Summary Job Description: Baptist Health is looking for a Lead Charge Capture Nurse to join our team! This is a remote work position that requires residency in KY or IN Supports the day-to-day operations related to clinical charge audit and charge capture. Supports implementation and maintenance of standardized workflows developed in collaboration with the Director of Charge Capture, Special Projects Manager, and Associate Vice President of Revenue Integrity. Essential
Duties
Performs second level charge audit review as requested by staff, payor, Patient Financial Services, Health Information Management or Director. Utilizes payor and coding guidelines in working to develop a response plan to these complex cases including new technologies.
Duties
will include but are not limited to extensive research, communicating audit findings in written or verbal format and communicating audit findings with respective departments or payors. Utilizes department best practices to audit in the most efficacious manner possible while promoting continuous quality improvement. Stays current on applicable payor and coding guidelines, industry trends and best practices.
Qualifications
Bachelor’s degree or associate degree in nursing including an additional five years’ experience in a revenue cycle related position Valid Kentucky Licensure as a Registered Nurse 3 years broad based acute care nursing experience required. Knowledge of medical terminology and a basic understanding of coding and payment methodologies including DRG and APC. Individuals working with payor audits must have a keen understanding of audit response requirements and timelines If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is an Equal Employment Opportunity employer. Founded in 1924 in Louisville, Kentucky, Baptist Health is a full-spectrum health system dedicated to improving the health of the communities it serves. The Baptist Health family consists of 10 hospitals, employed and independent physicians, and more than 470 points of care, including outpatient facilities, physician practices and services, urgent care clinics, outpatient diagnostic and surgery centers, home care, fitness centers, and occupational medicine and physical therapy clinics. Baptist Health’s eight owned hospitals include more than 2,300 licensed beds in Corbin, Elizabethtown, La Grange, Lexington, Louisville, Paducah, Richmond and New Albany, Indiana. Baptist Health also operates two joint venture hospitals: the 410-bed Baptist Health Deaconess Madisonville in Madisonville, Kentucky with Deaconess Health System based in Evansville, Indiana, and the Baptist Health Rehabilitation Hospital, a 40-bed inpatient rehabilitation facility with Encompass Health, based in Birmingham, Alabama. Baptist Health employs more than 24,000 people in Kentucky and surrounding states. Baptist Health is the first health system in the U.S. to have all of its hospitals recognized by the American Nursing Credentialing Center with either a Magnet® or Pathway to Excellence® designation for nursing excellence. Baptist Health’s employed provider network, Baptist Health Medical Group, has more than 1,820 employed providers offering care in 78 specialties, including approximately 862 physicians and 958 advanced practice clinicians. Baptist Health’s physician network also includes more than 2,000 independent physicians. EEO Statement: Baptist Health is an Equal Employment Opportunity employer, and seeks to employ individuals without regard to race, color, national origin, gender, sexual orientation, gender identity, age, disability, marital status, citizenship status, military status, religious or political beliefs, protected veteran status, employment status or any other protected class identified in any federal, state, or local law. Baptist Health specifically encourages minority, female, disabled, veteran and other candidates from diverse backgrounds to apply and strengthen our team. Please note that Baptist Health is a drug-free workplace and employment with Baptist Health is subject to post offer, pre-employment drug testing. NOTICE OF NONDISCRIMATION AND ACCESSIBILITY TO SERVICES Persons with hearing and speech impairments can contact Baptist Health facilities by using the Kentucky Relay Service, a toll-free telecommunication device for the deaf (TDD). For voice to TDD, call 800.648.6057. For TDD to voice, call 800.648.6056. Job Applicant Privacy Policy Statement - Job Applicant Privacy Policy