At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Duke Health Lake Norman Hospital Pursue your passion for caring with Duke Health Lake Norman Hospital in Mooresville, North Carolina. The smallest of the four Duke Health hospitals at 123-beds, it offers a comprehensive range of medical services, including 24-hour emergency care, cardiology, orthopedics, women's services, and surgical specialties. Duke Nursing Highlights: Duke University Health System is designated as a Magnet organizationNurses 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 based on eligibility Job SummaryResponsible for the entry of nursing documentation and patient charges into the surgical information system. Audits records and charges for accuracy. Assist Business Services and Auditing Department with billing issues and perform audits of all records. Identifies hospital charging and nursing documentation issues and relates these to the appropriate department managers. Work Performed Reconciles the number of charge sheets received in the OR/Endo daily census Reviews patient charts for completeness and verifies that all information is accurately documented on the charge sheet Documents additions and corrects errors to charge sheet 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 Enters appropriate patient charge codes into surgical 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 Knowledge, Skills and Abilities Knowledge of scope of the registered nurse and surgical technologist 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 Able to independently seek our resources
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