Revenue Integrity RN
- Location
- Kentucky
- Work mode
- On-site
- Employment type
- Full-time
About the job
Summary Job Description: Baptist Health is looking for a Revenue Integrity RN to join our team! This is a remote work position that requires residency in KY or IN
Performs payor compliance review on accounts to determine medical necessity of services, pre and post service as well as pre and post billing. Obtains predeterminations / prior authorizations when required by payor. Reviews medical necessity denials from commercial and governmental payors, including pre-denial audits performed by RACs or similar Medicare and Medicaid programs. Responds to all denials or pre-denial audits with best possible efforts to recover outstanding revenue or prevent future revenue loss, meeting all appropriate payor or government timelines. Serves as clinical resource for other Revenue Integrity staff.
Qualifications:
- Valid Kentucky licensure as a registered nurse.
- Minimum three years healthcare experience (nursing, registration, patient accounting, financial services, managed care or a related field) or a bachelor’s degree in a related field and two years healthcare experience.
- Requires knowledge of medical terminology; payor reimbursement guidelines (authorization / notification, medical necessity, and timely filing guidelines); payor denial appeal / underpayment resolution processes; and managed care contracts. Individuals working with government audits must have a keen understanding of all audit response requirements and timelines.
- Case Management and/or Inpatient nursing experience strongly preferred.
If 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.
From BHS Baptist Healthcare System's careers page (Workday), checked 1 Nov 2026.
How to apply
- Select Apply on bhs.wd1.myworkdayjobs.com. It opens BHS Baptist Healthcare System's own application form in a new tab, run on Workday.
- Fill in the form and upload your résumé there. Jobiwork never sees your application.
- BHS Baptist Healthcare System will reply to you directly. No real employer asks you for money to apply.
Posted 30 Oct 2026 · checked 1 Nov 2026 · Report this job