Perioperative Revenue Auditor

Baylor Scott & White Health; Annapolis (MD); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health benefits

401(k) with match up to 5%

Tuition reimbursement

PTO accrual from Day 1

Job summary

Baylor Scott & White Health is seeking a Charge Information Auditor for its Perioperative Services Administration Department. The role focuses on daily charge and revenue capture, reconciling records, and entering data in EPIC/OpTime and Patcom systems.

The candidate will verify charges, manage CDM items, review Cypress reports, and collaborate with departments and auditors to ensure accuracy and compliance. Strong attention to detail is essential.

Qualifications

• Education: High school diploma or GED.
• Experience: 4 years in healthcare or billing operations.

Responsibilities

• 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 data into EPIC/OpTime.
• Research case by case disparities and apply corrections.
• Verify chargeable items against invoices for accurate charging.
• Request hold status on charges from the appropriate department as needed.
• Request new item clarification / verification from Perioperative Services Purchasing 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 departments.
• Unresolved credits.
• EPIC/OpTime charge interface batch report to ensure charges passed to Patcom for the previous day.
• Notify appropriate contact when problems with charge passage occur.
• Enter implant information in EPIC/OpTime when applicable (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 requests.
• Work with internal and external auditors.
• Audits may be announced or unannounced.
• Audit hospital billing records vs. perioperative records to ensure revenue compliance.

Education

High school diploma or GED

Tools

EPIC/OpTime

Patcom

eCDM

Cypress reports

Job description

Baylor Scott & White Health is seeking a Charge Information Auditor for its Perioperative Services Administration Department. The role focuses on daily charge and revenue capture, reconciling records, and entering data in EPIC/OpTime and Patcom systems.

The candidate will verify charges, manage CDM items, review Cypress reports, and collaborate with departments and auditors to ensure accuracy and compliance. Strong attention to detail is essential.