Essential Functions
- Leadership & Strategy
- Readily available to provide consultation and interpretation of laboratory billing and compliance. Counsel and advise team members on laboratory compliance regulations and laboratory billing requirements.
- Leads billing team across OH footprint.
- Offers explanations for variances and assists in the selection of appropriate follow-up to address a concern when needed.
- Serves as a resource in the resolution of healthcare system-wide issues.
- Maintain a productive working relationship with other affiliate hospitals, laboratory departments, laboratory and center administrations, other areas/departments of the Medical Center and the medical community to accomplish goals.
- Serves as a mentor in laboratory compliance and lab billing administrative procedures.
- Actively participates in the educational programs for Orlando Health team members, including students, residents, and fellows.
- Operational Management
- Participate in interdisciplinary teams to assess overall systems integration.
- Provide direct leadership in the development of laboratory policies and procedures that support operations, compliance, and quality.
- Participates in the implementation of new equipment and new tests, ensures accuracy of test, CPT and LOINC codes.
- Participates in IT test implementation, working with revenue on pricing and EPIC testing to ensure accuracy.
- Directs the OH laboratory compliance and billing program.
- Financial Oversight & Budgeting
- Directly accountable for ensuring all workqueques outliers are addressed timely.
- Demonstrates and regularly monitors compliance with approved programs, budgets, and fiscal activities.
- Collaboration & Communication
- Foster productive working relationships with hospital leadership, medical group representatives, and cross-functional teams to promote integrated care and streamlined services.
- Partner with clinical staff to ensure that laboratory services support and enhance patient care.
- Communicate effectively with stakeholders, providing regular updates on quality operations, accreditation, metrics, and key initiatives.
- Regulatory Compliance & Quality Assurance
- Ensure compliance with all applicable federal, state, and local regulations, as well as industry standards.
- Initiates action and provides leadership for performance improvement initiatives directly related to compliance or lab billing within the laboratories.
- Participates in survey readiness activities.
- Plan, design and/or adapt information management system(s) in conjunction with LIS/IS, optimizing the system(s) to meet internal and external needs, including the following: confidentiality, privacy, security, accessibility, and resolution of complaints.
- Immediately address and assess any issues and/or complaints regarding patient safety. In conjunction with the laboratory leadership, complete a thorough investigation which results in a corrective action plan to address the concern.
|