Description
General Summary of Position
MedStar Health is looking for a Surgical Services Auditor to join our team at Georgetown University Hospital! The ideal candidate will be familiar with OR information systems, supply chain management information systems, procedures and supplies used in surgery/surgical subspecialties, medical terminology, procedural or surgical clinical workflows, and documentation requirements.
As a Surgical Services Auditor, you will serve 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 Business Director for Perioperative Services, 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 partner with service line managers, clinic/procedural schedulers, Supply Chain associates and the Perioperative Charge Entry Coordinator.
Join one of the largest healthcare systems in the Baltimore-Washington metro region, also recognized as one of the "Healthiest Maryland Businesses". Apply today and learn how MedStar Health can be your next great career move!
Primary Duties:
Reviews clinical documentation to determine if charging for the procedure, supplies, implants, recovery, and any other associated charges are documented accurately. Reviews monthly spending while identifying opportunities to reduce expenses. Participates in assigning and reviewing HCPC and charge codes assigned to implants and supplies.
Reviews OR records for use of supplies not appearing on the billing document. Initiates the build process for items that are not built into the EMR. Participates in feedback process with nurse managers and clinicians to ensure documentation is corrected promptly. 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.
Works with vendors to obtain pricing/product information to maintain an accurate item master. Assigns a charge description master (CDM) number to non-stock specialty items and implants. Reviews and initiates purchase orders for the payment of supplies and equipment. Keeps records of purchases and audits/tracks patient and interdepartmental charges. Oversees the implementation and accuracy of new Perioperative contracts to ensure accurate pricing is maintained in the EMR. Reviews vendor invoices for specialty items and implants for corresponding OR cases to ensure accuracy of patient charges for billing documents.
Assesses appropriate clinical documentation. Participates as ad-hoc Value Analysis committee members. Supporting VAC leadership in product/equipment assessment. Oversees the ‘un-finalized' case reports in Perioperative services and works with clinical staff to complete all documentation both timely and accurately. Knowledgeable of Hospital policies and organizational identified quality initiatives; incorporates this knowledge into audits to help drive documentation compliance in partnership with unit leadership.
Partners with service line clinic and procedural schedulers, OR managers, resource nurse or supply coordinator, and revenue control specialists to develop a working relationship and effective work group for problem solving. Develops and maintains clinical knowledge of areas auditing, to maintain a clear understanding of what should be found within documentation. Provides OR information system training for clinical and non-clinical staff. Provides OR system administration and hardware troubleshooting support as needed.
Qualifications:
Associate's degree.
1-2 years of progressively more responsible experience as a Surgical Technologist or as an RN with surgical nursing experience.
Bachelor's degree of Nursing Preferred.
CST - Certified Surgical Technologist or RN - Registered Nurse - State Licensure and/or Compact State Licensure Preferred.
This position has a hiring range of $63,793.60 - $107,411.20
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