Remote RN Revenue Integrity Auditor

Intermountain Healthcare Inc.; Carson City (NV); Remote; USD 57,000 - 86,000; Full time

Benefits offered by this job

Benefits package

Job summary

Intermountain Health seeks an experienced Revenue Integrity RN Charge/Coding Auditor to perform clinical charge audits for hospitals and clinics, focusing on denials review, defense audits, disallowed charges, and retrospective reviews. The role requires deep knowledge of charging, coding, and revenue cycle processes to safeguard compliance.

We support flexible work options where approved, with a fully remote setup and potential on-site interviews.

Qualifications

• RN licensure current.
• Coding certification through AAPC or AHIMA.
• Experience with MS Office, EMR systems and electronic databases.
• Knowledge of healthcare claim denial process.

Responsibilities

• Use evidence-based criteria to determine audits viability for insurance reviews.
• Assess appeal requests by payer policies and regulations.
• Collaborate with multidisciplinary stakeholders during audits.
• Identify root causes for denials with healthcare team.
• Act as SME for hospital charging, documentation and medical necessity decisions.
• Develop and maintain understanding of projects, technology and systems.

Skills

Collaboration

Problem solving

Critical thinking

Detail-oriented

Clinical judgement

Communication

Patient advocacy

Computer literacy

Efficiency

Results oriented

Job description

Intermountain Health seeks an experienced Revenue Integrity RN Charge/Coding Auditor to perform clinical charge audits for hospitals and clinics, focusing on denials review, defense audits, disallowed charges, and retrospective reviews. The role requires deep knowledge of charging, coding, and revenue cycle processes to safeguard compliance.

We support flexible work options where approved, with a fully remote setup and potential on-site interviews.