Remote RN Revenue Integrity Auditor

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

Job summary

Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor to conduct clinical charge audits and support denial management across Intermountain hospitals and clinics. This fully remote role requires strong knowledge of coding, billing policies, and revenue cycle.

You will collaborate with multidisciplinary teams, review medical records, communicate findings, and help reduce denials through education and policy guidance. A valid RN license and coding certification are required.

Qualifications

• 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.

Responsibilities

• Use nationally recognized evidence-based utilization review criteria (MCG/InterQual) to determine viability for audits.
• Assess appropriateness of clinical appeal requests by identifying payer policies and regulations.
• Collaborate with multidisciplinary stakeholders during the audit process.
• Identify and communicate root causes for denials with the healthcare team.
• Serve as a subject matter expert for hospital charging, documentation requirements, and medical necessity decisions.
• Support ancillary clinical-based departments with policy/procedure development, training and education to reduce denials.
• Develop and maintain understanding of projects and functions, including technology and systems.
• Complete ongoing education and CEU requirements to maintain licensure and certifications.

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 and support denial management across Intermountain hospitals and clinics. This fully remote role requires strong knowledge of coding, billing policies, and revenue cycle.

You will collaborate with multidisciplinary teams, review medical records, communicate findings, and help reduce denials through education and policy guidance. A valid RN license and coding certification are required.