Peri-Operative Charge Auditor

Posted Date: 9/11/2021

Job Location: St. Anthony Regional Hospital, 311 South Clark St, PO Box 628, Carroll, IA, 51401
Department: Materials Management
Employment Type: Full-Time

Job Description

SUMMARY  Ensures peri-operative charge capture processes to reduce bill holds, increase clean claims and assures that revenue is supported by clinical documentation. This position will respond to payer and patient audits creating processes for education and prevention.    

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

Manages and performs timely and appropriate surgery charge capture. Ensures compliance and optimization to adequately reflect services rendered. 

Performs daily quality assurance review on surgical accounts to ensure timely and accurate charging and documentation to support the charges.  Charge reconciliation must be consistent, timely, and accurate. Updates surgical preference cards, as needed.

Collaborates with OR staff to ensure documentation is complete and accurate, including implants.

Identifies documentation issues associated with charging and coding.  Works with departments to resolve these issues in a timely fashion. 

Maintains a comprehensive understanding of products for every service line and establishes good customer relationships with the surgical staff. Participates in quality development and process enhancements as it relates to the patient supply charges. 

Maintains an understanding and assists with upgrades and modifications in Meditech. Provides education to Surgical Staff to ensure proper usage of the EMR. May assist others with billing as needed. 

Stays abreast of regulatory requirements and company compliance policies, payer requirements, significant changes and developments to ensure quality review measurements are in place at the facility.

Completes all other duties as assigned.

Complies with the Corporate Compliance Policy and all laws, regulations, and Standards of Conduct relating to the position and agrees to report any suspected violations of law or Standards of Conduct.

Complies with all applicable state and federal regulations.

Attends all mandatory meetings and programs.

Maintains a safe work environment using safe work practices, utilizing standard precautions and complying with hazardous waste procedures at all times as described in St. Anthony's Safety Manual.

Maintains the confidentiality of patient, resident, employee and organizational information.

SUPERVISORY RESPONSIBILITIES 

This job has no supervisory responsibilities.

EDUCATION and/or EXPERIENCE 

Good experience with Microsoft office – Word & Excel. Meditech experience preferred. 

Able to utilize computer systems effectively & efficiently. 

Strong EMR documentation and quality review skills. 

QUALIFICATIONS   To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

CERTIFICATES, LICENSES, REGISTRATIONS 

Graduate of an approved school of nursing.  2-5 years experience in Peri-Operative services preferred.

LANGUAGE SKILLS 

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.  Ability to write routine reports and correspondence.  Ability to speak effectively before customers, patients, families and employees of the organization.

PHYSICAL DEMANDS  The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk and hear and use hands to finger, handle or feel.  The employee frequently is required to climb or balance; stoop, kneel, crouch, or crawl; and reach with hands and arms.  The employee is occasionally required to stand, walk, sit, and taste or smell.  The employee must frequently lift and/or move up to 50 pounds.  Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

WORK ENVIRONMENT  The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.

Apply Online

If you have further questions, please call the Human Resources Department at 712-794-5111.


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