Job Summary

Serves as the auditor for all Perioperative Services, ensuring timely and accurate information. Supports regulatory compliance as well as the revenue cycle to ensure each case record is accurate and all supply items have been assigned the appropriate charge. Under the direction of the Perioperative team leader for the revenue integrity Perioperative team, the Surgical Service Auditor will be responsible for reviewing clinical documentation within all Perioperative and Procedural departments to audit for charging accuracy, regulatory compliance, and quality outcomes. The Surgical Service Auditor will work with perioperative Team RN’s, Revenue integrity financial analysts, Clinical department managers, and providers during their workflow.

Responsibilities

•Reviews clinical documentation to determine if charging for the procedure, supplies, implants, recovery, and any other associated charges are documented accurately. •Reviews OR records for use of supplies not appearing on the billing document. •Participates in feedback process with nurse managers, and clinicians to ensure documentation is corrected in a timely manner. •Ability to work in multiple software applications to collaborate with supply chain and billing compliance to audit and identify the correct pricing and charging of supplies and implants. •Assesses appropriate clinical documentation. •Develops and maintain clinical knowledge of areas auditing, to maintain a clear understanding of what should be found within documentation. •Attend meetings as required and participate on committees as requested •Enhance Professional growth and development through in-service meetings, educational programs, seminars, conferences, workshops, etc. •Perform other duties and responsibilities as assigned

Knowledge, Skills & Abilities

Patient Group Knowledge (Only applies to positions with direct patient contact)

The employee must possess/obtain (by the end of the orientation period) and demonstrate the knowledge and skills necessary to provide developmentally appropriate assessment, treatment or care as defined by the department’s identified patient ages.

Specifically the employee must be able to demonstrate competency in: 1) ability to obtain and interpret information in terms of patient needs; 2) knowledge of growth and development; and 3) understanding of the range of treatment needed by the patients.

Competency Statement

Must demonstrate competency through an initial orientation and ongoing competency validation to independently perform tasks and additional duties as specified in the job description and the unit/department specific competency checklist.

Common Duties and Responsibilities

(Essential duties common to all positions)

1. Maintain and document all applicable required education.

2. Demonstrate positive customer service and co-worker relations.

3. Comply with the company's attendance policy.

4. Participate in the continuous, quality improvement activities of the department and institution.

5. Perform work in a cost effective manner.

6. Perform work in accordance with all departmental pay practices and scheduling policies, including but not limited to, overtime, various shift work, and on-call situations.

7. Perform work in alignment with the overall mission and strategic plan of the organization.

8. Follow organizational and departmental policies and procedures, as applicable.

9. Perform related duties as assigned.

Education 

• High School Diploma or GED (Required) Experience: 2 Years – related

Credentials 

• No Certification, Competency or License Required

Work Schedule: Days

Status:  Full Time Regular 1.0

Location: General Hospital

Location of Job: US:WV:Charleston

Talent Acquisition Specialist: Tamara B. Young tammy.young@vandaliahealth.org