RN Revenue Integrity Auditor - Charge & Coding

Intermountain Healthcare Inc.; Topeka (KS); On-site; USD 57,000 - 86,000; Full time

Job summary

Intermountain Health in West Valley City, Utah is seeking an experienced Revenue Integrity RN Charge/Coding Auditor to audit clinical charges and support denial management across hospitals and clinics. You will consult on audits, ensure compliance with coding and policy guidelines, and communicate findings to stakeholders throughout the denial process.

The role requires current RN licensure and a coding certification (AAPC/AHIMA), with expertise in MS Office, EMR systems, and the healthcare

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

• Consult on clinical charge audits for Intermountain Health facilities.
• Execute clinical charge audits of medical records for denials review and retrospective reviews.
• Serve as clinical resource for Revenue Cycle departments and communicate denial activity to stakeholders.
• Identify root causes for denials and support policy development and training.

Skills

Collaboration

Problem solving

Critical thinking

Detail-oriented

Sound clinical judgement

Effective communication

Patient/hospital advocacy

Computer literacy

Efficiency oriented

Results Focused

Education

Master of Science in Nursing (MSN)

Bachelor of Science in Nursing (BSN)

Tools

EPIC

Job description

Intermountain Health in West Valley City, Utah is seeking an experienced Revenue Integrity RN Charge/Coding Auditor to audit clinical charges and support denial management across hospitals and clinics. You will consult on audits, ensure compliance with coding and policy guidelines, and communicate findings to stakeholders throughout the denial process.

The role requires current RN licensure and a coding certification (AAPC/AHIMA), with expertise in MS Office, EMR systems, and the healthcare