Remote RN Charge Auditor: Denials & Compliance Expert

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

Job summary

Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor to audit clinical charges, review denials, and defend audits across Intermountain hospitals and clinics. The role requires RN licensure and coding certification, with strong knowledge of the revenue cycle and denial processes.

You will collaborate with multidisciplinary teams, communicate complex denials, and ensure compliance with applicable laws and policies while maintaining patient care as a priority.

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

• Consult on clinical charge audits for Intermountain Health.
• Execute clinical charge audits of medical records for denials review, defense audits, and retrospective reviews.
• Communicate denial activity to stakeholders through the denial process up to medical review boards and court of law.
• Identify root causes for denials and serve as a subject matter expert for hospital charging and documentation requirements.
• Support policy development, training and education focused on reducing clinical denials.

Skills

Collaboration

Problem solving

Critical thinking

Detail-oriented

Clinical judgement

Communication

Advocacy

Computer literacy

Efficiency

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 to audit clinical charges, review denials, and defend audits across Intermountain hospitals and clinics. The role requires RN licensure and coding certification, with strong knowledge of the revenue cycle and denial processes.

You will collaborate with multidisciplinary teams, communicate complex denials, and ensure compliance with applicable laws and policies while maintaining patient care as a priority.