Lead Charge Capture Nurse

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. Supportsimplementation and maintenance of standardized workflows developed in collaboration with the Director ofCharge 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 casesincluding new technologies.

• Duties will include but are not limited to extensive research, communicating audit findings in writtenor verbal format and communicating audit findings with respective departments or payors.

• Utilizes department best practices to audit in the most efficacious manner possible while promotingcontinuous 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 relatedposition

• 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 andAPC. Individuals working with payor audits must have a keen understanding of audit response requirements and timelines