Pursuing work with little supervision or assistance. Direct one's own efforts.
Notify appropriate staff of recurring divisional problems/errors identified within the work queues. Notify appropriate staff of Epic/Cerner problems/errors. Provide suggestions for resolution.
Responsible for developing processes and improving divisional performance by recommending areas of approaches for improvement activities, performing new procedures, collecting data and providing input to departmental discussions. Identify opportunities to reduce payer denials and enhance departmental revenue.
·Serve as a Resource
Serve as resource to staff for accurate coding and documentation guidelines, policies, and procedures. Identifies training needs, prepare training materials and conducts training staff to improve their skills in coding and documentation. Escalate issues when appropriate.
Maintains currency of CMS, State of Ohio, official coding and other guidelines, rules and regulations, and applies principles as appropriate. Act as a resource within the team. Attain a higher level of relevant skill ability or knowledge through education, practice, or research. Demonstrate a desire to learn, seeking feedback from others and opportunities to develop. May lead and/or train other team members. Perform special projects as assigned.
Is self-directed in assuming responsibilities. Provides a leadership role in developing, implementing, and evaluating. Participates in special projects as requested. Work collaboratively with department management.
Work with the team to ensure all lab/professional charges are captured and billed accurately. Input charges and all associated information efficiently and accurately to ensure the divisional lag days do not exceed the assigned benchmark (5 Days). Review assigned work queues timely and accurately. Percentage remaining at the end of each week should not exceed 5%. Serve as a liaison between the Professional and Hospital Billing offices, and the divisions.
Challenge the status quo and identify opportunities to enhance work processes and outcomes. Voluntarily seek new or extra responsibilities and challenges. Go beyond what is expected. Proactively delve into work without hesitation.
·Coding and Billing
Possess expert knowledge and experience with the coding and billing requirements of ICD-9/10 and CPT coding. Knowledgeable in CMS and Ohio State billing rules. Professional knowledge and ability sufficient to effectively carry out the responsibilities of the position.
Basic Effective verbal, written, and interpersonal communication skills.
Capable of relating to diverse age and demographic backgrounds. Understanding and showing respect and appreciation for the uniqueness of all individuals; leveraging differences in others' perspectives and ideas; appreciating cultural differences and adjusting one's approach to successfully integrate with others who are different from oneself.
Intermediate Proficiency in basic computer applications such as Microsoft Office, email, and internet.
Basic review of data, work queues and reports.
Demonstrates an independent work initiative, sound judgment, diplomacy, tact and professional demeanor.
Using time efficiently and productively; prioritizing multiple tasks properly to meet deadlines; recognizing time constraints and adjusting work schedule to address them.
Ability to work independently through details of a problem and reach a positive solution.