Vacancy expired!
Job Description
This position is responsible for the oversight of all laboratory charge postings and lab related assigned EPIC work queues. Supervisory Responsibility: Creates, completes and enforces all necessary policies and procedures in regards to the lab billing. Creates and enforces work standards, quality measures and process improvements, consistent with the organization's goals and objectives. Enforces safeguards against fraud and abuse. Ensures compliance for adjustments posted to client accounts according to departmental policies and filing guidelines. Translates the department goals and mission into financial and production targets for the assigned and is held accountable at the individual level with measurable outcomes. Creates and maintains productivity reports for staff and Manager to maximize utilization of staff resources and for recognition of high performers based on department production standards. completes performance evaluations for staff in partnership with Management in a timely manner. Encourages and facilitates continuous learning and development for self and others. Uses organizational and unit/department resources efficiently. Manages work schedule efficiently, completing tasks and assignments on time. Contributes to opportunities and processes for continuous improvement. Participates in efforts to reduce costs, streamline work processes, improve and grow services we provide. Demonstrates Integrity, Compassion, Accountability, Respect and Excellence values in daily work and interactions. Presents a friendly, approachable, professional demeanor and appearance. Provides accurate information and timely updates to patients and customers. Addresses questions and concerns promptly, or identifies appropriate person and resources to do so. Provides directions or help to patients and customers with finding their way. Uses effective service recovery skills to solve problems or service breakdowns when they occur. Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others. Creates a positive learning environment when instructing new employees, presents information clearly, concisely and at an appropriate pace. Works independently at an established productivity level. Shows attention to detail, uses reasoning skills and is sufficiently organized to produce quality work. Other Role Specific Responsibilities: Follows Standards of Ethical Coding as established by the AHIMA Code of Ethics. Reviews the medical record thoroughly, utilizing all available documentation to code appropriate diagnoses and procedures. Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to identify codeable diagnoses and/or procedures. Interprets conventions, formats, instructional notations, tables, and definitions of the classification system to select diagnoses and procedures that require coding. Assigns codes in accordance with official coding guidelines and resources and specific facility guidelines with a minimum of 95% accuracy. Abstracts required data elements with a minimum of 98% accuracy. Meets established minimum coding productivity standards for each patient type. Contributes to department goal of maintaining low ANSB by following guidelines for bill hold flags, monitoring personal and work queues to code oldest accounts first, reassignment of problem accounts, etc. Ensure accuracy all claims billed through the verification of key data on the UB-04. Send out claims to the designated payer daily (both paper and electronic). Obtain all supporting documentation for any hard copy claims. Inclusive of but not limited to; a copy of the fee schedule, contracts, physician documentation, etc. Review and resolve all lab related EPIC work queues. Send out accurate modifiers if needed. Follow up on account(s) to bring to resolution. Document all follow up activity in the patient accounting system. Obtain and submit additional information needed to get the claim resolved. Ensures timely and accurate lab billing. Follow write off protocol when appropriate. Review reference lab invoices for accuracy. Makes necessary adjustment and correction to charges according to cost and ensure timely submissions of reference lab invoices. Demonstrate a working knowledge of patient type which are billed by the hospital and by HealthLab. Professional Responsibility: Completes all required educational/compliance related courses prior to or on the due date. Keeps reporting staff current with all required educational/compliance-related courses prior to or on the due date. EOE Minorities/Women/Disabled/Veterans. VEVRAA Federal Contractor.
Qualifications
Required: RHIT, RHIA, CPCH or CCS Certification. 2 years Supervisory or leadership experience. High School diploma. Minimum 5 years experience in a hospital billing setting. Desired: 4+ years of leadership experience in a healthcare role, preferably within the lab. Associates or Bachelors Degree with 5+ years of billing experience. Expert knowledge of Horizon, EPIC, and Seacoast billing systems. Expert understanding of client billing.
Additional Information
All your information will be kept confidential according to EEO guidelines.
Vacancy expired!