Charge Auditor

Department:
37700 Advocate Sherman Hospital - Administration: Surgery
Status:
Full time
Benefits Eligible:
Yes
Hou rs Per Week:
40
Schedule Details/Additional Information:
Schedule: Monday through Friday, 8:00 AM - 4:30 PM (40 hours/week)
Flexibility: May require occasional adjustments based on operational needs or audit deadlines.
Pay Range
$23.65 - $35.50
Major Responsibilities:

• 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
  o Ensures that patient billing for all procedures are accurate and processed within three business days.
  o Monitors and enters all implant billing to assure accurate patient charges.
  o Assist in developing and maintaining all supply charges in coordination with Materials Manager, Business Manager, and the EMR Information Systems.
  o Patient chart auditing for correct documentation and charge entry.
• Knowledge and Maintenance of EMR including compliance from a regulatory billing perspective.
  o Obtain and maintain an excellent working knowledge of the EMR
  o 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.
  o Completes audits focusing on charge capture and compliance as well as revenue opportunities.
  o Coordinates collaboration with Clinical Managers and Leadership to assure staff compliance with identified patient charting discrepancies.
  o 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
  o Knowledge is maintained and kept current to any and all changes and/or updates
  o Assure compliance with all Medicare policies, procedures and regulations
• Other duties as assigned

Education/Experience Required:

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

Knowledge, Skills & Abilities Required:

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

• Physical Requirements and Working Conditions:

• 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 timeframes
• 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. Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.