This position plays a dual role in supporting the organization’s compliance program and ensuring accurate clinical documentation and coding practices. This position is responsible for conducting audits, providing educational feedback to the providers from audited batches to ensure compliance with coding and billing requirements established by the payors, and supporting the development and implementation of compliance initiatives that align with federal and state regulations, payer requirements, and internal policies This position keeps Supervisor and Manager informed of daily progress and issues related to hospital and professional coding and compliance issues. Responsible for obtaining information for billing staff to follow-up on outstanding claims or recording of charges.
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 nine hospitals, employed and independent physicians, and more than 400 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 the 410-bed Baptist Health Deaconess Madisonville in Madisonville, Kentucky in a joint venture with Deaconess Health System based in Evansville, Indiana. Baptist Health employs more than 23,000 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 nearly 1,500 providers, including more than 750 physicians and more than 740 advanced practice clinicians. Baptist Health’s physician network also includes more than 2,000 independent physicians.
Learn more at BaptistHealth.com.
