Utah Licensed RN Charge Auditor

Job Summary

To support clinical charge audits, the full-time remote Utah Licensed RN Charge Auditor will execute audits of medical records, consult on denials, and serve as a clinical resource for Revenue Cycle departments while ensuring compliance with regulations and guidelines.

Key responsibilities

• Conduct clinical charge audits and manage denial activities, communicating with stakeholders throughout the process
• Analyze payer policies and regulations to assess clinical appeal requests and identify root causes for denials
• Provide guidance and support to ancillary clinical departments regarding audits and regulatory compliance

Required qualifications

• Graduate of an accredited nursing program with a Bachelor of Science in Nursing (BSN)
• Current licensure as a registered nurse in Utah
• Current coding certification through AAPC or AHIMA
• Experience with Microsoft Office and electronic medical record systems
• In-depth knowledge of the healthcare claim denial process and the healthcare revenue cycle