Charge Information Auditor

Baylor Scott & White Health; United States; On-site; USD 60,000 - 85,000; Full time

Job summary

Baylor Scott & White Health in Texas seeks an experienced Charge Auditor for Perioperative Services to ensure accurate revenue capture and compliance across EPIC/OpTime and Patcom systems.

The role involves reconciling patient records with surgery schedules, auditing charges, and maintaining paper records for one year. Strong attention to detail and familiarity with CDM codes are beneficial. Requires 4 years of relevant experience.

Qualifications

• Education: HS Diploma or GED equivalent.
• Experience: 4 years minimum in a related role.

Responsibilities

• Reconcile patient records to the surgery schedule.
• Calculate charges from hardcopy acuity records and enter into EPIC/OpTime.
• Verify chargeable items against invoices to ensure accuracy.
• Audit daily Cypress reports and resolve discrepancies with relevant departments.
• Maintain on-site paper records for twelve months and coordinate with records retention.
• Collaborate with internal and external auditors during audits.

Skills

Data entry

Billing knowledge

EPIC/OpTime familiarity

Auditing

Education

HS Diploma/GED Equivalent

Tools

EPIC/OpTime

Patcom

eCDM

Job description

About Us

Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott & 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 discrepancies 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