Remote RN Revenue Integrity Charge Auditor

Intermountain Healthcare Inc.; Topeka (KS); Remoto; USD 57.000 - 86.000; Tempo pieno

Descrizione del lavoro

Intermountain Health in Utah is seeking a Revenue Integrity RN Charge/Coding Auditor for a fully remote, full-time role. You will conduct clinical charge audits of medical records to support denials review, defense audits, and retrospective reviews, acting as a clinical resource across hospital revenue cycle departments.

You will apply knowledge of charging, coding, and regulatory guidelines to ensure compliance and protect information.

Competenze

• Current RN licensure required.
• Active coding certification through AAPC or AHIMA.
• Experience with Microsoft Office, EMR systems and electronic databases.
• In-depth knowledge of the healthcare claim denial process.
• Clear understanding of the healthcare revenue cycle.

Mansioni

• Use evidence-based criteria to determine viability for audits.
• Assess the appropriateness of clinical appeal requests per 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, and medical necessity decisions.
• Support clinical departments with policy development, training and education.
• Develop and maintain understanding of projects and systems.
• Complete ongoing education and CEU requirements to maintain licensure.

Conoscenze

Collaboration

Problem solving

Critical thinking

Detail-oriented

Clinical judgement

Effective communication

Patient advocacy

Computer literacy

Efficiency oriented

Results oriented

Formazione

RN licensure

Coding certification (AAPC/AHIMA)

Strumenti

EPIC

EMR systems

Microsoft Office

Descrizione del lavoro

Intermountain Health in Utah is seeking a Revenue Integrity RN Charge/Coding Auditor for a fully remote, full-time role. You will conduct clinical charge audits of medical records to support denials review, defense audits, and retrospective reviews, acting as a clinical resource across hospital revenue cycle departments.

You will apply knowledge of charging, coding, and regulatory guidelines to ensure compliance and protect information.