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Lead Charge Capture Nurse
Baptist Health System KY & INLead Charge Capture Nurse supporting Baptist Health’s clinical revenue integrity operations. Auditing charges, researching complex cases, and coordinating payor responses remotely in Kentucky or Indiana.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in clinical charge audit and charge capture, with a strong focus on compliance with payor and coding guidelines. Proficient in conducting audits, communicating findings, and implementing best practices for continuous quality improvement.
Highest-signal resume keywords
Clinical Charge AuditCharge CaptureRevenue Cycle ManagementRegistered Nurse LicensureCoding Methodologies
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical TerminologyCoding GuidelinesDRG MethodologyAPC MethodologyAudit Response Requirements
Soft Skills
Communication SkillsResearch SkillsQuality Improvement Mindset
Certifications & Qualifications
Kentucky Registered Nurse Licensure
Industry Keywords
Revenue IntegrityPatient Financial ServicesHealth Information ManagementPayor AuditsStandardized Workflows
About the role
Key responsibilities & impact- Support day-to-day operations related to clinical charge audit and charge capture
- Support implementation and maintenance of standardized workflows developed with the Director of Charge Capture, Special Projects Manager, and Associate Vice President of Revenue Integrity
- Perform second-level charge audit reviews as requested by staff, payors, Patient Financial Services, Health Information Management, or the Director
- Use payor and coding guidelines to develop response plans for complex cases, including new technologies
- Conduct extensive research
- Communicate audit findings in written or verbal formats to respective departments or payors
- Apply department best practices to audit effectively while promoting continuous quality improvement
- Stay current on applicable payor and coding guidelines, industry trends, and best practices
Requirements
What you’ll need- Bachelor’s degree or associate degree in nursing, with an additional five years’ experience in a revenue cycle-related position
- Valid Kentucky licensure as a Registered Nurse
- 3 years of broad-based acute care nursing experience required
- Knowledge of medical terminology
- Basic understanding of coding and payment methodologies, including DRG and APC
- Keen understanding of audit response requirements and timelines for individuals working with payor audits
Benefits
Comp & perks- Remote work position
- Employment with a drug-free workplace
- Baptist Health is an Equal Employment Opportunity employer
- All hospitals recognized with Magnet® or Pathway to Excellence® designation for nursing excellence