RN Revenue Integrity Auditor (Remote-Friendly)

Intermountain Healthcare Inc.; Nashville (TN); On-site; USD 56,000 - 85,000; Full time

Job summary

Intermountain Health is seeking an RN Charge/Coding Auditor to perform clinical charge audits for denials review, defense audits, and retrospective reviews across hospitals and clinics. The role requires deep knowledge of charging, coding, and regulatory guidelines to ensure compliance and protect information.

You will work with Intermountain Health Revenue Cycle departments and stakeholders to communicate denial activity and support medical review decisions, with remote options as approved and

Qualifications

• Current licensure as a registered nurse.
• 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.

Responsibilities

• Audit clinical records for denials, reviews, and appeals.
• Apply evidence-based utilization criteria to determine audit viability.
• Collaborate with multidisciplinary stakeholders during the audit process.
• Identify and communicate root causes for denials with care teams.
• Serve as a subject matter expert for hospital charging and documentation.

Skills

Collaboration

Problem solving

Critical thinking

Detail-oriented

Clinical judgement

Effective communication

Patient advocacy

Computer literacy

Efficiency oriented

Results Focused

Education

RN Licensure

Tools

Microsoft Office

EMR systems

Job description

Intermountain Health is seeking an RN Charge/Coding Auditor to perform clinical charge audits for denials review, defense audits, and retrospective reviews across hospitals and clinics. The role requires deep knowledge of charging, coding, and regulatory guidelines to ensure compliance and protect information.

You will work with Intermountain Health Revenue Cycle departments and stakeholders to communicate denial activity and support medical review decisions, with remote options as approved and