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Patient Accounting Representative Jobs in Raleigh, NC

Duke University

CHARGE CODE AUDITOR

Durham, NC · On-site

Serve as a resource to Billing, Patient Accounting, and insurance representatives to resolve billing questions, denials, or patient inquiries related to obstetric services. * Maintain a working ...

Well Care Health

Controller, CPA Required

Durham, NC · On-site

This role oversees general accounting, financial reporting, accounts payable, payroll accounting ... Maintains strict confidentiality and integrity in all financial, employee, patient, and ...

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Patient Accounting Representative information

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How much do patient accounting representative jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for patient accounting representative in Raleigh, NC is $20.82, according to ZipRecruiter salary data. Most workers in this role earn between $18.70 and $22.45 per hour, depending on experience, location, and employer.

What is a patient accounting representative?

A patient accounting representative is in charge of all patient accounting activities. In this career, you complete billing processes and handle revenue collections from patients or a third-party payer. Your responsibilities include processing applications from medical and life insurance and supplemental benefits, and you also review and process insurance claims to maximize reimbursement. You must be sure to follow office policies and follow up with necessary persons. You also handle all patient requests for medical records, doctor notes, and more. Other duties include maintaining a database with patient accounting data, keeping an updated list of insurance carriers and employers, and maintaining patient confidentiality. You are also expected to review daily reports from the clearinghouse, make corrections, and submit a clean claim.

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What are popular job titles related to Patient Accounting Representative jobs in Raleigh, NC? For Patient Accounting Representative jobs in Raleigh, NC, the most frequently searched job titles are:
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Patient Accounting Representative jobs near you
Infographic showing various Patient Accounting Representative job openings in Raleigh, NC as of August 2026, with employment types broken down into 56% Full Time, 11% Part Time, 11% Temporary, and 22% Contract. Highlights an 100% In-person job distribution, with an average salary of $39,340 per year, or $18.9 per hour.

CHARGE CODE AUDITOR

Duke University

Durham, NC • On-site

Full-time

Re-posted 15 days ago

Duke University rating

6.7

Company rating: 6.7 out of 10

Based on 55 frontline employees who took The Breakroom Quiz

485th of 617 rated colleges and universities

Job 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.
About Duke University Hospital
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.
Duke Nursing Highlights:
  • Duke University Health System is designated as a Magnet organization
  • Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
  • 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.
  • Duke University Health System has 6000 + registered nurses
  • Quality of Life: Living in the Triangle!
  • Relocation Assistance (based on eligibility)

Occ Summary
The 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.
Shift: Mon-Fri 8 hour shifts
Work Performed
  • Reconcile daily census and charges for all Birthing Center service areas, including OB ED, Labor & Delivery, OB OR, and Postpartum/Newborn Care.
  • Review 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.
  • Identify missing, incomplete, or incorrect charges and update charge sheets according to departmental and organizational standards.
  • Communicate with nursing staff, providers, and ancillary teams to obtain required documentation for accurate billing.
  • Escalate charging or documentation issues to the appropriate department manager or clinical leader.
  • Provide ongoing education to Birthing Center staff regarding charge capture expectations, documentation standards, and updates to charge codes or workflows.
  • Track supply item usage in the OB OR and ensure appropriate charge codes are created or updated when needed.
  • Enter all applicable patient charge codes into the designated information systems, ensuring accuracy and timeliness.
  • Serve as a resource to Billing, Patient Accounting, and insurance representatives to resolve billing questions, denials, or patient inquiries related to obstetric services.
  • Maintain a working knowledge of medical record standards, regulatory requirements, and payer-specific billing rules related to obstetric and newborn care.
  • Develop, maintain, and update written policies, procedures, and guidelines for charge capture within the Birthing Center.

Knowledge, Skills, and Abilities
  • Knowledge of the scope of practice for registered nurses in obstetric settings.
  • Understanding of obstetric workflows, including OB ED triage, labor management, delivery processes, OB OR procedures, postpartum care, and newborn services.
  • Ability to assess nursing documentation for accuracy, completeness, and compliance with billing requirements.
  • Familiarity with supplies, equipment, and procedural steps associated with vaginal deliveries, cesarean sections, and OB OR cases.
  • Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced clinical environment.
  • Strong communication skills and the ability to collaborate effectively with nursing, providers, billing teams, and leadership.
  • Proficiency with computer systems and willingness to learn new software platforms.
  • Ability to remain focused, organized, and detail-oriented during prolonged periods of chart review.
  • Working knowledge of JCAHO and other regulatory requirements related to documentation and billing.

Level Characteristics
The 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.
Minimum Qualifications
Education
BSN Required
Experience
Three years of nursing experience is required
Degrees, Licensures, Certifications
Current or compact RN licensure in the state of North Carolina required. BLS required.
Duke 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.
Duke 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.
Essential Physical Job Functions:
Certain 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.

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About Duke University

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Duke is regarded as one of America's leading research universities. Located in Durham, North Carolina, Duke is positioned in the heart of the Research Triangle, which is ranked annually as one of the best places in the country to work and live. Duke has more than 15,000 students who study and conduct research in its 10 undergraduate, graduate, and professional schools. With about 40,000 employees, Duke is the third largest private employer in North Carolina, and it now has international programs in more than 150 countries.

Industry

Colleges, universities, and professional schools and hospitals

Company size

10,000+ Employees

Headquarters location

Durham, NC, US

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