The Intensive Care Unit technician (ICU Tech) position is part of the healthcare team in the Adult Critical Care Cluster. The ICU tech performs tasks of direct and indirect patient care under the supervision of a Registered Nurse and as directed by the department nurse manager. The ICU tech will provide assistance in the maintenance of supplies pertaining to the ICU, and will assist with quality assurance activities for the ICU. This individual has the ability to communicate data reflective of the patients’ status and delegated tasks to the RN or LIP in charge of patient care. The ICU tech assists the patient, patients’ families, visitors, nursing staff, and other support staff to assure the delivery of quality care in a safe and comfortable environment. ICU Techs contribute to the success of the department and support of team members.

Customer Service:   - Provide the highest level of customer service to both external customers (patients and their families, referring providers, insurance carriers, etc.) and internal customers (OHSU health care providers and staff) that meet or exceed the service standards of the health care industry. - This duty includes prompt and professional communication efforts, face-to-face customer contact skills, crisis management, facility with available information technology, standard complaint processing, flexible coverage of internal service needs and the continuous application of process improvement methods and skills. Additional Business Functions/Duties / Coordination/Staff Resource: - When called upon to do so, shares business expertise and disseminates business and clinical information to PAS Specialists within the Department.   - Instruct co-workers as needed in Epic.   - Maintains a service-based working knowledge of diagnostic and procedural coding.   - Provides on the job training, orientation, guidance and coaching for new PAS personnel in the service area. Call Processing:  - As needed, responsible for connecting the patient with the appropriate individual to progress their care in the clinic; Transfers calls as needed, creates telephone encounters, contacts nursing coordinators, and pages providers and staff as needed per circumstance; Scheduling and managing of patient access to Center for Hematologic Malignancies Clinic; Create telephone calls from patients in the EMR which will include accurate documentation of requests for medication refills, complaints, general information inquiries and urgent health care concerns;  Triage calls to the appropriate staff for patient care /needs assessment; Process call (answering, screening, routing, paging etc.) in a timely, polite, professional  manner;  Route calls to appropriate conclusion; Provide information to callers, including directions, addresses and hours of operation; Use schedules and departmental procedures to locate appropriate on-call person for internal and external callers; Understand and process calls per departmental policy for each encounter type (ie refill, telephone, documentation, etc); As needed, expected to take 10% of incoming volume of clinic calls. Check-in/Checkout: - Checks in and out clinic, procedure, and infusion appointments.     - This includes, but is not limited to careful review of insurance benefits, demographic information, confirming insurance eligibility, and /or authorization, and complex provider and infusion scheduling.   - Checks patient account numbers and corrects any problems, seeking advice from Central Registration as required.   - Ensures that all appointment comment information is accurate and completed.   - Identifies and updates deductible payments, co-payments, and prepayment requirements. - Proper use of OHSU forms and documentation required for all patients. Scheduling:  - Coordinate high volume of complicated patient care appointments, procedures, and infusion treatments as directed by physician and/or nurse staff; Serves as a liaison and information resource for physicians, and nursing support staff; Return phone messages; Prepare and mail patient information packets; Direct patients to appropriate providers for other health care issues; Complete and route direct referrals to other clinical services; Enter patient information accurately into the electronic medical record when necessary.  Maintains a service-based working knowledge of oncology practice. - Is responsible for verifying patient eligibility and securing referral/authorization prior to the outpatient appointment or inpatient admission. - The authorization process includes, but is not limited to, putting referral information on-line, obtaining authorization to provide care from the insurance company, identifying how much of the patient’s deductible has been met, determining how much of an education benefit has been exhausted, tracking the number of visits used per authorized, following up on referrals for return appointments, and other miscellaneous tasks. - Obtains managed care authorizations for all consultations, procedures, office visits, and care arrangements by scheduling appointments and contacting other ancillary and clinical services as needed. Applies problem solving and negotiating skills in resolving patient concerns and managed care related problems.  Integrated Care: - Obtain prior medical records and studies when appropriate; Responsible for obtaining, recording, tracking, and verifying referrals and authorizations for the respective outpatient clinic and lab visits when necessary.   Administrative Duties:   - Faxing; Letter queues; Use right fax to send outgoing fax notification re: referral receipt; Other duties as assigned.

