Utah Licensed RN Charge Auditor

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