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1 Lab Billing and Compliance Coordinator Job in Savannah, GA

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St. Joseph's/Candler
Savannah, GA | Full Time
$100k-129k (estimate)
7 Months Ago
Lab Billing and Compliance Coordinator
$100k-129k (estimate)
Full Time | Hospital 7 Months Ago
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St. Joseph's/Candler is Hiring a Lab Billing and Compliance Coordinator Near Savannah, GA

  • Position Summary
    • The Laboratory Billing and Compliance Coordinator is responsible for ensuring the validity of the laboratory financial business. Manages alongside their peers, the receivable, registration, collections, contracting, denials, billing training, insurance listings, and the process for design, development, and implementation of education and billing compliance programs, and developing necessary tools for collection of data. Collates Performance Improvement (PI) data for reporting and sets annual objectives and key indicators. Reviews Laboratory Chargemaster, CPT coding and performs charge accuracy and documentation audits for all departments in laboratory. Keeps abreast of all billing regulatory guidelines.
  • Education
    • Bachelor's Degree - Required
  • Experience
    • 3-5 Years - Preferred
    • 4 Years applicable experience - Preferred
  • License & Certification
    • National Certification - Preferred
    • Currently registered or registry eligible by the Board of Registry of the American Society of Clinical Pathologists or equivalent, if applicable.
  • Core Job Functions
    • Organizes daily workload to achieve acceptable quality standards, recognizing weak areas and implementing appropriate additions to training. Identifies and implements a system to monitor effectiveness of training. Adapts readily to changes in workload and stressful situations, demonstrating confident and supportive behavior. Shows initiative to know where the focus of work is needed.
    • Understands the standards for Laboratory billing and ensures compliance. Works with administrative leaders to maintain compliance and best practices. Notifies Manager of on-going problems, and provides suggestions and solutions to problems.
    • Promotes a quality driven customer service-oriented reception, collection, and registration process. Facilitates registration processes that lending to an ethical and fair billing opportunity within full compliance with Medicare, Medicare, Tricare, and/or any other third-party payer contract. Develops a process for Laboratory collections at time of service when appropriate.
    • Manages denial tracking and KPIs to improve denials and claim rejections.
    • Quality Metrics are tracked and maintained. Reviews and monitors to assess and identify on-going problems so that effective resolutions can occur. Facilitates the development of a billing compliance learning culture within the department to support change and continuous improvement alongside outreach team leads. Educational and competency program design includes overall service/program/activity goal, specific learning objectives, content and methods of evaluation. Works alongside Outreach team leads and coordinators to assure improvement. 
    • Maintains appropriate records in accordance with guidelines of regulatory agencies. Collaborates with departmental team leaders on billing compliance, CDM edits, CPT coding and billing audits.
    • Works with hospital and laboratory leadership to grow the laboratory business and ensure stable profit margins.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Hospital

SALARY

$100k-129k (estimate)

POST DATE

10/29/2023

EXPIRATION DATE

05/24/2024

WEBSITE

sjchs.org

HEADQUARTERS

SAVANNAH, GA

SIZE

100 - 200

FOUNDED

2019

CEO

EDWENA FILLERS

REVENUE

$10M - $50M

INDUSTRY

Hospital

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About St. Joseph's/Candler

St. Josephs/Candler of Savannah, Georgia is a national Magnet-designated facility for nursing excellence, with a focus on the latest technologies and research. Its comprehensive network includes centers of excellence for oncology, cardiovascular, neurosciences, womens and childrens services, orthopedics and a variety of other disease specialties. SJ/C's Nancy N. and J.C. Lewis Cancer & Research Pavilion is one of only 16 original health systems selected as part of the National Cancer Institute's Community Cancer Centers Program, bringing the latest clinical trials and treatments to local commu...nities. Comprised of two of the oldest continuously operating hospitals in the United States, St. Josephs Hospital (1875) and Candler Hospital (1804), this not-for-profit health system serves 33 counties in southeast Georgia and the South Carolina Low Country and is the largest and only faith-based institution in the region. More
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