Registration - Accurately verify patient information including demographic & insurance coverage. Make updates via Epic when necessary. - Accurately create new medical records for a new OHSU patient if they are currently not in Epic. New Patient Scheduling - Receive incoming phone calls via the Automated Call Distributor (ACD). - Work the referral work queue to schedule patients. Assess the patient’s needs based on diagnosis and previous treatments. - Schedule/hold patient appointments following protocol for assigned departments, documenting all necessary information. - Triage information to the appropriate clinical parties via Inbasket. - Monitor daily the Intake outlook inbox. Triage faxes to appropriate parties within the team. - Monitor daily the Epic Pool and personal Intake basket daily - If needed, contact referring provider/practice to obtain necessary clinical and demographic information. - Communicate with other departments and referring provider practices to achieve optimal care coordination for medical or financially fragile patients - Consistently answer telephones in a timely manner and within defined standards. - Monitor access issues with provider schedules that affect patient satisfaction and communicate issues to team leader - Triage phone calls and transfer to appropriate practice using the defined ambulatory standards - Proactively perform outbound call work. This includes calling patients to inform them of a referral in our system and to actively schedule those patients. - Obtain, verify and input all information accurately into appropriate system - Clearly and thoroughly document any and all actions taken on a referral based on department protocols in the EPIC Referral - Verify correct department for referral based on Intake matrix.  - Route referral to correct practice in the event of a misrouted referral. - Communicate with supervisor/manager if the established expectations cannot be met in the timeframes given. - Capture all outside medical records listed on the intake matrix and scan them into EPIC. Alternatively, create the link for CareEverywhere and notify provider where the records can be located - Use the wait list work queue to ensure provider slots are full. - Create and send new patient packets for scheduled appointments Patient Satisfaction - This position is a key contributor to patient satisfaction initiatives with the OHSU Ambulatory clinics. This position has a direct effect on patient experience metrics re: access and appointment scheduling. - Resolve patient inquiries or escalate to higher levels for solution - Escalate all complaints to manager or supervisor, utilizing established chain of command - Demonstrate courteous and professional behavior when dealing with patients/staff at all times - Manages a positive patient experience at all times Customer Service: - At all times must exemplify high quality customer service to both external customers as well as internal customers that meets or exceeds the service standards as set by OHSU. - This duty includes prompt and professional communication efforts, high level conflict resolution, flexible coverage of internal service needs, continuous application of process improvement methods and skills, crisis management, & developing a standard complaint process for process improvement. Other - Other duties as assigned

Customer Service:   - Provide the highest level of customer service to both external customers (patients and their families, referring providers, insurance carriers, etc.) and internal customers (OHSU health care providers and staff) that meet or exceed the service standards of the health care industry. - This duty includes prompt and professional communication efforts, face-to-face customer contact skills, crisis management, facility with available information technology, standard complaint processing, flexible coverage of internal service needs and the continuous application of process improvement methods and skills. Additional Business Functions/Duties / Coordination/Staff Resource: - When called upon to do so, shares business expertise and disseminates business and clinical information to PAS Specialists within the Department.   - Instruct co-workers as needed in Epic.   - Maintains a service-based working knowledge of diagnostic and procedural coding.   - Provides on the job training, orientation, guidance and coaching for new PAS personnel in the service area. Call Processing:  - As needed, responsible for connecting the patient with the appropriate individual to progress their care in the clinic; Transfers calls as needed, creates telephone encounters, contacts nursing coordinators, and pages providers and staff as needed per circumstance; Scheduling and managing of patient access to Center for Hematologic Malignancies Clinic; Create telephone calls from patients in the EMR which will include accurate documentation of requests for medication refills, complaints, general information inquiries and urgent health care concerns;  Triage calls to the appropriate staff for patient care /needs assessment; Process call (answering, screening, routing, paging etc.) in a timely, polite, professional  manner;  Route calls to appropriate conclusion; Provide information to callers, including directions, addresses and hours of operation; Use schedules and departmental procedures to locate appropriate on-call person for internal and external callers; Understand and process calls per departmental policy for each encounter type (ie refill, telephone, documentation, etc); As needed, expected to take 10% of incoming volume of clinic calls. Check-in/Checkout: - Checks in and out clinic, procedure, and infusion appointments.     - This includes, but is not limited to careful review of insurance benefits, demographic information, confirming insurance eligibility, and /or authorization, and complex provider and infusion scheduling.   - Checks patient account numbers and corrects any problems, seeking advice from Central Registration as required.   - Ensures that all appointment comment information is accurate and completed.   - Identifies and updates deductible payments, co-payments, and prepayment requirements. - Proper use of OHSU forms and documentation required for all patients. Scheduling:  - Coordinate high volume of complicated patient care appointments, procedures, and infusion treatments as directed by physician and/or nurse staff; Serves as a liaison and information resource for physicians, and nursing support staff; Return phone messages; Prepare and mail patient information packets; Direct patients to appropriate providers for other health care issues; Complete and route direct referrals to other clinical services; Enter patient information accurately into the electronic medical record when necessary.  Maintains a service-based working knowledge of oncology practice. - Is responsible for verifying patient eligibility and securing referral/authorization prior to the outpatient appointment or inpatient admission. - The authorization process includes, but is not limited to, putting referral information on-line, obtaining authorization to provide care from the insurance company, identifying how much of the patient’s deductible has been met, determining how much of an education benefit has been exhausted, tracking the number of visits used per authorized, following up on referrals for return appointments, and other miscellaneous tasks. - Obtains managed care authorizations for all consultations, procedures, office visits, and care arrangements by scheduling appointments and contacting other ancillary and clinical services as needed. Applies problem solving and negotiating skills in resolving patient concerns and managed care related problems.  Integrated Care: - Obtain prior medical records and studies when appropriate; Responsible for obtaining, recording, tracking, and verifying referrals and authorizations for the respective outpatient clinic and lab visits when necessary.   Administrative Duties:   - Faxing; Letter queues; Use right fax to send outgoing fax notification re: referral receipt; Other duties as assigned.

Scheduling: - Schedules patient appointments. Obtains medical records. Creates a medical record if needed.  Arranges transport stretchers, wheelchairs, and interpreters, and accommodates other special needs. Provide personal reminders to patients about upcoming appointments.  - Arranges and coordinates associated clinical, diagnostic, or laboratory services; may obtain or support authorization process. - Triage incoming patient referrals in the referral work queue, correspond with providers to discuss referral details, and schedule accordingly. May direct some referrals to other clinics and clinical services. Initiates authorization requests for subsequent care. - Checks out patients and schedules any requested follow up diagnostic, laboratory, and clinic appointments. - Provider template maintenance and appointment rescheduling when needed. - Manage and coordinate appointments, events, and schedules. - Prepare, edit, and collate correspondences, agendas, materials, and documents. - Assists in scheduling surgeries, maintaining information regarding surgery schedules, and correspond with the surgery office to maintain an avenue of communication and serve as a liaison and information resource for the nursing team, radiation therapists, and physicians. Clinic Support:  - Greets patients and confirms admission details and/or purpose for visit. Inspects insurance and identification cards and ensures accuracy of demographics, registration and billing information for the visit, updating as needed. Determines urgent/emergent medical situations and activates the rapid response team or engages the assistance of nursing staff to assist. - Answer department phone lines: Triage calls; provide information about OHSU services, procedures, and policies accurately and appropriately. Effectively and independently evaluates the urgency of incoming matters and escalates appropriately. - Verifies insurance coverage is currently active. Identifies and collects deductible payments, co-payments, and deposits on services; provides receipts and completes necessary accounting procedures. Explains and satisfies any necessary patient signature requirements. Manage patient valuables process. Validates parking. - Opens and closes clinic. Overtime may be required if needed to support safe environment for patients. - Determines appropriate billing for type of service patient will receive. Knowledgeable about and provides patient education regarding OHSU financial assistance and pre-service or co-pay payment policy, Patient Rights, Advance Directive, CMS and Medicare rules, and use of patient information and/or specimens in OHSU research.  - Triage incoming faxes; scan and/or distribute accordingly - Gathers and/or verifies patient information including demographics, insurance coverage, and financial status. Confirms patient eligibility for health care coverage and clarifies any managed care arrangements. Obtains authorizations for clinical care, procedures, and laboratory studies.  Enters all information accurately into the medical record.  Follows up on pending authorizations until they are obtained. Contacts patients in advance of future services to pre-register, validate billing information, discuss payment requirements, and collect pre-service deposits via telephone.  - Collect and accurately documents inquiries from patients including complaints, general information, preparation for upcoming admissions, financial and billing information, and directs patients to appropriate resources for other health care related issues. Route such information or requests promptly to the appropriate staff member. Provides registration and admitting process support to other OHSU departments. - Create and maintain files, including both hard copy and electronic document management systems. - Administrative support for clinic, including data entry, scanning, copying, medical records requests, etc. Continuous Quality Improvement: - Participate in and lead continuous quality improvement initiatives. - Identify process improvement opportunities and provide input to leadership on how to enhance the quality and efficiency of the work performed and/or departmental processes. Other duties as assigned: Other special projects, as assigned. 

Registration - Accurately verify patient information including demographic & insurance coverage. Make updates via Epic when necessary. - Accurately create new medical records for a new OHSU patient if they are currently not in Epic. New Patient Scheduling - Receive incoming phone calls via the Automated Call Distributor (ACD). - Work the referral work queue to schedule patients. Assess the patient’s needs based on diagnosis and previous treatments. - Schedule/hold patient appointments following protocol for assigned departments, documenting all necessary information. - Triage information to the appropriate clinical parties via Inbasket. - Monitor daily the Intake outlook inbox. Triage faxes to appropriate parties within the team. - Monitor daily the Epic Pool and personal Intake basket daily - If needed, contact referring provider/practice to obtain necessary clinical and demographic information. - Communicate with other departments and referring provider practices to achieve optimal care coordination for medical or financially fragile patients - Consistently answer telephones in a timely manner and within defined standards. - Monitor access issues with provider schedules that affect patient satisfaction and communicate issues to team leader - Triage phone calls and transfer to appropriate practice using the defined ambulatory standards - Proactively perform outbound call work. This includes calling patients to inform them of a referral in our system and to actively schedule those patients. - Obtain, verify and input all information accurately into appropriate system - Clearly and thoroughly document any and all actions taken on a referral based on department protocols in the EPIC Referral - Verify correct department for referral based on Intake matrix.  - Route referral to correct practice in the event of a misrouted referral. - Communicate with supervisor/manager if the established expectations cannot be met in the timeframes given. - Capture all outside medical records listed on the intake matrix and scan them into EPIC. Alternatively, create the link for CareEverywhere and notify provider where the records can be located - Use the wait list work queue to ensure provider slots are full. - Create and send new patient packets for scheduled appointments Patient Satisfaction - This position is a key contributor to patient satisfaction initiatives with the OHSU Ambulatory clinics. This position has a direct effect on patient experience metrics re: access and appointment scheduling. - Resolve patient inquiries or escalate to higher levels for solution - Escalate all complaints to manager or supervisor, utilizing established chain of command - Demonstrate courteous and professional behavior when dealing with patients/staff at all times - Manages a positive patient experience at all times Customer Service: - At all times must exemplify high quality customer service to both external customers as well as internal customers that meets or exceeds the service standards as set by OHSU. - This duty includes prompt and professional communication efforts, high level conflict resolution, flexible coverage of internal service needs, continuous application of process improvement methods and skills, crisis management, & developing a standard complaint process for process improvement. Other - Other duties as assigned

