Remote RN Revenue Integrity Charge Auditor

Intermountain Healthcare Inc.

Denver (CO)

On-site

USD 57,000 - 86,000

Full time

2 days ago
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Job summary

Intermountain Health is seeking an RN Charge/Coding Auditor to perform clinical charge audits, assess denials, and serve as a clinical resource across Revenue Cycle. You will apply evidence-based criteria to audits, analyze payer policies, and communicate findings to stakeholders to protect compliance and ensure accurate charging.

The role requires collaboration with hospital teams, continuous education, and mastery of coding and clinical documentation standards.

Qualifications

  • Current RN licensure required.
  • Coding certification (AAPC/AHIMA) required.
  • Experience with EMR systems and electronic databases.
  • In-depth knowledge of the healthcare claim denial process.

Responsibilities

  • Use evidence-based criteria (MCG/InterQual) to evaluate audit viability.
  • Assess appeal requests by payer policies and regulations.
  • Collaborate with multidisciplinary stakeholders during audits.
  • Identify root causes for denials with the care team.

Skills

Collaboration
Problem solving
Critical thinking
Detail-oriented
Sound clinical judgement
Effective communication
Patient/hospital advocacy
Computer literacy
Efficiency oriented
Results Focused

Education

RN licensure
AAPC/AHIMA coding certification

Tools

Microsoft Office
EMR systems
Electronic databases

Job description

Intermountain Health is seeking an RN Charge/Coding Auditor to perform clinical charge audits, assess denials, and serve as a clinical resource across Revenue Cycle. You will apply evidence-based criteria to audits, analyze payer policies, and communicate findings to stakeholders to protect compliance and ensure accurate charging.

The role requires collaboration with hospital teams, continuous education, and mastery of coding and clinical documentation standards.

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