Clinical Auditor - Cath Lab & Electrophysiology Lab

Henry Ford Health•Detroit, MI
•Onsite

About The Position

The Clinical Auditor conducts cardiovascular procedural charge audits for Henry Ford Hospital’s Cath Lab and Electrophysiology Lab. The role verifies that charges are accurately documented and billed in EPIC, reviews clinical records for consistency, investigates charge discrepancies, and supports corrective action to improve charge capture and documentation. The position also contributes to clinical operational reviews, revenue analysis, quality metrics, registry reporting, and laboratory accreditation. The employee functions as a Cardiac Cath Lab Tech II or in a registered nursing role in the Cath/EP lab. The role maintains and updates procedural documentation in Sensis and Epic Cupid, supports x-ray and hemodynamic systems, performs implant registry entry, and conducts follow-up calls and same-day-discharge analyses. It prepares reports using Epic, Sensis, Cardiolab, and other programs, and communicates findings to lab staff, physicians, and leadership. The position is on-site at Henry Ford Hospital in Detroit, scheduled for 40 hours per week, eight hours per day Monday through Friday on the day shift, with no weekend or holiday requirements.

Requirements

  • High school diploma or GED equivalent.
  • Graduation from an accredited Allied Health Sciences program (such as Cardiovascular Technology, Radiologic Technology, Respiratory Therapy, Exercise Science, or Cardiac or Vascular Sonography), or graduation from an accredited school of nursing.
  • Two years of Cath Lab experience.
  • One of the following: Registered Cardiovascular Invasive Specialist (RCIS); Registered Cardiac Electrophysiology Specialist (RCES); Radiologic Technologist (ARRT) with Cardiac Intervention (CI) or Vascular Interventional (VI); or a license to practice as a registered nurse in Michigan.
  • BLS certification.
  • ACLS certification.

Responsibilities

  • Conduct audits of cardiovascular procedural charges and ensure charges are accurately documented and billed in EPIC.
  • Review clinical documentation and electronic medical records for accuracy, including implants and surgical and recovery timestamps.
  • Investigate charges for accuracy of EPIC charting and inventory purposes.
  • Research and recover undercharges, adjust overcharges, and submit adjustments to patient accounting for rebilling.
  • Propose corrective action for charge-capture problems and conduct in-service training for perioperative staff to improve documentation and cost effectiveness.
  • Analyze results, identify trends and patterns, and prepare monthly statistical and narrative reports for hospital management, including findings and recommendations about revenue, charge capture, and documentation.
  • Review procedure documentation for complete charge capture and quality-metric abstraction, and communicate discrepancies to lab staff and physicians.
  • Maintain x-ray and hemodynamic systems in the Cath Lab and EP departments; assist with upgrades, troubleshooting, and repairs.
  • Enter implant registry information, including valves, ASD/VAD, PFO, and LAAO.
  • Make post-procedure patient phone calls for same-day discharges and analyze patients who qualified for same-day discharge but did not go home.
  • Update and maintain Sensis and Epic Cupid procedural documentation.
  • Meet state and national registry deadlines to maintain the Certificate of Need (CON).
  • Prepare ad hoc and regularly requested reports from Epic, Sensis, Cardiolab, and other programs as assigned.
  • Prepare for and help maintain laboratory accreditation.
  • Enter STEMI and activation information into a tracking document, calculate preliminary door-to-device times, present information to Cath Lab and ED leadership in real time, and run STEMI meetings.
  • Communicate effectively with Cath Lab leadership, HVSL leadership, physicians, and other stakeholders.
  • Function as a Cardiac Cath Lab Tech II or in a registered nursing role in the Cath/EP lab.
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