ER Charge Code Auditor - PRN

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

Duke Health Lake Norman Hospital

Pursue your passion for caring with Duke Health Lake Norman Hospital in Mooresville, North Carolina. The smallest of the four Duke Health hospitals at 123-beds, it offers a comprehensive range of medical services, including 24-hour emergency care, cardiology, orthopedics, women's services, and surgical specialties.

Duke Nursing Highlights:

• Duke University Health System is designated as a Magnet organization
• Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
• Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
• Duke University Health System has 6000 + registered nurses
• Quality of Life: Living in the Triangle!
• Relocation Assistance (based on eligibility)

*Must reside in one of the following states*

Alabama, Arizona, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Illinois, Indiana, Iowa, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Missouri, Montana, New Hampshire, New Jersey, New York, North Carolina, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington (State), Washington, DC.

** Hours - At least 20hrs a week, schedule is flexible (Day shift)

General Description of the Job Class

This position provides support to the Duke Health Lake Norman Emergency Department. Responsible for reviewing and verifying ED charges within Epic to ensure accuracy and compliance with regulatory standards for the healthcare services provided. Also responsible for identifying discrepancies within hospital charges and nursing documentation, in addition to communicating these findings to the relevant department for resolution and process improvement.

Duties and Responsibilities of this Level

Conduct a daily and thorough review of emergency department records and related documentation to ensure that all services provided during the encounter are accurately documented and billed.

Communicate directly with ED staff to request necessary corrections to documentation to ensure accurate charging and billing.

Communicate charge capture issues to the appropriate department manager.

Provide ongoing staff education to improve charge capture and documentation.

Track and collect data on corrected charges, monitor chargeable items, and complete required documentation to establish appropriate charge codes.

Enter appropriate patient charge codes into Epic module.

Provide support to the Patient Revenue Management Organization (PRMO) to assist with billing issues and patient inquiries.

Maintain an understanding of medical record practices, standards, and regulations.

Contribute to the development and implementation of policies and procedures aimed at enhancing ED billing accuracy, compliance, and revenue capture.

Protect the security of medical records to maintain confidentiality.

Perform other related duties incidental to the work described herein.

Required Qualifications at this Level

Education

BSN Required

Experience

Three years of ED nursing experience is required.

Experience with charge-capture entry in the EPIC/Maestro EHR strongly preferred.

Prior nursing experience within an Operating Room or Oncology Clinic a plus.

Familiarity with the Microsoft suite, including Excel, PowerPoint, and Word, is strongly preferred.

Degrees, Licensure, and/or Certification

Current or compact RN licensure in the state of North Carolina required. BLS required.

Knowledge, Skills, and Abilities

Knowledge of the scope of the registered nurse.

Knowledge of and appropriate application of the nursing process.

Knowledge of theory, practice, and procedures.

Ability to assess nursing documentation for accuracy.

Knowledge of supplies required for ED procedures.

Able to independently seek out resources and work collaboratively.

Ability to establish and maintain effective working relationships.

Proficient use of a computer and the ability to learn new software programs.

Able to remain focused and organized.

Ability to multitask.

Working knowledge and completion of appropriate JCAHO and other regulatory requirements.