Charge Code Auditor, RN
Duke Careers
full-time
Posted on:
Location Type: Office
Location: Raleigh • North Carolina • United States
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About the role
- Provides support to Duke Raleigh Hospital (DRAH) Perioperative Services.
- 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.
- Identifies 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 reviews surgical records, anesthesia records, and related documentation to ensure that all services provided during the procedure are accurately documented and billed.
- Communicates directly with Periop staff for needed documentation corrections to foster accurate charging and billing.
- Communicates charge capture issues to the appropriate department manager.
- Provides ongoing education for staff to improve charge capture and documentation.
- Tracks charges for supply items under miscellaneous codes and completes paperwork to establish specific charge codes.
- Enters appropriate patient charge codes into Epic OpTime module.
- Educates and orients staff to the charging practices and documentation standards for the department.
- Maintains an understanding of medical record practices, standards, and regulations.
- Contributes to the development and implementation of policies and procedures aimed at enhancing OR billing accuracy, compliance, and revenue capture.
- Protects the security of medical records to ensure that confidentiality is maintained.
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 & Tools
charge capturesurgical documentationmedical documentationbilling accuracyregulatory compliancedata reconciliationpolicy developmentprocess improvementpatient charge codingmedical record practices
Soft Skills
communicationeducationproblem-solvingattention to detailcollaborationorganizational skillsinterpersonal skillsleadershiptrainingconfidentiality
Certifications
BSN