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CHARGE CODE AUDITOR
Job Title: CHARGE CODE AUDITOR
Job Code: 5356
FLSA: E
Job Level: F2
Revised Date: 12/01/2017
Supervisory Responsibility: No
General Description of the Job Class
Responsible for the entry of nursing documentation and patient charges into the surgical information system. Audits records and charges for accuracy. Assist Business Services and Auditing Department with billing issues and performs audits of all records. Identifies hospital charging and nursing documentation issues and relates these to the appropriate department managers.
Duties and Responsibilities of this Level
Reconciles the number of charge sheets received in the OR/Endo daily census
Reviews patient charts for completeness and verifies that all information is accurately documented on the charge sheet
Documents additions and corrects errors to charge sheet according to departmental standards
Communicates with staff for needed documentation for accurate charging and billing
Communicates departmental charging issues to the appropriate department manager
Provides ongoing education for staff to communicate and improve charge capture and documentation
Tracks supply items charges under miscellaneous codes and completes paperwork to establish specific charge codes
Enters appropriate patient charge codes into surgical information system
Educates and orients staff to the charging practices and documentation standards for the department
Provides support to Billing, Patient Accounting, and insurance representatives to assist with billing issues and patient inquires
Maintains an understanding of medical record practices, standards, and regulations
Develop and maintain current written policies, procedures, and guidelines
Required Qualifications at this Level
Education
BSN Required
Experience
Three years of nursing experience is required
Degrees, Licensure, and/or Certification
Current or compact RN licensure in the state of North Carolina required. BLS required.
Knowledge, Skills, and Abilities
Knowledge of scope of the registered nurse and surgical technologist
Knowledge of and appropriate application of nursing process
Knowledge of theory, practice, and procedures
Ability to assess nursing documentation for accuracy
Knowledge of supplies required for various surgical procedures
Able to independently seek our resources and work collaboratively
Ability to establish and maintain effective working relationships
Able to use computer and learn new software programs
Able to withstand prolonged periods of sitting
Able to remain focused and organized
Working knowledge and completion of appropriated JCAHO and other regulatory requirements
Distinguishing Characteristics of this Level
The Charge Code Auditor is a representative of Surgical Services management. Position directly impacts revenue capture and must work collaboratively and independently to meet deadlines.
The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.
Duke University is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.