Remote RN Charge & Coding Auditor

Intermountain Healthcare Inc.; Hagåtña (GU); Remote; USD 56,000 - 85,000; Full time

Job summary

Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor to conduct clinical charge audits for denials and retrospective reviews. You will act as a clinical resource across Revenue Cycle, ensuring compliance with charging, coding, and medical necessity decisions.

Requires RN licensure and coding certification, with knowledge of EMR systems and payer policies. Remote flexibility is offered, with some on-site consideration and state restrictions noted.

Qualifications

• Current licensure as a registered nurse required.
• Current coding certification through AAPC or AHIMA.
• Experience in Microsoft Office, EMR systems and electronic databases.
• Demonstrates in depth knowledge of the healthcare claim denial process.
• Demonstrates understanding of the healthcare revenue cycle.

Responsibilities

• Consult on clinical charge audits for denials review and retrospective reviews.
• Audit medical records for denials, disallowed charges, and retroactive reviews.
• Serve as clinical resource for Revenue Cycle departments.
• Communicate denial activity to stakeholders through the denial process.
• Maintain knowledge of charging, coding, and medical necessity decisions.

Skills

Collaboration

Problem solving

Critical thinking

Detail-oriented

Sound clinical judgement

Effective communication

Patient/hospital advocacy

Computer literacy

Efficiency oriented

Results Focused

Job description

Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor to conduct clinical charge audits for denials and retrospective reviews. You will act as a clinical resource across Revenue Cycle, ensuring compliance with charging, coding, and medical necessity decisions.

Requires RN licensure and coding certification, with knowledge of EMR systems and payer policies. Remote flexibility is offered, with some on-site consideration and state restrictions noted.