Blue Ridge Radiologists

General

• The Virtual Sitter/Patient Observer provides continuous observation and surveillance of assigned patients.
• First line of action is to verbally redirect the patient from engaging in at risk behaviors.
• Summons the nursing staff if the patient requires assistance.
• Knowledgeable and supportive of patient and institutional confidentiality and related hospital policies.
• The Virtual Sitter/Patient Observer will be assigned to different units based on staffing needs.
• Responsible for one-on-one direct, continuous observation for the purpose of injury prevention of patients who might be at high risk to injure themselves or others due to confusion, delirium, self-destructive behavior, or a high likely hood of falling.
• Responsible for keeping the patient in his/her line of vision at all times and working with others in the healthcare team to assure prompt intervention to prevent physical harm to patients ensuring optimal patient safety and patient comfort.

Virtual Sitter/Patient Observer – Float Pool

Financial Planning and Analysis

• Supports the administration and payroll reconciliation of employer-sponsored retirement plans, FSAs, and HSAs in a complex, multi-platform environment.
• Reconciles data across HCM, payroll, and vendor systems to ensure accuracy of team member and employer contribution records, identifying and resolving discrepancies and coordinating corrections with internal teams and external vendors on a bi-weekly basis.
• Key responsibilities include retirement plan, FSA, and HSA reconciliations, validation of contribution accuracy, and alignment of payroll and vendor files.
• Supports retirement wellness initiatives, communication strategies, and participant engagement to drive enrollment and completion of required actions.

Benefits Analyst – Retirement & Financial

Health Information Specialist

• Reviewing clinical documentation as appropriate to extract data and accurately assign proper facility level CPT based on set algorithm and coding metrics
• Under the supervision of the HIM Coding Manager, perform duties assigned that include excellent communication, accurate leveling and data entry
• Accurately assign appropriate facility levels and procedure codes for all ED/OBS service within accordance of the CPT and CMS guidelines
• Communicate effectively with providers/office manager/auditors/billing department to ensure the highest level of service is being captured
• Review providers dictation as needed to ensure all documentation is accurate

Charge / Code Capture Specialist – Health Information Management

IT Support

• Provide scheduling, pre-registration and other pre-visit revenue cycle services and a variety of general information requested by our customers.
• Inform patients of any/all necessary pre-procedure preparations including any procedure pre-requisite requirements.
• Provide aforementioned services for various service lines and modalities across the organization per physician orders/referrals and/or customer calls or inquiries with an emphasis on exceptional customer experience.
• Schedules appointments in accordance with physician and/or patient requests with emphasis on filling first available appointment and considering payer pre-authorization time-frames.
• Position plays a critical role in supporting Augusta Health’s mission and advancing departmental goals through measurable performance indicators and service excellence.
• Identify, document and follow up on problematic issues that prevented successful and timely transmission of accurate claims.
• Oversee assigned accounts receivable to ensure claims are being processed to completion, through generating aging reports, processing unclean claims in a timely manner and accurate follow up on unresolved claims.

Pre-Visit Specialist I – Call Center

Medical Billing and Coding

• Accurately enter ABS data (e.g. Surgeon name, procedure date, discharge disposition, admit diagnosis, POA status, etc.) 95% + Accuracy
• Meets or exceeds bill drop dates/AR expectations
• Consistently monitors and manages AR to facilitate dropping of pending, old, or problematic accounts of assigned locations in accordance with 30-Day Bill Drop policy.
• Accurately reports principal diagnosis in keeping with the most current AHA Coding Clinic and ICD-10-CM/ICD-10CM guidelines. 95% + Accuracy
• Manages NCCI and OPPS edits in compliance with industry regulations. Appends modifiers to charges when appropriate.
• Identifies and reports to supervisor recurring charge issues that can be addressed with ancillary department managers.
• Generates appropriate query selection based on clinical evidence established in the patient medical record.
• Maintains established Productivity Standards Same Day Surgery: 6 accounts per hour Observation: 5 accounts per hour.
• Emergency Room: 12 accounts per hour. Ancillary encounters: 30 accounts per hour.
• Meets or exceeds the expected DRG/APC accuracy rate of 95% Diagnosis and procedural codes applied to accounts result in the appropriate DRG or APC assignment(s)

Virtual Sitter/Patient Observer – Float Pool

Benefits Analyst – Retirement & Financial

Charge / Code Capture Specialist – Health Information Management

Pre-Visit Specialist I – Call Center

Coder II