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CHARGE CODE AUDITOR - DUKE RALEIGH HOSPITAL - AS NEEDED (<20 HRS/WEEK)

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Overview

At Duke Raleigh Hospital, we want to be the best place to give care and the best place to get care. We offer the unique opportunity of quality academic medicine in a friendly community setting. As a part of our nursing team, providing service will be your priority as you care for the whole person in a patient-centered atmosphere. You'll also have the opportunity to participate in the clinical ladder program, education and professional development activities, departmental committees and research projects and volunteer in the community. Our nursing team members are an integral part of our care team and ensure that we deliver the highest quality and safest care to our patients.

  • Job Type: Full-time, Part-time, PRN
  • Job Level: Entry, Mid, Senior
  • Setting: Inpatient and Ambulatory

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Success Profile

What makes a successful nurse at Duke Raleigh Hospital?

  • Compassionate
  • Flexible
  • Multi-Tasker
  • Positive
  • Socially Conscious
  • Clinically Inclined

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Career Path

We offer many career paths to support your immediate and future success.

  • Nurse Resident
    (New Grad)
    Nurse Resident job leads to Clinical Nurse II job
  • Clinical Nurse II The Clinical Nurse II job leads to Clinical Nurse III, Nurse Educator, or Clinical Team Lead
    Clinical Nurse III The Clinical Nurse III job leads to the Clinical Nurse IV job
  • Nurse Educator The Nurse Educator job is the top job in its path
    Clinical Team Lead The Clinical Team Lead job leads to the Nurse Manager job
    Clinical Nurse IV The Clinical Nurse IV job is the top job in its path
  • Nurse Manager The Nurse Manager job is the top job in its path

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A smiling nurse caring for a patient, who is also smiling A large hospital building Nurses having fun at a luau-themed party

"I feel like I am a walking piece of proof of the succession plan that Duke puts in place for you.
They took me in and groomed me to be in a place that I never could have imagined.
Now I have 80 plus team members that I supervise."

Kaliedra, Clinical Team Lead Surgical Oncology

“The benefits are definitely one of the reasons I came to work at Duke Raleigh Hospital. They are great. I was lucky enough to participate in the student loan forgiveness program.”

– Bryanna, RN in ICU

“It feels like a small-town hospital, but it’s not. It is Duke and it’s a great opportunity.”

– Laura, Clinical Nurse II on Neuroscience Unit

Rewards

  • Health Benefits

    Medical, dental, vision, disability, flex spending accounts, health and wellness programs

  • Retirement Plans

    Duke offers a generous pension plan and 403(b) retirement contributions

  • Continuing Education

    Tuition reimbursement and degree opportunities

  • Parental Leave

    Paid leave for eligible employees in addition to our Paid Time Off program

  • Location

    We’re located in the heart of Raleigh, close to shopping, great restaurants and entertainment

  • Recognition

    We're Magnet designated, a leader in Heath Care Equity and a CMS 5-star hospital

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Job Description

Job ID 75949 Date posted Nov. 02, 2020

Duke Nursing Highlights:

  • Duke University Health System is designated as a Magnet® organization
  • Nurses from each hospital are consistently recognized each year as North Carolina’s Great 100 Nurses
  • Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification
  • Duke University Health System has 6000 + registered nurses
  • Quality of Life: Living in the Triangle!
  • Relocation Assistance!

Duke Raleigh Hospital offers the latest in care and technology in a patient-friendly setting. It has been an important part of Duke Health since 1998 and has served Wake County for more than 35 years, employing more than 2,000 team members. The hospital provides 186 inpatient beds and a comprehensive array of services, including the Duke Raleigh Cancer Center, Duke Raleigh Orthopedic and Spine Center, cardiovascular services, neurosciences including the Duke Raleigh Skull Base and Cerebrovascular Center, advanced digestive care, disease management and prevention, wound healing, outpatient imaging, intensive and progressive care, pain clinic, same-day surgery, emergency department and community outreach and education programs. U.S. News & World Report ranked Duke Raleigh Hospital as high performing in orthopaedics and two adult procedures/conditions: Chronic Obstructive Pulmonary Disease (COPD) and lung cancer surgery. #DukeRaleighJobs

Duke Nursing Highlights:

  • Duke University Health System is designated as a Magnet® organization
  • Nurses from each hospital are consistently recognized each year as North Carolina’s Great 100 Nurses.
  • Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
  • Duke University Health System has 6000 + registered nurses
  • Quality of Life: Living in the Triangle!
  • Relocation Assistance!

Occ Summary

Responsible for the entry of nursing documentation and patient charges into the surgical/OR, ED, or Oncology information systems. Audits records and charges for accuracy. Assist 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.

Oncology nursing experience strongly preferred to support outpatient Oncology Chare Capture

Duties and Responsibilities of this Level

Reconciles the number of charge sheets/charges received in the OR/Endo daily census, the ED or the outpatient Oncology clinic encounters.

Reviews patient charts for completeness and verifies that all information is accurately documented on the charge sheet and/or in the electronic patient record

Documents additions and corrects errors to charge sheet and electronic patient encounter 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 when applicable

Enters appropriate patient charge codes into surgical/OR, ED, or outpatient Oncology encounter 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 inquires

Maintains an understanding of medical record practices, standards, and regulations

Develops and maintains current written policies, procedures, and guidelines

Knowledge of scope of the registered nurse with emphasis on ED, Oncology, OR specialties and the surgical technologist as applicable

Knowledge of and appropriate application of nursing process

Knowledge of theory, practice, and procedures

Ability to assess nursing documentation for accuracy

Knowledge of supplies required for various surgical procedures, ED based procedures, and Oncology based procedures as applicable

Able to independently seek out resources and work collaboratively

Ability 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 appropriated JCAHO and other regulatory requirements

Level Characteristics

The Charge Code Auditor is a representative of Surgical Services management. Position directly impacts revenue capture and must work collaboratively and independently to meet deadlines.

Minimum Qualifications

Education

BSN Required

Experience

Three years of nursing experience is required.

Experience with charge capture entry into the EPIC/Maestro EHR strongly preferred

Degrees, Licensures, Certifications

Current or compact RN licensure inthe state of North Carolina required. BLS required.

Specialty nursing certification in Emergency (CEN), OR (CNOR) or Oncology (OCN)nursing preferred

Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

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