RN Charge Auditor, Medical Plaza I, System-wide, 6a-2:30p

UofL Health•Louisville, KY

1d•Onsite

About The Position

The Charge Auditor – Surgical Services (RN) is responsible for retrospective auditing of all inpatient and outpatient surgical cases to ensure complete, accurate, and compliant charge capture. This role identifies missing or inaccurate charges, validates documented charges against clinical documentation, and collaborates across departments to optimize revenue integrity. The RN auditor provides education to the Charge Capture team and serves as a clinical liaison to coding, billing, compliance, and surgical service lines.

Requirements

Associate’s Degree in Nursing from an accredited nursing program is (required)
Minimum 3 years of perioperative experience as a circulating nurse (required)
Current KY RN licensure or compact license with privileges to work in Kentucky (required)

Nice To Haves

Bachelor’s Degree in Nursing from an accredited nursing program (preferred)
AORN (Association of Perioperative Registered Nurses) certification (preferred)

Responsibilities

Perform retrospective audits on all surgical cases (inpatient and outpatient) to ensure accurate and complete charge capture.
Identify missed, incorrect, duplicate, or invalid charges based on operative reports, intraoperative documentation, preference cards, and supply usage.
Validate charges against AORN standards, organizational policies, payer guidelines, and compliant documentation requirements.
Utilize patient registration and scheduling systems, electronic medical records, enterprise resource planning system (e.g, Premier) Cerner, Premier, STAR, and related charge‑capture systems to review, analyze, and reconcile charges.
Ensure all charge activity complies with regulatory, coding, and billing standards.
Work in collaboration with Compliance to resolve charge discrepancies and support internal audit readiness.
Maintain audit findings, tracking logs, corrective actions, and follow-up documentation.
Serve as a clinical resource for Revenue Integrity, Coding, Billing, Supply Chain, and surgical service departments.
Communicate audit outcomes and process improvements to departmental leadership.
Participate in multidisciplinary meetings to address documentation, workflow, and system issues impacting charge capture.
Provide targeted education to the Charge Capture team regarding surgical workflows, nursing documentation, and accurate charge practices.
Recommend workflow improvements, system updates, and documentation enhancements to reduce charge errors.
Support initiatives related to charge standardization, clinical documentation quality, and revenue integrity optimization.
Assists the organization in maintaining and achieving its goals related to licensure, regulatory, and accreditation standards
Maintains effective working relationships, communication and collaborative decision making with medical staff, other departments, leaders, staff and others
Implements and supports quality improvement activities for the department/unit
Complies with HIPAA privacy and security requirements to maintain confidentiality at all times
Maintains compliance with all company policies, procedures and standards of conduct
Performs other duties as assigned