Duke Raleigh Hospital 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 teammembers. 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 five adult procedures/conditions: chronic obstructive pulmonary disease (COPD), heart failure, kidney failure, lung cancer surgery, and stroke.
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!
ED Nursing experience strongly preferred to support ED Charge Capture
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.
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 in the electronic patient record
Documents additions and corrects errors to charge sheet and electronic patient enccounter 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
Develop and maintain current written policies, procedures, and guidelines
Required Qualifications at this Level
Three years of nursing experience is required
ED Nursing experience strongly preferred.
Degrees, Licensure, and/or Certification:
Current or compact RN licensure in the state of North Carolina required. BLS required.
Specialty nursing certification in ED nursing preferred.
Knowledge, Skills, and Abilities:
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
Distinguishing Characteristics of this Level
The Charge Code Auditor is a representative of Medical Auditing management. Position directly impacts revenue capture and must work collaboratively and independently to meet deadlines.
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.
As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.