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
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.
