Laboratory Billing Compliance Specialist - Lab Administration

Subject matter expert for laboratory compliance, specifically billing practices. This individual will be responsible for assisting in CPT coding for lab tests, requesting laboratory billing codes with Finance, reviewing any laboratory coding concerns, management of laboratory billing software and general knowledge of laboratory patient and client billing

The moment you walk through our doors, you feel it. When you meet our patient families, you believe it. And when you talk with anyone who works here, you want to be part of it. Welcome to Nationwide Children's Hospital, Where Passion Meets Purpose.

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Researches, develops, and implements new or improved procedures and instrumentation, performing and/or reviewing quality control, and quality improvement and regulatory/compliance assignments.
• Develops, writes, and updates procedures as requested. Maintains knowledge of current federal, state, and local laws and regulations, techniques, procedures, and protocols, lab-wide and within lab section. Reviews and acknowledges procedures as required.
• Assists Manager by serving as a liaison with the College of American Pathologists (CAP) and may help coordinate the inspections by CAP for all laboratory locations. Organizes the selection of CAP survey materials and reviews performance.
• Supports process development/improvement within the section, including participating in quality assurance, continuing education programs, and section meetings. Trains new staff members and ensures staff is competent/educated regarding processes and protocols.
• In Lab Testing Areas (non-waived testing): Fulfills the role of the CLIA General Supervisor for High Complexity testing and Technical Consultant for Moderate Complexity testing.
• Maintains a safe environment. Wears appropriate personal protective equipment as designated by lab area. Reports spills and hazardous situations immediately and acts appropriately. Follows established guidelines for disclosure of patient information. Assists Manager with the Laboratory Inspection Team to prepare for inspections, this includes the self-inspections performed during non-survey years.
• Delivers service excellence, One Team collaboration, and quality patient care through adjusting communication styles to adapt to various cultural differences, addressing concerns by researching problems and identifying resolutions, using basic troubleshooting skills, and efficiently handling interruptions and functions with changing environments or circumstances.
• Promotes a cohesive work environment and identifies resolutions to improve morale.

Education Requirement: Bachelor's degree in medical laboratory science; or a chemical, physical, or biological science from an accredited institution, required.

Certifications: American Society of Clinical Pathology (ASCP) certification, preferred.

Skills:

• Ability to work independently under minimal supervision.
• Effective organizational and communication skills.
• Strong computer skills to produce reports and graphs as needed. Demonstrates discipline-specific technical skills.
• Promotes a team environment and maintains a cooperative and supportive atmosphere.

Experience: Three years experience in a similar laboratory, required.

The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individual so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under his/her supervision. EOE M/F/Disability/Vet

OCCASIONALLY: 1-33% OF THE TIME (0.5 TO 2.5 HOURS)

• Bend/twist
• Squat/kneel
• Climb stairs/ladder
• Reaching above shoulder
• Lifting/carrying up to 30 lbs.
• Pushing and pulling up to 30 lbs.
• Exposed to fumes/gases/vapors
• Exposed to loud noises

FREQUENTLY: 34-66% OF THE TIME (2.6 TO 5.0 HOURS)

• Walking
• Chemicals/Medications
• Working with machinery

CONTINUOUSLY: 67-100% OF THE TIME (5.1 TO 12 HOURS OR GREATER)

• Standing
• Sitting
• Flexing/extending of neck
• Hand use: grasping, gripping, turning
• Repetitive hand/arm usage
• Computer skills
• Lifting/carrying up to 10 lbs.
• Audible speech
• Hearing acuity
• Depth perception
• Color vision
• Peripheral vision
• Seeing- far/near
• Problem solving skills
• Decision making skills
• Interpreting data skills
• Exposed to blood and/or bodily fluids
• Exposed to communicable diseases and/or pathogens
• Exposed to biohazard waste