Remote Revenue Integrity RN Charge Auditor

Intermountain Healthcare Inc.; United States; Remote; USD 57,000 - 86,000; Full time

Job summary

Intermountain Health seeks a Revenue Integrity RN Charge Auditor for a fully remote role in the United States. The RN will audit clinical charges, review denials, and support hospital revenue cycle with a strong focus on compliance and policy guidelines.

Responsibilities include using MCG/InterQual criteria, analyzing payer policies, and communicating audit findings. Requires RN licensure, coding certification, and experience with EMR systems; remote interviews and potential on-site meetings may

Qualifications

• Active RN licensure and coding certification required.
• Experience with Microsoft Office, EMR systems and databases.
• In-depth knowledge of healthcare denial processes and revenue cycle.

Responsibilities

• Use evidence-based criteria to determine audit viability for insurance reviews.
• Assess clinical appeal requests by payer policies and regs.
• Collaborate with multidisciplinary stakeholders during audits.
• Identify root causes for denials and communicate with care teams.
• Serve as SME for hospital charging, documentation and medical necessity.
• Support related departments with policy, training and education.
• Develop understanding of projects and utilize technology and systems.
• Complete ongoing education and maintain licensure requirements.

Skills

Collaboration

Problem solving

Critical thinking

Detail-oriented

Clinical judgement

Communication

Patient advocacy

Computer literacy

Efficiency

Results oriented

Education

Registered nurse licensure (RN)

Coding certification (AAPC or AHIMA)

Tools

Microsoft Office

EMR systems

Electronic databases

Job description

Intermountain Health seeks a Revenue Integrity RN Charge Auditor for a fully remote role in the United States. The RN will audit clinical charges, review denials, and support hospital revenue cycle with a strong focus on compliance and policy guidelines.

Responsibilities include using MCG/InterQual criteria, analyzing payer policies, and communicating audit findings. Requires RN licensure, coding certification, and experience with EMR systems; remote interviews and potential on-site meetings may