Lead Charge Capture Nurse

This is a fully remote position, open to applicants in Kentucky.

📋 Description

• Assist with daily operations concerning clinical charge audits and charge capture.

• Aid in the implementation and upkeep of standardized workflows created in collaboration with the Director of Charge Capture, Special Projects Manager, and Associate Vice President of Revenue Integrity.

• Carry out second-level charge audit reviews as requested by staff, payors, Patient Financial Services, Health Information Management, or the Director.

• Utilize payor and coding guidelines to formulate response strategies for complex cases, including those involving new technologies.

• Engage in thorough research.

• Present audit findings in both written and verbal formats to the relevant departments or payors.

• Implement department best practices to conduct audits efficiently while fostering continuous quality improvement.

• Remain updated on relevant payor and coding guidelines, industry trends, and best practices.

⛳️ Requirements

• Bachelor’s degree or an associate degree in nursing, along with an additional five years of experience in a revenue cycle-related role.

• Valid Kentucky licensure as a Registered Nurse.

• A minimum of 3 years of comprehensive acute care nursing experience is required.

• Familiarity with medical terminology is essential.

• Basic knowledge of coding and payment methodologies, including DRG and APC, is necessary.

• Strong comprehension of audit response requirements and timelines for those involved in payor audits.

🏝️ Benefits

• Remote work opportunity.

• Employment in a drug-free environment.

• Baptist Health is an Equal Employment Opportunity employer.

• All hospitals recognized with Magnet® or Pathway to Excellence® designation for nursing excellence.