{"id":1182734,"url":"https://alion.io/job/duke-health-charge-code-auditor-2","title":"CHARGE CODE AUDITOR","company":{"id":14457,"name":"Duke Health","domain":"dukehealth.org","url":"https://alion.io/company/duke-health","size_band":"1001-5000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"SuccessFactors","truth_index":null},"role":"Finance","role_family":"Finance","seniority":"middle","employment_type":null,"work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Durham, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":70000,"max_usd":150000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":554},"experience_years_min":3,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-09-20T07:00:00Z","employer_posted_date":"2026-09-20","last_verified_at":"2026-09-25T06:30:24Z","board_verified":true,"closed_at":null,"days_open":6,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":6},"description":"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.\n About Duke University Hospital\n Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.\n Duke Nursing Highlights:\n Duke University Health System is designated as a Magnet organization\nNurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.\n 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.\n Duke University Health System has 6000 + registered nurses\n Quality of Life: Living in the Triangle!\n Relocation Assistance (based on eligibility)\n Occ Summary\nThe Charge Code Auditor for the Birthing Center is responsible for ensuring accurate, complete, and timely charge capture for all hospital obstetric services, including OB Emergency Department (OB ED) visits, OB Operating Room procedures, vaginal and cesarean deliveries, newborn hearing screens, and circumcisions. This role audits nursing documentation and patient charges, identifies discrepancies, and collaborates with clinical and operational leaders to ensure compliance with billing standards and regulatory requirements. The position directly supports revenue integrity and accurate reimbursement for the Birthing Center.\nShift: Mon-Fri 8 hour shifts\nWork Performed\nReconcile daily census and charges for all Birthing Center service areas, including OB ED, Labor & Delivery, OB OR, and Postpartum/Newborn Care.\nReview patient charts for completeness and verify that all services-OB ED evaluations, delivery charges, OB OR procedures, hearing screens, and circumcisions -are accurately documented and captured.\nIdentify missing, incomplete, or incorrect charges and update charge sheets according to departmental and organizational standards.\nCommunicate with nursing staff, providers, and ancillary teams to obtain required documentation for accurate billing.\nEscalate charging or documentation issues to the appropriate department manager or clinical leader.\nProvide ongoing education to Birthing Center staff regarding charge capture expectations, documentation standards, and updates to charge codes or workflows.\nTrack supply item usage in the OB OR and ensure appropriate charge codes are created or updated when needed.\nEnter all applicable patient charge codes into the designated information systems, ensuring accuracy and timeliness.\nServe as a resource to Billing, Patient Accounting, and insurance representatives to resolve billing questions, denials, or patient inquiries related to obstetric services.\nMaintain a working knowledge of medical record standards, regulatory requirements, and payer-specific billing rules related to obstetric and newborn care.\nDevelop, maintain, and update written policies, procedures, and guidelines for charge capture within the Birthing Center.\nKnowledge, Skills, and Abilities\nKnowledge of the scope of practice for registered nurses in obstetric settings.\nUnderstanding of obstetric workflows, including OB ED triage, labor management, delivery processes, OB OR procedures, postpartum care, and newborn services.\nAbility to assess nursing documentation for accuracy, completeness, and compliance with billing requirements.\nFamiliarity with supplies, equipment, and procedural steps associated with vaginal deliveries, cesarean sections, and OB OR cases.\nAbility to work independently, prioritize tasks, and meet deadlines in a fast-paced clinical environment.\nStrong communication skills and the ability to collaborate effectively with nursing, providers, billing teams, and leadership.\nProficiency with computer systems and willingness to learn new software platforms.\nAbility to remain focused, organized, and detail-oriented during prolonged periods of chart review.\nWorking knowledge of JCAHO and other regulatory requirements related to documentation and billing.\nLevel Characteristics\nThe Charge Code Auditor serves as a key representative of Birthing Center leadership in ensuring revenue integrity. This position directly impacts reimbursement and must work both collaboratively and independently to meet audit and billing deadlines.\nMinimum Qualifications\nEducation\nBSN Required\nExperience\nThree years of nursing experience is required\nDegrees, Licensures, Certifications\nCurrent or compact RN licensure in the state of North Carolina required. BLS required.\nDuke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.\nDuke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.\nEssential Physical Job Functions: \nCertain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.","description_format":"text","description_chars":6105,"description_truncated":false,"requirements":{"experience_years_min":3,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["Relocation assistance"],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":true,"industries":["Hospitals & Health Systems","Medical Education & Training"],"lifecycle":[{"event":"open","at":"2026-09-24T14:26:31Z"}],"liveness":{"score":87,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.867,"p_room":1,"age_days":5,"expected_fill_days":27,"reasons":["conf:23","velocity","win:early","comp:brand"],"computed_at":"2026-09-26T05:45:00Z"},"pay":null,"html_url":"https://alion.io/job/duke-health-charge-code-auditor-2","json_url":"https://alion.io/job/duke-health-charge-code-auditor-2.json","meta":{"generated_at":"2026-09-27T03:50:27Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","usage":{"tier":"crawler","counted_by":"address","units_charged":1,"used_today":3575,"day_limit":5000,"remaining_today":1425,"minute_limit":60,"resets_at":"2026-09-28T00:00:00Z"}}}