Remote RN Charge Auditor & Coding Specialist

Intermountain Healthcare Inc.; Lincoln (NE); Remote; 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 of medical records for denials review, retrospective reviews, and defense audits across Intermountain hospitals and clinics.

The role requires RN licensure and coding certification, with experience in EMR systems and healthcare revenue cycle knowledge. Remote work options are available where approved, with standard 40-hour weeks at $41.20–$62.17 hourly.

Qualifications

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

Responsibilities

• Use nationally recognized evidence-based utilization review criteria (MCG/InterQual) to determine viability for audits with supporting documentation.
• Assess the appropriateness of clinical appeal requests by identifying 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 requirements and medical necessity decisions.
• Support clinical-based departments with audits by researching regulatory information and providing policy training.
• Develop and maintain understanding of projects and assigned functions using technology and systems.
• Complete ongoing education and CEU requirements to maintain licensure and certifications.

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 certification

Tools

Microsoft Office

EMR systems

Electronic databases

Job description

Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor to conduct clinical charge audits of medical records for denials review, retrospective reviews, and defense audits across Intermountain hospitals and clinics.

The role requires RN licensure and coding certification, with experience in EMR systems and healthcare revenue cycle knowledge. Remote work options are available where approved, with standard 40-hour weeks at $41.20–$62.17 hourly.