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ER Charge Code Auditor

AuditorAuditorPart TimeRemoteTeam 10,001+Since 1924H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

11 days ago

Salary

Not specified

No structured requirement data.

Job Description

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

This position provides support to the Duke Health Lake Norman Emergency Department. Responsible for reviewing and verifying ED charges within Epic to ensure accuracy and compliance with regulatory standards for the healthcare services provided. Also responsible for identifying discrepancies within hospital charges and nursing documentation, in addition to communicating these findings to the relevant department for resolution and process improvement.

  • Conduct a daily and thorough review of emergency department records and related documentation to ensure that all services provided during the encounter are accurately documented and billed.
  • Communicate directly with ED staff to request necessary corrections to documentation to ensure accurate charging and billing.
  • Communicate charge capture issues to the appropriate department manager.
  • Provide ongoing staff education to improve charge capture and documentation.
  • Track and collect data on corrected charges, monitor chargeable items, and complete required documentation to establish appropriate charge codes.
  • Enter appropriate patient charge codes into Epic module.
  • Provide support to the 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 ED billing accuracy, compliance, and revenue capture.
  • Protect the security of medical records to maintain confidentiality.
  • Perform other related duties incidental to the work described herein.

Qualifications

  • BSN Required
  • Three years of ED nursing experience is required.
  • Experience with charge-capture entry in the EPIC/Maestro EHR strongly preferred.
  • Prior nursing experience within an Operating Room or Oncology Clinic a plus.
  • Familiarity with the Microsoft suite, including Excel, PowerPoint, and Word, is strongly preferred.
  • Current or compact RN licensure in the state of North Carolina required.
  • BLS required.

Requirements

  • Knowledge of the scope of the registered nurse.
  • Knowledge of and appropriate application of the nursing process.
  • Knowledge of theory, practice, and procedures.
  • Ability to assess nursing documentation for accuracy.
  • Knowledge of supplies required for ED procedures.
  • Able to independently seek out resources and work collaboratively.
  • Ability to establish and maintain effective working relationships.
  • Proficient use of a computer and the ability to learn new software programs.
  • Able to remain focused and organized.
  • Ability to multitask.
  • Working knowledge and completion of appropriate JCAHO and other regulatory requirements.

Benefits

  • Relocation Assistance (based on eligibility)
  • Flexible scheduling (Day shift, at least 20 hours a week)

Job Requirements

  • BSN Required
  • Three years of ED nursing experience is required.
  • Experience with charge-capture entry in the EPIC/Maestro EHR strongly preferred.
  • Prior nursing experience within an Operating Room or Oncology Clinic a plus.
  • Familiarity with the Microsoft suite, including Excel, PowerPoint, and Word, is strongly preferred.
  • Current or compact RN licensure in the state of North Carolina required.
  • BLS required.
  • Knowledge of the scope of the registered nurse.
  • Knowledge of and appropriate application of the nursing process.
  • Knowledge of theory, practice, and procedures.
  • Ability to assess nursing documentation for accuracy.
  • Knowledge of supplies required for ED procedures.
  • Able to independently seek out resources and work collaboratively.
  • Ability to establish and maintain effective working relationships.
  • Proficient use of a computer and the ability to learn new software programs.
  • Able to remain focused and organized.
  • Ability to multitask.
  • Working knowledge and completion of appropriate JCAHO and other regulatory requirements.

Benefits

  • Relocation Assistance (based on eligibility)
  • Flexible scheduling (Day shift, at least 20 hours a week)

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