In How to integrate $\int x^n e^x dx$?, it is shown that
$$\int {x^n e^x dx} = e^x \sum_{k = 0}^n ( - 1)^k \frac{n!}{(n-k)!}x^{n-k} + C.$$
Since $\frac{n!}{(n-k)!}$ is $P(n,k)$, the number of $k$-permutations of $n$ objects, the right-hand side of this formula smells like the inclusion-exclusion principle to me. In fact, the right-hand side is almost the formula for the number of derangements on $n$ elements, which is one of the classic examples of the use of the inclusion-exclusion principle.
This would seem to imply that there is some way to interpret $\int x^n e^x dx$ combinatorially such that the right-hand side formula falls out immediately. However, I haven't been able to see it. (I don't even know much about combinatorial interpretations of indefinite integration - or even if there are known ways to do so in special cases like this one.)
Does anyone know or see a way to prove $$\int {x^n e^x dx} = e^x \sum_{k = 0}^n ( - 1)^k \frac{n!}{(n-k)!}x^{n-k} + C$$ combinatorially?
Added: To clarify, I am looking for a proof that shows that the left- and right-hand sides of the formula count the same thing. That, to me, is a combinatorial proof.