Charge Auditor

Scheduled Hours

Full Time, Day Shift No weekends or holidays

• High School Diploma
• 5 years’ experience in operating room/procedural area or billing experience with procedural product knowledge or substitute relevant experience.

• Self-directed, minimal supervision required.
• Good communication skills.
• Working knowledge of EMR charge capture.
• Computer skills.
• Data entry skills. Knowledge of Microsoft Windows.

• Responsible to the Department, Director, Department Heads and Business Manager in ensuring all appropriate patient charges are accurately processed using a working knowledge of the EMR System
• Ensures that patient billing for all procedures are accurate and processed within three business days.
• Monitors and enters all implant billing to assure accurate patient charges.
• Assist in developing and maintaining all supply charges in coordination with Materials Manager, Business Manager, and the EMR Information Systems.
• Patient chart auditing for correct documentation and charge entry.
• Knowledge and Maintenance of EMR including compliance from a regulatory billing perspective.
• Obtain and maintain an excellent working knowledge of the EMR
• Obtain and maintain knowledge of the systems reporting capabilities for running reports as required and/or requested including the ability to run non-standard reports.
• Provide proactive audits of the EMR.
• Completes audits focusing on charge capture and compliance as well as revenue opportunities.
• Coordinates collaboration with Clinical Managers and Leadership to assure staff compliance with identified patient charting discrepancies.
• Reviews free text items with Clinical Manager and Leadership to increase nursing charting compliance and accurate billing on an ongoing basis.
• Collaborates with Patient Accounts to maintain working knowledge of CPT, APC’s and pass-through codes
• Knowledge is maintained and kept current to any and all changes and/or updates
• Assure compliance with all Medicare policies, procedures and regulations
• Other duties as assigned

• Excellent interpersonal skills
• Ability to communicate with surgeons, office personnel, nursing personnel
• Analytical and problem-solving skills
• Ability to handle multiple tasks and complete work within short time frames
• Self-motivated – requires minimal supervision
• Ability to transcribe medical information

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.