Remote RN Revenue Integrity Auditor

Intermountain Healthcare Inc.; Cheyenne (WY); Remoto; USD 57.000 - 86.000; Tempo pieno

Descrizione del lavoro

Intermountain Health is seeking an RN Charge Auditor to consult on clinical charge audits for hospitals and clinics. The role focuses on denials review, retrospective reviews, and protecting information through strong knowledge of charging, coding, and policy guidelines.

The position supports a fully remote or flexible arrangement with emphasis on compliance and collaboration across Revenue Cycle departments.

Competenze

• 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.

Mansioni

• Consult on clinical charge audits for Intermountain Health.
• Execute clinical charge audits of medical records for denials review and retrospective reviews.
• Communicate denial activity to stakeholders up to medical review boards and court.
• Serve as a subject matter expert for hospital charging, documentation and medical necessity decisions.
• Develop and maintain understanding of projects and assigned functions, including use of technology and systems.

Conoscenze

Registered Nurse license

Coding certification

Microsoft Office

EMR systems

Healthcare denial process knowledge

Revenue cycle knowledge

EPIC experience

Strumenti

EPIC

Descrizione del lavoro

Intermountain Health is seeking an RN Charge Auditor to consult on clinical charge audits for hospitals and clinics. The role focuses on denials review, retrospective reviews, and protecting information through strong knowledge of charging, coding, and policy guidelines.

The position supports a fully remote or flexible arrangement with emphasis on compliance and collaboration across Revenue Cycle departments.