RN Revenue Integrity Auditor & Coding Specialist

Intermountain Healthcare Inc.; West Valley City (UT); On-site; USD 57,000 - 86,000; Full time

Job summary

Intermountain Healthcare Inc. is seeking a Revenue Integrity RN Charge/Coding Auditor to perform clinical charge audits for Intermountain hospitals and clinics, focusing on denials review, defense audits, disallowed charges, and retrospective reviews.

The role requires strong knowledge of charging, coding, and regulatory compliance, with collaboration across revenue cycle teams to communicate denial activity and support medical review processes.

Qualifications

• Current licensure as a registered nurse (RN).
• Current coding certification through AAPC or AHIMA.
• Experience with Microsoft Office, EMR systems, and electronic databases.

Responsibilities

• Audit clinical charge processes and denial activity for Intermountain hospitals and clinics.
• Consult on clinical charge audits for denials review, defense audits, and retrospective reviews.
• Collaborate with multidisciplinary stakeholders during the audit process.
• Serve as a subject matter expert for hospital charging, documentation, and coding requirements.
• Communicate denial activity to stakeholders up to medical review boards and court proceedings.
• Maintain knowledge of regulatory guidelines and the healthcare revenue cycle.

Skills

Clinical judgment

Attention to detail

Problem solving

Communication

Patient advocacy

Team collaboration

Education

BSN degree

MSN degree

Tools

EPIC system

Microsoft Office

EMR systems

Electronic databases

Job description

Intermountain Healthcare Inc. is seeking a Revenue Integrity RN Charge/Coding Auditor to perform clinical charge audits for Intermountain hospitals and clinics, focusing on denials review, defense audits, disallowed charges, and retrospective reviews.

The role requires strong knowledge of charging, coding, and regulatory compliance, with collaboration across revenue cycle teams to communicate denial activity and support medical review processes.