Remote RN Charge Auditor - Revenue Integrity

Intermountain Healthcare Inc.; Salem (OR); 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 Health hospitals and clinics. The role involves denials review, retrospective chart audits, and serving as a clinical resource for Revenue Cycle departments.

Remote work is available where approved, with some on-site requirements in Utah. The position requires active RN licensure and coding certification (AAPC/AHIMA), familiarity with EMR systems, and knowledge of

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 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 departments with audits by researching regulatory information and developing policies.
• Develop and maintain understanding of projects, systems and activities.
• Complete ongoing education and CEU requirements to maintain licensure.

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

Experience with EMR systems

Tools

EPIC

Microsoft Office

Electronic Medical Records (EMR) systems

Job description

Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor to consult on clinical charge audits for Intermountain Health hospitals and clinics. The role involves denials review, retrospective chart audits, and serving as a clinical resource for Revenue Cycle departments.

Remote work is available where approved, with some on-site requirements in Utah. The position requires active RN licensure and coding certification (AAPC/AHIMA), familiarity with EMR systems, and knowledge of