Remote RN Charge Auditor — Revenue Integrity

Intermountain Healthcare Inc.; Carson City (NV); Remote; USD 57,000 - 86,000; Full time

Job summary

Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor to review clinical charge audits for denials, retrospective reviews, and coding accuracy for Intermountain hospitals and clinics. The role requires RN licensure and coding certification, with strong knowledge of auditing, revenue cycle, and compliant charging practices.

The position supports remote work options where approved, with emphasis on communication to stakeholders and maintaining licensure.

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 nationally recognized evidence-based utilization review criteria to determine viability for audits using 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 subject matter expert for hospital charging, documentation, and medical necessity decisions.
• Provide guidance with policy and procedure development, training and support to reduce denials.
• Develop and maintain understanding of projects and assigned functions, including 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 coding certification

Microsoft Office

Electronic Medical Records (EMR) systems

Healthcare revenue cycle knowledge

Tools

Epic EMR

MS Office

Job description

Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor to review clinical charge audits for denials, retrospective reviews, and coding accuracy for Intermountain hospitals and clinics. The role requires RN licensure and coding certification, with strong knowledge of auditing, revenue cycle, and compliant charging practices.

The position supports remote work options where approved, with emphasis on communication to stakeholders and maintaining licensure.