Registered Nurse Auditor Transplant
About The Position
This position utilizes clinical expertise, expert coding knowledge and critical thinking skills to work collaboratively with internal compliance to research medical records procedures and testing accuracy for Medicare Cost Report. Join a nationally recognized Transplant Unit where your clinical expertise and attention to detail directly support exceptional patient care. We’re looking for a compassionate, sharp, and collaborative RN Auditor ready to make an impact in a fast‑paced, mission‑driven environment. This position utilizes clinical expertise, expert coding knowledge and critical thinking skills to work collaboratively with internal compliance to research medical records procedures and testing accuracy for Medicare Cost Report. Scope: This position works with the Quality Department, and other Intermountain entities and staff to ensure compliance and appropriate review of charges.
Requirements
- Bachelor’s degree in nursing (BSN) from an accredited institution (degree will be verified).
- Current RN License in state of practice.
- Demonstrated clinical nursing experience in a diverse setting.
- Demonstrated experience in clinical documentation integrity and/or outpatient coding.
- Demonstrated experience in chart reviews and/or auditing.
- Strong communication skills to effectively convey complex ideas.
- Ability to thrive in a fast-paced environment and manage multiple tasks simultaneously.
- Ability to work independently with minimal supervision.
- Proficient in using Electronic Medical Record (EMR) tools
Nice To Haves
- Experience with EPIC EMR
- Transplant experience
- Three years of health insurance experience.
- Experience in training and auditing procedures.
- Clear understanding of health care products.
- Demonstrated teaching and leadership ability
Responsibilities
- Reviews and audits medical records in association with medical claims utilizing clinical expertise, assessment of patient and medical documentation.
- Utilize critical thinking skills to conduct review of pre-transplant evaluation charges.
- Ensure claims are reviewed and released in a timely manner.
- Train and mentor new or existing staff.
- Demonstrates a comprehensive understanding of internal processes and procedures.
Benefits
- Comprehensive health, dental, and vision benefits
- Generous paid time off and retirement program
- Tuition reimbursement up to $5,250
- Paid wellness program supporting physical, mental, and financial well‑being
- Professional development and continuing education opportunities
- Supportive leadership and a culture built on teamwork and respect
- On‑site fitness resources and wellness initiatives
- Access to employee assistance programs
- Opportunities to grow within a large, innovative health system
- A collaborative environment where your voice matters
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
11-50 employees
