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Location
Greenwich, CT, United States
Posted on
Feb 24, 2021
Profile
Overview
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
Reporting to the Manager-Operating Room, serves as the primary contact for all financial data requests. Responsible for triggering the charge capture for Perioperative Services, which includes the Operating Room, Ambulatory Surgery, Surgery, HASC, Anesthesia, PACU, GI, Pain, Bariatrics, and 23 Hour Stays. Responsible for OR scheduling, GI scheduling, OR block management and perioperative services charges. Human Resource Management, Staffing/Scheduling/Benefit, Time Management, Revenue Recovery, Customer Satisfaction, Surgeon liaison and Quality Improvement responsibilities. Maintains a liaison relationship with the Finance Department for all charge capture issues. Provides project management expertise necessary to drive significant breakthroughs and process redesign within perioperative services related to the charge capture process. Supports revenue data needs and provides statistics needed for financial trend and productivity reports. Evaluates the charge capture process on an on-going basis to ensure timely and accurate charging. Responsible for developing and maintaining departmental policies and procedures for charging. Responsible for maintaining departmental policies and procedures for charging. Serves as primary contact for application support and development, administration and management of multiple systems within PeriOp and coordinating all of the Epic MR upgrades, change requests and optimizations. Evaluates on an on-going basis current systems including Family Touch, Mobile Heartbeat and coordinates planned changes and upgrades and conversions. Maintains a liaison relationship between IT, vendors and PeriOp leasdership.
EEO/AA/Disability/Veteran
Responsibilities
1. Analyze and document all problems and resolutions to OR charging process.
2. Develops and maintains a working knowledge of CPT coding, ICD-9 coding, to ensure proper and effective charge capture is accomplished in Perioperative Services.
3. Responsible for identifying, implementing and updating perioperative charging policies and procedures.
4. Daily review of OR, AMB Surg, Surg, HASC, GI, Pain, Bariatrics, Anesthesia and 23 hour stay charges to ensure complete, timely and accurate charging.
5. Daily review of late charge report and action steps to reduce or eliminate late charges for the OR, AMB Surg, Surg, HASC, GI, Pain, Bariatrics, Anesthesia and 23 hour stay.
6. Serves as a liaison between Finance and the OR to improve charge capture and resolve charging issues.
7. Responsible for maintaining and updating perioperative charging policies and procedures as delegated by manager.
8. Works directly with OR Supply staff, Nursing staff and OR Management to resolve missing charges . Follows up with staff to address specific problems such as completing accurate clinical documentation and events.
9. Verifies accuracy of charging data on a daily basis. Responsible for developing data reports and addressing issues that may arise.
10. Reviews and monitors dashboard regarding revenue and work ques.
11. Audits appropriate use/documentation of charges for defined case specific new technologies.
12. Responsible to audit specific cases to ensure accuracy of invoiced items and charged items.
13. Responsible for electronic revenue and usage documentation that triggers the charge posting, late charges, department specific charges and billing issues surrounding perioperative services. Works to maintain and update charging procedures and assists various departments in charge review in order to insure timely posting of charges.
14. Investigates discrepancies relating to charges to insure all charges are posted correctly. Accountable of the identification, communication and resolution in collaboration with internal auditors, Finance and departmental managers.
15. Coordinates special projects as requested by management, preparing documents, reports and other data to support findings and make recommendations as required.
16. Performs other related duties and projects within the department as assigned.
17. Reviews cosmetic cases, as well as combined (insurance/self-pay) cases as requested by Finance.
18. Creates daily and monthly reports for Physicians as requested.
19. Distributes OR schedule daily, AM Admits, 23 hour admissions, Inpatients, C-Arms need and Anesthesia schedules.
20. Meet daily with Nurse Manager for nursing charges and levels for the Main OR.
21. Responisible for creating reports as requested.
22. May perform other duties as assigned.
23. Report Writing, Report Generation and Distribution
23.1 Oversees the maintenance and reporting of data through the perioperative departmental information systems.
24. Administration
24.1 Maintains all administrative lists to include field user questions regarding functionality, block maintenance, surgeon's maintenance, table maintenance and resource/ conflict table maintenance within the system. Acts as a contact person within each module to ensure all lists are current to meet the needs of the end user.
25. Performance Management
25.1 Support staff will provide statistical analysis of performance assessment.
26. Participates in planning department quality improvement initiatives and implements quality improvement.
Qualifications
EDUCATION
Bachelors Degree in Business Administration or related discipline and related work experience
EXPERIENCE
3-5 years of related experience. CPT Coding knowledge highly desirable, CPC certified professional coder preferred. Minimum or 3 years in Healthcare and/or Operating Room environment preferred. Experience in Nursing Informatics highly desired. Financial, business and managerial experience strongly preferred.
SPECIAL SKILLS
Strong interpersonal skills with excellent verbal and written communication skills. MS Word, Excel, Power Point and Access. Training of willingness to train in current performance management techniques. Microsoft Certified Data Base Administrator certification highly desired. Training or willingness to learn current performance management techniques.
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