Charge Code Auditor
Duke Careers
full-time
Posted on:
Location Type: Office
Location: Raleigh • North Carolina • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Responsible for reviewing and verifying both surgical and medical charges within Epic to ensure accuracy and compliance with regulatory standards for the healthcare services provided.
- Identify discrepancies within hospital charges and nursing documentation in addition to communicating these findings to the relevant department for resolution and process improvement.
- Daily reconciliation of charge sheets received from Operating Room (OR) and Endoscopy suite.
- Thoroughly review surgical records, anesthesia records, and related documentation to ensure that all services provided during procedure are accurately documented and billed.
- Communicate directly with Periop staff for needed documentation corrections to foster accurate charging and billing.
- Communicate charge capture issues to the appropriate department manager.
- Provide ongoing education for staff to improve charge capture and documentation.
- Track charges for supply items under miscellaneous codes and complete paperwork to establish specific charge codes.
- Enter appropriate patient charge codes into Epic OpTime module.
- Educate and orient staff to the charging practices and documentation standards for the department.
- Provide support to Patient Revenue Management Organization (PRMO) to assist with billing issues and patient inquiries.
- Maintain an understanding of medical record practices, standards, and regulations.
- Contribute to the development and implementation of policies and procedures aimed at enhancing OR billing accuracy, compliance, and revenue capture.
Requirements
- BSN Required
- Three (3) years of OR nursing experience is required.
- Experience with charge capture entry into the EPIC/Maestro EHR strongly preferred.
- Prior nursing experience within an Emergency Department or Oncology Clinic a plus.
- Familiarity with Microsoft suite including Excel, PowerPoint, and Word strongly preferred.
Benefits
- Relocation Assistance (based on eligibility)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
charge capturesurgical documentationmedical documentationbilling accuracyregulatory compliancereconciliationpolicy developmentprocess improvementpatient charge codesdocumentation standards
Soft skills
communicationeducationproblem-solvingcollaborationattention to detail
Certifications
BSN