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SummaryJob Description:Baptist Health is looking for a Lead Revenue Integrity Nurse to join our team! This is a remote work position that requires residency in KY or INSupports the clinical staff performing Denial or Audit Management and Payor Compliance at all facilitiesand corporate offices. Supports hospital service line managers and any employees in the facilities whoreport to other areas and perform appeal activity as part of their duties. Also performs payor compliance review on accounts to determine medical necessity of services, pre and post service as well as pre andpost billing. Obtains predeterminations / prior authorizations when required by payor. Reviews and worksmedical necessity denials from commercial and governmental payors, including audits performed by RACs or similar Medicare and Medicaid programs. Responds to all denials or payor audits with best possible efforts to recover outstanding revenue or prevent future revenue loss, meeting all appropriate payor orgovernment timelines. Serves as clinical resource for other revenue cycle staff.Qualifications:- BSN required.- Two years' experience in revenue cycle related positionincluding at least one year supervisory, team lead, orcharge nurse experience- Valid Kentucky Licensure as a Registered NurseWork ExperienceEducationIf you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!Baptist Health is an Equal Employment Opportunity employer.**"EEO Statement: Baptist Health is an Equal Employment Opportunity employer, and seeks to employ individuals without regard to r ace, color, national origin, gender, s exual orientation, gender identity, age, disability, marital status, citizenship status, military status, religious or political beliefs, protected veteran status, employment status or any other protected class identified in any federal, state, or local law. Baptist Health specifically encourages minority, female, disabled, veteran and other candidates from diverse backgrounds to apply and strengthen our team. Please note that Baptist Health is a drug-free workplace and employment with Baptist Health is subject to post offer, pre-employment drug testing. NOTICE OF NONDISCRIMATION AND ACCESSIBILITY TO SERVICES Persons with hearing and speech impairments can contact Baptist Health facilities by using the Kentucky Relay Service, a toll-free telecommunication device for the deaf (TDD). For voice to TDD, call 800.648.6057. For TDD to voice, call 800.648.6056."