Remote RN Revenue Integrity Auditor

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

Job summary

Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor for a fully remote role. You will conduct clinical charge audits of medical records for denials review, defense audits, disallowed charges, and retrospective reviews, serving as a resource across revenue cycle departments.

Maintain compliance knowledge and communicate denial activity to stakeholders. Responsibilities include applying evidence-based utilization criteria, analyzing payer policies, and collaborating with

Qualifications

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

Responsibilities

• Utilize evidence-based criteria to determine viability for audits.
• Assess appropriateness of clinical appeal requests.
• Collaborate with multidisciplinary stakeholders during audits.
• Identify root causes for denials and communicate to healthcare teams.
• Serve as subject matter expert for hospital charging and documentation requirements.
• Support policy development, training, and education to reduce denials.
• Maintain understanding of projects and organizational systems.
• Complete ongoing education and licensure requirements.

Skills

Collaboration

Problem solving

Critical thinking

Detail-oriented

Sound clinical judgement

Effective communication

Patient/hospital advocacy

Computer literacy

Efficiency oriented

Results Focused

Education

Registered nurse license

Coding certification (AAPC/AHIMA)

Tools

Microsoft Office

Electronic Medical Record systems

Electronic databases

Job description

Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor for a fully remote role. You will conduct clinical charge audits of medical records for denials review, defense audits, disallowed charges, and retrospective reviews, serving as a resource across revenue cycle departments.

Maintain compliance knowledge and communicate denial activity to stakeholders. Responsibilities include applying evidence-based utilization criteria, analyzing payer policies, and collaborating with