Remote RN Revenue Integrity Auditor

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

Job summary

Intermountain Health in Utah seeks a Revenue Integrity RN Charge/Coding Auditor to perform clinical charge audits, support denial management, and ensure coding accuracy across hospitals and clinics. This remote role requires strong knowledge of charging rules and medical necessity.

You will collaborate with revenue cycle teams, review documentation, and communicate audit findings to stakeholders. Remote work with occasional onsite video/Teams interviews; requires licensure and coding

Qualifications

• Current RN licensure.
• Coding certification through AAPC or AHIMA.
• Experience with Microsoft Office, EMR systems and EMR databases.
• Clear knowledge of the healthcare claim denial process.
• Understanding of the healthcare revenue cycle.

Responsibilities

• Use evidence-based utilization review criteria to determine audit viability.
• Assess appeal requests by payer policies and regulations.
• Collaborate with multidisciplinary stakeholders during audits.
• Identify and communicate root causes for denials.
• Serve as SME for hospital charging, documentation, and medical necessity decisions.
• Support clinical departments with audits through policy guidance and education.
• Maintain understanding of projects, technologies, and systems.
• Complete ongoing education and CEU requirements.

Skills

Collaboration

Problem solving

Critical thinking

Detail-oriented

Sound clinical judgement

Effective communication

Patient advocate

Computer literacy

Efficiency oriented

Results Focused

Education

RN licensure

AAPC/AHIMA coding certification

MSN preferred

EPIC experience

MSN/BSN preferred

Tools

Microsoft Office

EMR systems

EMR databases

EPIC

Job description

Intermountain Health in Utah seeks a Revenue Integrity RN Charge/Coding Auditor to perform clinical charge audits, support denial management, and ensure coding accuracy across hospitals and clinics. This remote role requires strong knowledge of charging rules and medical necessity.

You will collaborate with revenue cycle teams, review documentation, and communicate audit findings to stakeholders. Remote work with occasional onsite video/Teams interviews; requires licensure and coding