Charge Audit Specialist - Operating Room

UNC Health; Smithfield (NC); On-site; USD 43,000 - 61,000; Full time

Job summary

UNC Health in Smithfield, NC seeks a Charge Auditor / Revenue Integrity role to support charge improvement initiatives across Surgical Services. You will analyze charges, ensure correct coding and timely billing to optimize revenue.

Responsibilities include auditing OR charges, aligning with Epic workflows, and educating staff on billing changes. 40-hour workweek, onsite, with competitive compensation.

Qualifications

• Three to four years related experience and/or training; or equivalent combination of education and experience. Computer data entry and typing required.
• Prior experience in customer service desired.
• Medical terminology required.

Responsibilities

• Audits Preference Card charges, applies correct mark-up, and enters the correct EAP code daily.
• Complete OR journal daily and post/correct cancellation codes to keep statistics accurate.
• Compare surgical services locations to charge interface vs schedule to ensure correct charging.
• Daily charge audits: review charges, document times, identify duplicates or missing charges; coordinate corrections in Epic.
• Notify nurse, team leader and managers when discrepancies in journal information including implants arise.
• Facilitate billing of each surgical patient within 72 hours; document reasons in Epic when not met.
• Research charge kick-outs and re-assign charges in Epic as needed.
• Educate Surgical Services team on changes or improvements in billing processes.
• Assist with scheduling and billing of surgical patients as indicated.
• Ensure all charges are complete for Surgical Services including OR, PACU, Heart & Vascular, Endoscopy.
• Process charges for supplies used from OR on medical-surgical units.
• Reconcile charges with 3rd party invoices before Purchase Order requisition by SS Materials.
• Discharge Endoscopy nurse-based procedure patients.

Skills

Data entry

Typing

Customer service

Medical terminology

Education

Associate's Degree

Tools

Epic

Job description

Description

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.

Summary

Supports all charge improvement efforts to achieve operational efficiency, revenue optimization and minimize missed charging opportunities across the division. This role serves a significant role in a high-profile group tasked with improving revenue results by taking a global view of clinical and financial processes, functions, and interdependencies for care delivery to final bill generation.

Responsibilities

• Daily ensures that Preference Card charges are audited, the correct mark-up table is applied, and the correct EAP code is entered.
• Complete OR journal daily for all areas, making necessary changes as well as ensuring cancellation codes are posted as necessary so case will not be counted in statistics.
• Daily comparison of all Surgical Services resource locations to charge interface versus the schedule to ensure all patients are charged appropriately.
• Daily charge audits: consist of reviewing detailed charges, ensuring each departments times are documented correctly and that the periop record complete time is entered, duplicates, missing charges as well as implant records. Coordinate that corrections are made in Epic.
• Notifies the nurse responsible for documenting, department team leader and Surgical Services managers when discrepancies need to be corrected in journal information including implant record.
• Facilitates billing of each Surgical Service patient's account within 72 hours of surgery. Documents reason in Epic when this timeframe cannot be met.
• Researches charge kick outs and assign/charge as needed to correct charges in Epic for billing.
• Educates Surgical Services team members of changes or improvement in billing process.
• Assists with scheduling/billing of surgical patients as indicated.
• Ensures that all charges are complete for Surgical Services patients including OR, PACU, Heart & Vascular, Endoscopy, SS Procedures and Holly Springs Surgical Services.
• Processes charges for supplies used from OR on the medical surgical units.
• Reconciles charges with 3rd party vendor invoices prior to Purchase Order being requisitioned by SS Materials.
• Discharges Endoscopy nurse-based procedure patients.

Other Information

• Education Requirements
  • Associate's Degree
• Licensure/Certification Requirements
  • No licensure/certification requirement
• Professional Experience Requirements
  • Three to four years related experience and/or training; or equivalent combination of education and experience. Computer data entry and typing required. Prior experience in customer service desired. Medical terminology required.
• Knowledge/Skills/and Abilities Requirements
  • Language Skills: Ability to read, analyze and interpret documents general business periodicals, professional journals and technical procedure. Ability to write reports and correspondence. Ability to speak effectively before groups of customers and present information while responding to questions. Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs. Reasoning Ability: Ability to solve practical problems and to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables where limited standardization exists.

• Legal Employer: NCHEALTH
• Entity: Johnston Health
• Organization Unit: Operating Room -
• Work Type: Full Time
• Standard Hours Per Week: 40.00
• Salary Range: $20.74 - $29.52 per hour (Hiring Range)
• Pay offers are determined by experience and internal equity
• Work Assignment Type: Onsite
• Work Schedule: Day Job
• Location of Job: US:NC:Smithfield
• Exempt From Overtime: Exempt: No

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities.