Revenue Integrity RN Auditor – Charge & Coding

Intermountain Healthcare Inc.; Salt Lake City (UT); Remote; USD 57,000 - 86,000; Full time

Job summary

Intermountain Health is seeking an experienced Revenue Integrity RN Charge/Coding Auditor in Utah to perform clinical charge audits and denials reviews across Intermountain hospitals and clinics.

The role requires RN licensure and coding certification, with knowledge of regulatory guidelines and EMR systems. Remote work options may be available; strong collaboration and communication skills are essential.

Qualifications

• Current licensure as a registered nurse required.
• Current coding certification through AAPC or AHIMA.
• Experience in Microsoft Office, electronic medical record 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 utilization review criteria to determine audit viability.
• Assess appropriateness of clinical appeals by analyzing payer policies and regulations.
• Collaborate with multidisciplinary stakeholders during the audit process.
• Identify and communicate root causes for denials with the healthcare team.
• Serve as SME for hospital charging, documentation, and medical necessity decisions.

Skills

Collaboration

Problem solving

Critical thinking

Detail-oriented

Sound clinical judgement

Effective communication

Patient/hospital advocacy

Computer literacy

Efficiency oriented

Results Focused

Education

Registered Nurse licensure

AAPC/AHIMA coding certification

Microsoft Office & EMR systems experience

Healthcare revenue cycle knowledge

Tools

Microsoft Office

EMR systems

Electronic databases

Job description

Intermountain Health is seeking an experienced Revenue Integrity RN Charge/Coding Auditor in Utah to perform clinical charge audits and denials reviews across Intermountain hospitals and clinics.

The role requires RN licensure and coding certification, with knowledge of regulatory guidelines and EMR systems. Remote work options may be available; strong collaboration and communication skills are essential.