Lead Charge Capture Nurse

Summary

Job Description:

Baptist Health is looking for a Lead Charge Capture Nurse to join their team. This is a remote work position for candidates who reside 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:

• Provides leadership on a daily basis to Charge Capture staff including mentoring employees,educating employees on new policies or payor guidelines, orienting new employees and other dutiesas assigned by the Director of Charge Capture.

• Provides support to all processes within Charge Capture including but not limited toscheduled/routine audits, payor audits, audits following billing edits or errors, and audits followingdenials or payment variances.

• Performs human resources functions typical of a lead within Baptist Health including reviewing andediting payroll, evaluating employees, assuring employee compliance with mandatory education andemployee health requirements, and reviewing productivity and peer review results with employees.

• Supports the monitoring of productivity, error rates, delayed claims, and key performance indicatorsto identify performance gaps. Collaborates to develop and implement effective mechanisms toaddress these opportunities.

• Communicates effectively with staff and incorporates staff feedback to improve operations.

• Provides ongoing education to promote compliant charging and coding practices.

• Constantly works with Charge Capture staff to identify opportunities for more efficient workflow.

• Communicates process improvement opportunities to Director and offers suggestions to addressthese opportunities.

• Collaborates with Director to develop and implement effective mechanisms for processimprovement.

Qualifications

• Bachelor's degree with three years broad based acute care nursing experience.

• 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.

Work Experience

Education