Remote RN Revenue Integrity Charge Auditor

Intermountain Healthcare Inc.

Annapolis (MD)

On-site

USD 57,000 - 86,000

Full time

2 days ago

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Job summary

Intermountain Health seeks an experienced Revenue Integrity RN Charge/Coding Auditor to audit clinical charges and support denial management across hospitals and clinics. You will review medical records, advise on payer policies, and serve as a clinical resource for revenue cycle teams.

Remote interviewing is available via Teams for suitable candidates. The role requires active RN licensure and AHIMA/AAPC coding certification, with proficiency in EMR systems and a solid understanding of the

Qualifications

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

Responsibilities

Consult on clinical charge audits for denial review and retrospective reviews.
Execute clinical charge audits of medical records for vendors and departments.
Communicate denial activity to stakeholders throughout the denial process.
Identify root causes for denials with healthcare team.
Serve as SME for hospital charging, documentation, and medical necessity decisions.
Provide guidance on policy/procedure development and training.
Maintain understanding of projects and technologies used.
Complete ongoing education and CEU requirements to maintain licensure.