Remote RN Revenue Integrity Charge Auditor

Intermountain Healthcare Inc.

Boise (ID)

Remote

USD 57,000 - 86,000

Full time

35 hours ago
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Job summary

Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor to conduct clinical charge audits of medical records for denials review and retrospective reviews. You will serve as a clinical resource across Revenue Cycle departments to ensure compliance and protect information.

This fully remote role offers flexible work options where approved. Candidates must hold RN licensure and a coding certification (AAPC/AHIMA); experience with EMR and MS Office is required, with EPIC

Qualifications

  • Current RN licensure is required.
  • Coding certification through AAPC or AHIMA is required.
  • Experience with Microsoft Office, EMR systems, and electronic databases is required.
  • Demonstrates deep knowledge of the healthcare claim denial process.
  • Demonstrates understanding of the healthcare revenue cycle.

Responsibilities

  • Conduct clinical charge audits for denials review and retrospective reviews.
  • Identify and communicate root causes for denials with the care team.
  • Consult on clinical charge audits across Intermountain hospitals and clinics.
  • Serve as a subject matter expert for hospital charging, documentation, and medical necessity decisions.
  • Communicate audit findings to stakeholders up to medical review boards and courts as needed.
  • Support policy/procedure development and provider education to reduce denials.

Skills

RN license
Coding certification
MS Office / EMR experience
Denials process knowledge
Revenue cycle knowledge

Tools

EPIC experience

Job description

Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor to conduct clinical charge audits of medical records for denials review and retrospective reviews. You will serve as a clinical resource across Revenue Cycle departments to ensure compliance and protect information.

This fully remote role offers flexible work options where approved. Candidates must hold RN licensure and a coding certification (AAPC/AHIMA); experience with EMR and MS Office is required, with EPIC

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