Charge Code Auditor

About the role

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. Duke Health Lake Norman Hospital in Mooresville, North Carolina is a 123‑bed facility offering 24‑hour emergency care, cardiology, orthopedics, women's services, and surgical specialties. Duke University Health System is a Magnet‑designated organization; its nurses are regularly recognized as North Carolina's Great 100 Nurses and have received the American Board of Nursing Specialties Award for Nursing Certification Advocacy, with over 6,000 registered nurses system‑wide. The Charge Code Auditor is a representative of Surgical Services management, directly impacting revenue capture and requiring collaborative and independent work to meet deadlines.

Responsibilities

• Responsible for the entry of nursing documentation and patient charges into the surgical information system
• Audits records and charges for accuracy
• Assists Business Services and Auditing Department with billing issues and performs audits of all records
• Identifies hospital charging and nursing documentation issues and relates these to the appropriate department managers
• Reconciles the number of charge sheets received in the OR/Endo daily census
• Reviews patient charts for completeness and verifies that all information is accurately documented on the charge sheet
• Documents additions and corrects errors to charge sheet according to departmental standards
• Communicates with staff for needed documentation for accurate charging and billing
• Communicates departmental charging issues to the appropriate department manager
• Provides ongoing education for staff to communicate and improve charge capture and documentation
• Tracks supply items charges under miscellaneous codes and completes paperwork to establish specific charge codes
• Enters appropriate patient charge codes into surgical information system
• Educates and orients staff to the charging practices and documentation standards for the department
• Provides support to Billing, Patient Accounting, and insurance representatives to assist with billing issues and patient inquiries
• Maintains an understanding of medical record practices, standards, and regulations
• Develops and maintains current written policies, procedures, and guidelines

Skills

• Knowledge of the scope of the registered nurse and surgical technologist
• 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 various surgical procedures
• Able to independently seek out resources and work collaboratively
• Able to establish and maintain effective working relationships
• Able to use computer and learn new software programs
• Able to withstand prolonged periods of sitting
• Able to remain focused and organized
• Working knowledge and completion of appropriate JCAHO and other regulatory requirements

Qualifications

• Education: BSN required
• Experience: Three years of nursing experience required
• Licensure/Certifications: Current or compact RN licensure in the state of North Carolina required; BLS required

Benefits

• Relocation assistance (based on eligibility)
• Quality of life: Living in the Triangle!
• Duke University Health System Magnet designation
• Nurses recognized as North Carolina's Great 100 Nurses
• American Board of Nursing Specialties Award for Nursing Certification Advocacy
• Over 6,000 registered nurses system‑wide