Remote Revenue Integrity RN & Coding Auditor

Intermountain Healthcare Inc.; Boston (MA); On-site; USD 57,000 - 86,000; Full time

Job summary

Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor to audit medical records for denials and retrospective reviews, ensuring compliance with coding rules and policies. This role acts as a clinical resource across Revenue Cycle departments and communicates denial activities to stakeholders through review and arbitration processes.

The position requires active RN licensure and coding certification, with experience in EMR systems and Microsoft Office.

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 in-depth knowledge of the healthcare claim denial process.
• Demonstrates 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 through the process.
• Assist with policy development, training, and education to reduce denials.
• Maintain understanding of projects, technologies, and organizational activities.

Skills

Collaboration

Problem solving

Critical thinking

Detail-oriented

Sound clinical judgement

Effective communication

Patient/hospital advocacy

Computer literacy

Efficiency oriented

Results Focused

Education

MSN

BSN

RN license

Tools

EPIC

Job description

Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor to audit medical records for denials and retrospective reviews, ensuring compliance with coding rules and policies. This role acts as a clinical resource across Revenue Cycle departments and communicates denial activities to stakeholders through review and arbitration processes.

The position requires active RN licensure and coding certification, with experience in EMR systems and Microsoft Office.