Charge Information Auditor

Baylor Scott & White Health; Providence (RI); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Immediate health benefits

401(k) savings plan with match

Tuition Reimbursement

PTO accrual Day 1

Job summary

Baylor Scott & White Health is seeking an experienced Charge Auditor for the Perioperative Services area at our Providence campus. The role focuses on compiling data from paper records and entering it into EPIC/OpTime and Patcom to ensure accurate charges and revenue capture.

Responsibilities include reconciling patient records with surgery schedules, confirming HCPCS and C-codes, and communicating with the Purchasing and CDM teams for new chargeable items.

Qualifications

• HS diploma or GED required.
• Minimum 4 years of experience in healthcare billing/audit.
• Experience with EPIC/OpTime and billing software preferred.

Responsibilities

• Reconcile patient records to surgery schedule.
• Verify chargeable items and reconcile with invoices.
• Enter charges into EPIC/OpTime and Patcom systems.
• Review daily reports and identify discrepancies.
• Coordinate with CDM/eCDM for new codes.

Skills

Billing knowledge

Auditing

Data entry

Charge capture

Education

HS Diploma/GED Equivalent

Tools

EPIC/OpTime

Patcom

eCDM

Cypress reports

Job description

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.