[Hiring] Revenue Integrity Charge Auditor @Intermountain Health

Role Description

The Revenue Integrity RN Charge/Coding Auditor is responsible for consulting on clinical charge audits for Intermountain Health. The RN Charge Auditor will execute clinical charge audits of medical records on behalf of Intermountain hospitals and clinics for:

• Denials review
• Defense audits
• Disallowed charges
• Retrospective reviews

This role will serve as a clinical resource for all Intermountain Health Revenue Cycle departments, ensuring a high level of knowledge of:

• Laws, rules, and regulations
• Hospital charging and coding
• Clinical quality and clinical policy guidelines

Incumbent will actively manage, maintain, and communicate all levels of denial activity to stakeholders throughout the denial process up to and including medical review boards and in the court of law.

We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states:

• California
• Connecticut
• Hawaii
• Illinois
• Massachusetts
• Maine
• Minnesota
• New York
• Pennsylvania
• Rhode Island
• Virginia
• Vermont
• Washington

Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings. Video phone screens and interview(s) through Microsoft Teams will be required as well for fully remote positions.

Qualifications

• Graduate of an accredited school of nursing. Bachelor of Science in Nursing (BSN) from an accredited institution. Education is verified.
• 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.

Requirements

• Master of Science in Nursing (MSN) from an accredited institution. Education is verified.
• EPIC experience.
• Demonstrated clinical experience in hospital care settings or previous auditing experience.
• Demonstrated experience in utilization review and/or case management, hospital insurance billing, third-party claim/charging audits, or auditing in a healthcare setting.

Physical Requirements

• Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with customers require employees to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy, including frequent computer, phone, and cable set-up and use.
• For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing, and reading signs, traffic signals, and other vehicles.

Location

• Lake Park Building
• West Valley City, Utah

Scheduled Weekly Hours

• 40

Compensation

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

• $41.20 - $62.17

Benefits

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here .

Company Description

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.