Surgical Services Clinical Charge Audit Specialist - RN

Job Details

Job Location:

Harrison, AR 72601

Position Type:
Full Time Education Level: 2 Year Degree Travel Percentage:
None Job Shift: Day Job Category:
Nurse Clinical Charge Audit Specialist – Registered Nurse (RN)

Put your surgical expertise to work beyond the operating room.

At North Arkansas Regional Medical Center (NARMC), we are committed to providing high-quality, compassionate healthcare to the communities we serve. Our teams work collaboratively across clinical and operational areas to promote safe patient care, accountability, innovation, and excellence.

At NARMC, we recognize that strong patient outcomes depend on more than what happens at the bedside. Our clinical and operational professionals work together to strengthen every part of the patient experience.

The Clinical Charge Audit Specialist – Registered Nurse (RN) provides clinical expertise and oversight of charge capture and auditing activities within Surgical Services. This position focuses primarily on the surgical and perioperative side of charge accuracy, including reviewing surgical cases, validating charges against clinical documentation and supply utilization, reconciling implants and surgical supplies, reviewing preference cards, and identifying missed, duplicate, or inaccurate charges.

The Clinical Charge Audit Specialist works closely with Surgical Services leadership, operating room staff, Materials Management, Health Information Management (HIM), Coding, Finance, Patient Financial Services, Revenue Cycle, and Information Systems to support accurate, compliant, and complete charging practices. The position serves as a clinical resource for surgical charge capture and documentation, helping identify revenue leakage, improve processes, educate staff, and strengthen the connection between the care delivered and the charges submitted.

• Conduct routine clinical charge audits of surgical and perioperative cases to verify that applicable charges have been accurately captured.
• Review surgical procedures, supplies, implants, and related documentation to identify missed, duplicate, incorrect, or unsupported charges.
• Compare clinical documentation and surgical utilization with charges posted to identify discrepancies.
• Coordinate corrective action when charge capture discrepancies are identified.
• Monitor charge capture trends and identify opportunities to improve accuracy and completeness.
• Identify opportunities to reduce revenue leakage through proactive clinical auditing and staff education.
• Apply clinical knowledge of surgical procedures and workflows when evaluating charge accuracy.

• Reconcile surgical supply and implant utilization against charges posted for individual cases.
• Review preference cards and verify that associated supplies and charges accurately reflect the procedures performed.
• Collaborate with Surgical Services staff and implant representatives to validate implant utilization and charging.
• Work with Materials Management and Surgical Services leadership to investigate discrepancies between documented utilization and billed charges.
• Review implant costs and charging practices in relation to established pricing and reimbursement requirements.
• Monitor Surgical Supply Coordinator activities and provide monthly reporting on material usage, costs, savings, and identified opportunities.

• Review perioperative and surgical documentation to ensure charges are accurate, complete, and clinically supported.
• Validate that clinical documentation supports the charges submitted for surgical procedures, supplies, and implants.
• Collaborate with Coding, Revenue Integrity, Health Information Management, and Revenue Cycle teams as needed.
• Support charging practices that comply with Medicare, Medicaid, commercial payer, and applicable regulatory requirements.
• Assist with preparation for internal and external audits.
• Maintain confidentiality and protect the integrity of patient, clinical, and financial information.

• Assist with maintenance and auditing of Surgical Services…