Role 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.
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Supports the day-to-day operations related to clinical charge audit and charge capture.
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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.
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Performs second level charge audit review as requested by staff, payor, Patient Financial Services, Health Information Management or Director.
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Utilizes payor and coding guidelines in working to develop a response plan to complex cases including new technologies.
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Duties include extensive research, communicating audit findings in written or verbal format, and communicating audit findings with respective departments or payors.
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Utilizes department best practices to audit in the most efficacious manner while promoting continuous quality improvement.
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Stays current on applicable payor and coding guidelines, industry trends, and best practices.
Qualifications
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Bachelorβs degree or associate degree in nursing including an additional five yearsβ experience in a revenue cycle related position.
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Valid Kentucky Licensure as a Registered Nurse.
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3 years broad based acute care nursing experience required.
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Knowledge of medical terminology and a basic understanding of coding and payment methodologies including DRG and APC.
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Individuals working with payor audits must have a keen understanding of audit response requirements and timelines.
Company Description
Baptist Health is an Equal Employment Opportunity employer.