Director, Lab Billing and Coding Compliance

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 diverse 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. Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has the chance to thrive and 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.

Organization:

Director's Administration

Job Summary:

Vanderbilt University Medical Center (VUMC) is seeking to hire a Director, Lab Billing & Coding Compliance who will report directly to the Senior Vice President of the Diagnostic Laboratory Services.

The Director will provide overall leadership for lab billing and coding compliance for the Vanderbilt Medical Laboratories, working in cooperation with Finance and lab leadership.

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KEY RESPONSIBILITIES

• Develop goals and objectives for ensuring the laboratories coding and billing appropriately.
• Develop and maintain the billing system in laboratory information system consistent with regulatory billing requirements.
• Work closely with Finance leaders to review lab billing and address opportunities, such as payment denials.
• Plan to achieve goals or establish priorities.
• Help department understand, share and support the vision.
• Initiate changes in or develop new policies, procedures and/or methods for billing and coding.
• Analyze long-range impact of decisions and plans.
• Ensure the most effective operations of the department through program development, process improvement and coordination/integration of processes with other departments.
• Design, implement, and evaluate programs to maximize reimbursement.
• Standardize services, processes, resources, and practice to improve efficiency.
• Supervision to include responsibility for planning, coordinating, and controlling the work and procedures; provide advice/consultation to staff regarding billing and coding problems.
• Adjust work schedules or project priorities to meet emergencies or changing conditions.
• Participate on departmental and/or interdepartmental committees to address problems and facilitate information exchange about programs, problems, etc. Provide information to others (oral or written) to explain/clarify problems, issues or requests.
• Participate in periodic management meetings to keep top management informed of department problems and concerns.
• Analyze and evaluate ongoing department programs to identify areas where adjustments/improvements are needed.
• Develop staffing plans to ensure developmental objectives are being met.
• Define and achieve financial targets in support of business goals of the institution.
• Prepare an annual operating budget for a unit or department, including direct labor, material and supplies and services.
• Present and justify a proposed budget (operating and capital expenditure) to a management review committee.
• Evaluate organizational functions and structures to best determine the allocation and utilization of resources
• Analyze and evaluate budget variance to determine cause,
• Prepare justification or develop alternatives for cost containment/reduction
• Project future budgets based upon analysis of current operations.
• Create and exceed service standards utilizing key service dimension and from knowledge of patient/customer expectations and best practice.
• Establish service standards for the department and determine if service standards are compatible with financial targets.
• Ensure that the service standards are met or exceeded by utilizing customer satisfaction, best practices and market information to improve customer service and satisfaction.
• Create an organizational culture (both within and across departments) that provides a safe, satisfying and enriching environment for employees and provides a qualified, competent staff to meet patient needs.
• Provide leadership to promulgate the mission and the values of the institution to the department.
• Model behavior consistent with the mission, vision, and values of the enterprise through leading, co