Lead Revenue Integrity Nurse

Baptist Healthcare System Inc

Kentucky, United States
Fully remote
Denial or audit management support
Payor compliance review expertise
Medical necessity determination skills
This remote position supports clinical staff in performing denial management and payor compliance across all facilities

Job Summary

  • This remote position supports clinical staff in performing denial management and payor compliance across all facilities.
  • The role involves reviewing medical necessity denials from commercial and governmental payors to recover outstanding revenue.
  • Candidates must serve as a clinical resource for other revenue cycle staff while meeting strict government timelines.

Matching Summary

This remote position supports clinical staff in performing denial management and payor compliance across all facilities.

Skills & Requirements

Must-have

  • Denial or Audit Management support
  • Payor compliance review expertise
  • Medical necessity determination skills
  • Prior authorization acquisition experience
  • RAC audit response capabilities

Nice-to-have

  • Clinical resource leadership abilities
  • Team collaboration in revenue cycle
  • Innovation in clinical excellence

Key Requirements

  • BSN degree required
  • Two years revenue cycle experience
  • One year supervisory or team lead experience
  • Valid Kentucky RN licensure
  • Residency in KY or IN required

Work Rights

Must be resident of KY or IN

Tailored Resume

Cover Letter