Remote Revenue Integrity RN Charge Auditor

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

Job summary

Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor. This role conducts clinical charge audits of medical records for denials review and retrospective reviews, serving as a clinical resource across the Revenue Cycle.

The position supports hospital charging, coding, and patient safety with emphasis on compliance and stakeholder communication. Video interviews via Microsoft Teams will be required; fully remote work is supported where approved.

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

• Use evidence-based utilization criteria to determine viability for audits.
• Assess appropriateness of clinical appeal requests by payer policies and regulations.
• Collaborate with multidisciplinary stakeholders during the audit process.
• Identify and communicate root causes for denials with the healthcare team.
• Serve as a subject matter expert for hospital charging, documentation, and medical necessity decisions.
• Support clinical departments with policy development, training, and education to reduce denials.

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

Microsoft Office

EMR systems

Electronic databases

Job description

Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor. This role conducts clinical charge audits of medical records for denials review and retrospective reviews, serving as a clinical resource across the Revenue Cycle.

The position supports hospital charging, coding, and patient safety with emphasis on compliance and stakeholder communication. Video interviews via Microsoft Teams will be required; fully remote work is supported where approved.