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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

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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.