Laboratory Operational Finance and Compliance Director (ORMC)

Essential Functions

• Leadership & Strategy
• Readily available to provide consultation and interpretation of laboratory billing and compliance. Counsel and advise team members on laboratory compliance regulations and laboratory billing requirements.
• Leads billing team across OH footprint.
• Offers explanations for variances and assists in the selection of appropriate follow-up to address a concern when needed.
• Serves as a resource in the resolution of healthcare system-wide issues.
• Maintain a productive working relationship with other affiliate hospitals, laboratory departments, laboratory and center administrations, other areas/departments of the Medical Center and the medical community to accomplish goals.
• Serves as a mentor in laboratory compliance and lab billing administrative procedures.
• Actively participates in the educational programs for Orlando Health team members, including students, residents, and fellows.
• Operational Management
• Participate in interdisciplinary teams to assess overall systems integration.
• Provide direct leadership in the development of laboratory policies and procedures that support operations, compliance, and quality.
• Participates in the implementation of new equipment and new tests, ensures accuracy of test, CPT and LOINC codes.
• Participates in IT test implementation, working with revenue on pricing and EPIC testing to ensure accuracy.
• Directs the OH laboratory compliance and billing program.
• Financial Oversight & Budgeting
• Directly accountable for ensuring all workqueques outliers are addressed timely.
• Demonstrates and regularly monitors compliance with approved programs, budgets, and fiscal activities.
• Collaboration & Communication
• Foster productive working relationships with hospital leadership, medical group representatives, and cross-functional teams to promote integrated care and streamlined services.
• Partner with clinical staff to ensure that laboratory services support and enhance patient care.
• Communicate effectively with stakeholders, providing regular updates on quality operations, accreditation, metrics, and key initiatives.
• Regulatory Compliance & Quality Assurance
• Ensure compliance with all applicable federal, state, and local regulations, as well as industry standards.
• Initiates action and provides leadership for performance improvement initiatives directly related to compliance or lab billing within the laboratories.
• Participates in survey readiness activities.
• Plan, design and/or adapt information management system(s) in conjunction with LIS/IS, optimizing the system(s) to meet internal and external needs, including the following: confidentiality, privacy, security, accessibility, and resolution of complaints.
• Immediately address and assess any issues and/or complaints regarding patient safety. In conjunction with the laboratory leadership, complete a thorough investigation which results in a corrective action plan to address the concern.

Other Related Functions

• Strong leadership and interpersonal skills with the ability to build collaborative relationships across departments.
• Expertise in laboratory compliance, regulatory requirements, and quality standards.
• Excellent communication, problem-solving, and project management skills.

Education/Training

• Master’s degree in Laboratory Science, Healthcare Administration, Business Administration, or relevant field preferred.

Licensure/Certification

• Certification by the American Society for Clinical Pathology (ASCP) or equivalent preferred.
• Certified Billing and Coding Specialist (NHA) preferred.
• Certified in Healthcare Compliance (CHC) preferred
• Lean Six Sigma, Green, or Black Belt preferred.

Experience

• Eight (8) years of relevant experience, with a minimum of three (3) years in laboratory billing, coding, or compliance preferred