Charge Information Auditor

Baylor Scott & White Health; Augusta (ME); Sur place; USD 60 000 - 90 000; Plein temps

Avantages offerts par ce poste

Health benefits

401(k) plan with match up to 5%

Tuition reimbursement

PTO accrual from Day 1

Résumé du poste

Baylor Scott & White Health is seeking a Charge Information Auditor for the Perioperative Services Administration Department. The role involves charging and revenue capture, working with EPIC/OpTime and Patcom to ensure accurate billing and coding for perioperative services.

Responsibilities include reconciling records to surgery schedules, validating charges against invoices, and coordinating with the Purchasing and Records teams to maintain compliance and data integrity.

Qualifications

• H.S. Diploma or GED required.
• 4 years of experience in a related role preferred.

Responsabilités

• Reconcile patient records to surgery schedule.
• Verify chargeable items and coding (HCPCS, C-codes).
• Enter charges into EPIC/OpTime and Patcom systems.
• Review daily reports and resolve discrepancies.
• Coordinate with Perioperative Purchasing for billable items.
• Maintain paper records for twelve months and manage off-site transfer.

Formation

H.S. Diploma/GED Equivalent

Description du poste

About Us

Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.

Our Core Values are:

• We serve faithfully by doing what's right with a joyful heart.

• We never settle by constantly striving for better.

• We are in it together by supporting one another and those we serve.

• We make an impact by taking initiative and delivering exceptional experience.

Benefits

Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:

• Immediate eligibility for health and welfare benefits

• 401(k) savings plan with dollar-for-dollar match up to 5%

• Tuition Reimbursement

• PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level.

Job Summary

The Perioperative Services charge office is part of the Perioperative Services Administration Department. The charge office is essential for daily charge and revenue capture operations.

This work involves compiling data on paper documents and entering it into the departmental computer system. The Charge Information Auditor uses two computer systems for daily tasks:

iPath / Centricity Perioperative Manager (CPM) electronic system

Patcom charge / billing system

Essential Functions of the Role

• Reconcile patient records to surgery schedule:

• Knowledge of billing summary codes such as HCPCS, C-codes, etc.

• Calculate charges from hardcopy acuity record following procedure acuity protocol; enter into the EPIC/OpTime computer system.

• Calculate charges from the hardcopy acuity record. Follow the time acuity protocol, including in-room, out-room, and number of staff. Enter the data into the EPIC/OpTime computer system.

• Research case by case disparities and apply corrections.

• Verify chargeable items against company invoices for accurate charging:

• Request hold status on charges from the appropriate department as needed.

• Request new item clarification / verification from the Perioperative Services Purchasing department for billable items.

• Enter patient charges (systems used: EPIC/OpTime

• Charge description Master (CDM):

• Request new CDM codes for new chargeable items via the eCDM Patcom application.

• Maintain contract price changes in the eCDM as contract changes are received from the departmental business director.

• Review daily Cypress reports and report discrepancies to appropriate department(s):

• Unresolved credits.

• EPIC/OpTime charge interface batch report to ensure charges passed to Patcom for the previous day.

• Notify appropriate contact person when problem with charge passage occurs.

• Enter implant information in the EPIC/OpTime system when applicable:

• Required for FDA tracking.

• Patient Safety.

• Manage on-site paper records for twelve-month period:

• Order storage containers from records retention facility as needed.

• Transfer files monthly to off-site records retention facility.

• Maintain Excel file for file transfer and storage history.

• Request hardcopy records upon internal departmental requests.

• Work with internal and external auditors:

• Audits may be announced or unannounced.

• Audit hospital billing records vs. perioperative services records to ensure revenue compliance guidelines are met.

• Documents required for the audit process includes the entire record comprised of:

• Hardcopy of schedule

• Hardcopy of Perioperative record

• Hardcopy of Cypress reports

• Print necessary EPIC/OpTime system audit reports to audit daily entries

Belonging Statement

We believe that all people should feel welcomed, valued and supported.

QUALIFICATIONS

• EDUCATION - H.S. Diploma/GED Equivalent

• EXPERIENCE - 4 Years of Experience

As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.