholders.

Qualifications

• Current licensure as a registered nurse is required.
• Current coding certification through AAPC or AHIMA.
• Experience with Microsoft Office, EMR systems and electronic databases.
• Demonstrates knowledge of the healthcare claim denial process.
• Understands the healthcare revenue cycle.

Responsibilities

• Use evidence-based utilization review criteria to determine audit viability.
• Assess appropriateness of clinical appeal requests considering payer policies and regulations.
• Collaborate with multidisciplinary stakeholders during audits.
• Identify and communicate root causes for denials with healthcare team.
• Serve as SME for hospital charging, documentation, and medical necessity decisions.
• Support clinical departments with policy guidance, training, and education to reduce denials.
• Develop understanding of projects, tools, and organizational systems.
• 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

Registered Nurse license

AAPC or AHIMA coding certification

Tools

Microsoft Office

EMR systems

Electronic databases

EPIC

Job description

Intermountain Health seeks an experienced Revenue Integrity RN Charge/Coding Auditor to audit clinical records, review denials, and support revenue cycle departments. The role requires RN licensure and coding certification, with proficiency in EMR systems and MS Office.

The position offers remote options where approved, with occasional on-site requirements. Responsibilities include applying standard criteria for audits, analyzing payer policies, and communicating findings to stakeholders.