Remote RN Revenue Integrity & Coding Auditor

Intermountain Healthcare Inc.; Montpelier (VT); 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 for denial reviews and retrospective reviews across Intermountain hospitals and clinics. The role requires RN licensure and coding certification, with strong knowledge of hospital charging, coding, and revenue cycle processes.

The position supports remote work where approved and involves collaboration with diverse clinical teams to communicate denial activity and ensure compliance.

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

• Use evidence-based criteria to determine viability for audits.
• Assess appeal requests by payer policies and regulations.
• Collaborate with multidisciplinary stakeholders during audits.
• Identify root causes for denials with the healthcare team.
• Serve as SME for hospital charging, documentation, and medical necessity.
• Support departments with policy development, training, and education.
• Develop understanding of projects, technology, and systems.
• Complete ongoing education and licensure CEU requirements.

Skills

Collaboration

Problem solving

Critical thinking

Detail-oriented

Clinical judgement

Effective communication

Patient advocacy

Computer literacy

Efficiency oriented

Results Focused

Education

RN licensure

AAPC/AHIMA coding certification

Tools

EPIC experience

EMR systems

Microsoft Office

Job description

Intermountain Health is seeking a Revenue Integrity RN Charge/Coding Auditor to conduct clinical charge audits for denial reviews and retrospective reviews across Intermountain hospitals and clinics. The role requires RN licensure and coding certification, with strong knowledge of hospital charging, coding, and revenue cycle processes.

The position supports remote work where approved and involves collaboration with diverse clinical teams to communicate denial activity and ensure compliance.