Charge Code Auditor

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

Duke Health Lake Norman Hospital

Pursue your passion for caring with Duke Health Lake Norman Hospital in Mooresville, North Carolina. The smallest of the four Duke Health hospitals at 123-beds, it offers a comprehensive range of medical services, including 24-hour emergency care, cardiology, orthopedics, women's services, and surgical specialties.

Duke Nursing Highlights:

• Duke University Health System is designated as a Magnet organization
• Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
• Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
• Duke University Health System has 6000 + registered nurses
• Quality of Life: Living in the Triangle!
• Relocation Assistance (based on eligibility)

Job Summary
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 perform audits of all records. Identifies hospital charging and nursing documentation issues and relates these to the appropriate department managers.

Work Performed

• 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

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 appropriate JCAHO and other regulatory requirements

Level Characteristics

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.

Minimum Qualifications

Education

BSN Required

Experience

Three years of nursing experience is required

Degrees, Licensures, Certifications

Current or compact RN licensure in the state of North Carolina required. BLS required.

Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military 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.