Remote RN Charge & Coding Auditor

Intermountain Healthcare Inc.; City of Albany (NY); Remote; USD 57,000 - 86,000; Full time

Job summary

Intermountain Healthcare is seeking a Revenue Integrity RN Charge/Coding Auditor to consult on clinical charge audits for Intermountain hospitals and clinics, focusing on denials review, defense audits, disallowed charges, and retrospective reviews. You will ensure compliance with laws, rules, regulations and coding standards while serving as a clinical resource across Revenue Cycle departments.

This remote role requires strong knowledge of hospital charging, documentation, and clinical

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

• Consult on clinical charge audits for denials review and retrospective reviews.
• Assess appropriateness of appeals by reviewing payer policies and regulations.
• Collaborate with multidisciplinary stakeholders during audits.
• Communicate root causes for denials to care teams and leadership.
• Serve as a subject matter expert for hospital charging and documentation 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

Coding certification

Tools

EPIC

Job description

Intermountain Healthcare is seeking a Revenue Integrity RN Charge/Coding Auditor to consult on clinical charge audits for Intermountain hospitals and clinics, focusing on denials review, defense audits, disallowed charges, and retrospective reviews. You will ensure compliance with laws, rules, regulations and coding standards while serving as a clinical resource across Revenue Cycle departments.

This remote role requires strong knowledge of hospital charging, documentation, and clinical