Description
Job Summary:
$10,000.00 Signing Bonus and Relocation Stipend Signing Incentives
This position (Quality Reviewer) sits with the VUMC Diagnostic Quality & Safety Laboratories team and reports directly to the Director of Quality, Compliance, and POCT, with responsibilities focused directly on laboratory billing. The Laboratory Billing Quality Reviewer supports the entire diagnostic laboratories, serving as a resource for management of billing CPT codes, obtaining lab billing issues resolution, performing billing audits.
The Laboratory Billing Quality Reviewer supports the Diagnostic Laboratories quality management program by accurately collecting and compiling data from the LIS and other applications and generating visual displays to facilitate data evaluation and analysis in order to improve patient care. The Laboratory Billing Quality Reviewer works with laboratory staff to meet regulatory requirements and prepare for inspections. The Laboratory Billing Quality Reviewer actively contributes to process improvement initiatives across the laboratories, leads quality projects, assists with quality meetings, and applies basic quality tools and principles.
Department/Unit Summary:
Vanderbilt University Medical Center (VUMC) has been rated the #1 Hospital in Nashville and the state of Tennessee by the US News & World Report. VUMC's Diagnostic Laboratories - consisting of Laboratory Client Services (LCS), Clinical Pathology Services (CPS), Diagnostic Molecular & Genetics Services (DMGS), and Anatomic Pathology Services (APS) - have state-of-the-art automation and exceptional employees to meet the demands of accurately and timely performance of tests, while providing our patients and their families with enhanced and exceptional care. VUMC is rated in the Top 100 Most Wired Hospitals with advanced LIS systems and technologies.
Vanderbilt's Diagnostic Laboratories support adult and pediatric care for inpatient and outpatient settings. Our fast-paced, team oriented culture gives you the opportunity to contribute to breakthroughs with healthcare advancements. We support your career growth with a comprehensive medical laboratory science program and an established Professional Advancement Ladder (PAL).
Position Shift:
Exempt, TVC Monday-Friday, 8am-4:30pm
Click here to Celebrate with the VUMC Diagnostic Laboratories
Discover Vanderbilt University Medical Center:
Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded and your abilities challenged. It is a place where your diversity -- of culture, thinking, learning and leading -- is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt's mission is to advance health and wellness through preeminent programs in patient care, education, and research.
VUMC Recent Accomplishments
Because we are committed to providing the best in patient care, education and research, we are proud of our recent accomplishments:
* US News & World Report: #1 Adult Hospital in Tennessee and metropolitan Nashville, named to the Best Hospitals Honor Roll of the top 20 adult hospitals, 10 nationally ranked adult specialty programs, with 3 specialties rated in the top 10 nationally, Monroe Carell Jr. Children's Hospital at Vanderbilt named as one of the Best Children's Hospital in the nation, with 10 out of 10 pediatric specialties nationally ranked.
* Healthcare's Most Wired: Among the nation's 100 "most-wired" hospitals and health systems for its efforts in innovative medical technology.
* Becker's Hospital Review: named as one of the "100 Great Hospitals in America", in the roster of 100 Hospitals and Health Systems with Great Oncology Programs and to its list of the 100 Hospitals with Great Heart Programs.
* The Leapfrog Group: One of only 10 children's hospitals in the to be named at Leapfrog Top Hospital.
* American Association for the Advancement of Science: The School of Medicine has 112 elected fellows
* Magnet Recognition Program: Received our third consecutive Magnet designations.
* National Academy of Medicine: 22 members, elected by their peers in recognition of outstanding achievement
* Human Rights Campaign Healthcare Equality Index: 6 th year in a row that Vanderbilt University Medical Center was a Leader in LGBTQ Healthcare Equality.
KEY RESPONSIBILITIES:
- Performs initial assessment of data to assure accuracy and validate reasonableness.
- Compiles data and prepare reports for various standing and ad hoc inter - and intra-departmental meetings which require data from Clinical Laboratories operations.
- Properly maintains quality management documents and data according to defined requirements by regulatory agencies, as well as hospital and department policies.
- The responsibilities listed are a general overview of the position and additional duties may be assigned.
TECHNICAL CAPABILITIES:
DATA COLLECTION - (NOVICE): - Able to clearly define the goals and objectives of the data collection task. Demonstrates the ability to collect data critical to the preparation of proposals, the accomplishment of interviews, and client, vendor and team requirements. Successfully performs a basic data collection process within the context of assignments. Helps prepare surveys and questionnaires. Has conducted simple face-to-face and/or telephone interview surveys.
DATA ANALYSIS - (NOVICE): - Possesses sufficient fundamental proficiency to successfully demonstrate data analysis in practical data analysis applications of moderate difficulty. Navigates within established technology environments to locate, validate, extract, and format data for data analysis. Able to modify and run queries and standard reports from data tools and provide to users. Can identify data values and data sources. Is familiar with data modeling. Is able to interview business customers to elicit data requirements and understand the relationships between data items.
QUALITY MANAGEMENT - (NOVICE): - Has provided continuous analysis and evaluation of assignment work processes, constantly striving for improvement in the way tasks and activities are accomplished by questioning their value to the process and contributing creative solutions. Has participated in the process of establishing, communicating and monitoring standards for quality and excellence. Demonstrates the ability to actually work on and improve a current business process, product or service.
QUALITY ASSURANCE & COMPLIANCE - (NOVICE): - Can explain and apply basic statutory instructions in normal situations on the job. Demonstrates sufficient expertise and knowledge of process improvement, quality assurance and/or programs. Understands the principles upon which the rules and regulations are based. Demonstrates a commitment to continuous quality improvement and ensures compliance with a federal, state and local regulations as well as VUMC policies and procedures. Appropriately escalates problems relating to rules and regulations in timely and effective manner.
CORE ACCOUNTABILITIES:
- Organizational Impact: Independently delivers on objectives with understanding of how they impact the results of own area/team and other related teams.
- Problem Solving/ Complexity of work: Utilizes multiple sources of data to analyze and resolve complex problems; may take a new perspective on existing solution.
- Breadth of Knowledge: Has advanced knowledge within a professional area and basic knowledge across related areas.
- Team Interaction: Acts as a go-to resource for colleagues with less experience; may lead small project teams.
CORE CAPABILITIES:
SUPPORTING COLLEAGUES (P3):
- - Develops Self and Others: Invests time, energy and enthusiasm in developing self/others to help improve performance and gain knowledge in new areas.
- - Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.
- - Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences.
DELIVERING EXCELLENT SERVICES (P3):
- - Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.
- - Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.
- - Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness.
ENSURING HIGH QUALITY (P3):
- - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.
- - Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them.
- - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring.
MANAGING RESOURCES EFFECTIVELY (P3):
- - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.
- - Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.
- - Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities.
FOSTERING INNOVATION (P3):
- - Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.
- - Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.
- - Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements.
