Remote RN Charge Auditor – Revenue Integrity

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

Job summary

Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor to consult on clinical charge audits for Intermountain hospitals and clinics, covering denials review, defense audits, disallowed charges, and retrospective reviews.

This role requires current RN licensure, coding certification (AAPC/AHIMA), and experience with EMR systems and Microsoft Office. Strong understanding of the revenue cycle and denial processes is essential.

Qualifications

• Current licensure as a registered nurse.
• 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.
• Understanding of the healthcare revenue cycle.

Responsibilities

• Use evidence-based utilization review criteria to determine viability for audits.
• Assess appropriateness of clinical appeal requests by payer policies and regulations.
• Collaborate with multidisciplinary stakeholders during audits.
• Identify and communicate root causes for denials with the healthcare team.
• Serve as subject matter expert for hospital charging, documentation and medical necessity decisions.
• Support clinical departments with policy/procedure development and training.
• Develop understanding of projects and assigned functions using technology and systems.
• Complete ongoing education and CEU requirements.

Skills

Collaboration

Problem solving

Critical thinking

Detail-oriented

Sound clinical judgement

Effective communication

Patient/hospital advocacy

Computer literacy

Efficiency oriented

Results Focused

Education

RN licensure

AAPC/AHIMA coding certification

Microsoft Office proficiency

EMR systems proficiency

Electronic databases experience

Tools

Microsoft Office

EMR systems

Electronic databases

Job description

Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor to consult on clinical charge audits for Intermountain hospitals and clinics, covering denials review, defense audits, disallowed charges, and retrospective reviews.

This role requires current RN licensure, coding certification (AAPC/AHIMA), and experience with EMR systems and Microsoft Office. Strong understanding of the revenue cycle and denial processes is essential.