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

Charge Auditor – Surgical Services (RN)

UofL Health is a not-for-profit 501(c)(3) fully integrated regional academic health system with nine hospitals, four medical centers, Brown Cancer Center, Eye Institute, more than 250 physician practice locations, and more than 1,200 providers in Louisville and the surrounding counties, including southern Indiana. With more than 14,000 team members – physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care.

Job Description

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.

Essential Functions:

• 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.

Documentation & Compliance

• 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.

Collaboration & Communication

• 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.

Education & Process Improvement

• 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.

Other Functions:

• 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

Additional Job Description

Education:

• Associate's Degree in Nursing from an accredited nursing program is (required)
• Bachelor's Degree in Nursing from an accredited nursing program (preferred)

Experience:

• Minimum 3 years of perioperative experience as a circulating nurse (required).

Licensure:

• Current KY RN licensure or compact license with privileges to work in Kentucky (required)

Certification:

• AORN (Association of Perioperative Registered Nurses) certification (preferred)