Remote RN Charge Auditor—Revenue Integrity & Coding

Intermountain Healthcare Inc.; Pierre (SD); On-site; USD 57,000 - 86,000; Full time

Job summary

Intermountain Health is seeking an Revenue Integrity RN Charge/Coding Auditor to conduct clinical charge audits, support denial review, and ensure compliance with coding and reimbursement standards. The role requires RN licensure and coding certification, with experience in EMR systems and Microsoft Office.

Remote options may apply per policy and travel is minimal. The position emphasizes collaboration with hospital teams, expert knowledge of healthcare claims and reimbursement, and ongoing

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.
• 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 healthcare team members.
• Serve as a subject matter expert for hospital charging, documentation requirements and medical necessity decisions.
• Support clinical departments through audits by policy guidance and 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

Bachelor of Science in Nursing

Master of Science in Nursing (MSN)

RN license

Coding certification (AAPC or AHIMA)

Tools

EMR systems

Microsoft Office

EPIC experience

Job description

Intermountain Health is seeking an Revenue Integrity RN Charge/Coding Auditor to conduct clinical charge audits, support denial review, and ensure compliance with coding and reimbursement standards. The role requires RN licensure and coding certification, with experience in EMR systems and Microsoft Office.

Remote options may apply per policy and travel is minimal. The position emphasizes collaboration with hospital teams, expert knowledge of healthcare claims and reimbursement, and ongoing