INSTRUMENT PROCESSING Performs testing in all sections of OHSU Community Oncology Laboratory with accuracy, speed and efficiency using Sysmex XT 4000, Sysmex 1000, Integra 400 plus, Beckman Coulter Access, Abbott Piccolo Express, Microscope.  Follows all written procedures, policies and guidelines.   SAMPLE PREPARATION Prepares patient samples for testing.  Determines acceptability of specimens and results.  Repeats specimen testing as necessary to ensure accuracy.  Reports results via computer and phone.   RESULT VALIDATION Ensures all patient data, both internal and send out testing, is received and documented in the patient Electronic Medical Record (EMR).  Recognizes Critical Value results and immediately responds by notifying the appropriate provider.   INSTRUMENT MAINTENANCE Calibrates and performs routine maintenance on analytic analyzers.  Uses problem solving skills to troubleshoot when indicated by patient or quality control results.   COMPUTER SKILLS Performs required work using computer programs:  EPIC, Word, Excel, Portal, E-chart and basic navigation of Community Hematology Oncology computer files.   QUALITY CONTROL Performs all quality control (QC) and quality assurance (QA) tasks.  This includes, but is not limited to:  daily analyzer controls, instrument function checks, Proficiency Testing, documentation of QA issues involving both patients and/or instrument problems.  Reports all QC and/or QA problems to the Laboratory Manager in a timely manner.   INVENTORY / SUPPLIES Maintains adequate laboratory supplies by performing regular stock inventories and processing supply orders as needed.  Maintains a clean environment within the laboratory.

- Provides high-quality customer service to both external customers (patients, referring providers, and insurance carriers) and internal customers that meets or exceeds the service standards of the health care industry. This duty includes prompt and professional communication, crisis management skills, facilitation with available information, technology, responsiveness to internal/external customers’ needs and requests, flexible coverage of internal services needs and the continuous process improvement methods and skills. Help investigate the nature of and solve communication problems between specialty offices and/or hospital. Edits and sends letters to outside providers. - Schedules clinic appointments and ancillary procedures; makes appointment reminder calls; Requests, receives and prepares previous medical history, scans and lab results for new patients. Arranges ancillary appointments and interpreters when necessary, and accommodates other special needs whenever possible. Provides personal reminders by telephone to patients about upcoming appointments. Arranges associated clinical, diagnostic, or laboratory services; obtains authorizations when necessary. Directs patients to appropriate providers for other health care issues. Contacts primary care physicians or their designees to obtain authorizations for urgent care. Schedules return appointments; initiates authorization requests for subsequent care. Mails new patient information packets to new patients.Process incoming mail and faxes. - Aids managed care authorizations for all consultations, procedures, office visits, and care arrangements by scheduling appointments and contacting other ancillary and clinical services as needed. Applies problem solving and negotiating skills in resolving managed care related issues with patients. - Gathers and/or verifies patient information including demographics, insurance coverage, and financial status. Confirms patient eligibility for health care coverage and clarifies any managed care arrangements; confirms and/or obtains prior approval referrals and authorizations for clinic visits and procedures. Responsible for the follow up work queue to investigate missing information or denied claims. Assist with letters to appeal denied claims. - Triages and documents accurately telephone calls from patients including requests for medication refills, complaints, general information inquiries, and urgent health care concerns into EPIC. Delivers such information or requests promptly to the appropriate providers or their designees through EPIC in basket messages and telephone encounters. - Proofread and edit communications to referring providers; clearly and effectively communicate with schools regarding physical limitations and special accommodations for patients. Type business related correspondence, receives, opens, organizes, reviews and distributes mail. Responds to mail that is appropriate to be handled by PAS Specialist. Prepares and offers any additional assistance to faculty as required. Assists Division Manager with administrative and clinical duties as assigned and other general office activities. Maintains clean and organized workstation and office.

Customer Service: - Provide the highest level of customer service to both external customers (patients and their families, referring providers, insurance carriers, etc.) and internal customers (OHSU health care providers and staff) that meet or exceed the service standards of the health care industry. - This duty includes prompt and professional communication efforts, face-to-face customer contact skills, crisis management, facility with available information technology, standard complaint processing, flexible coverage of internal service needs and the continuous application of process improvement methods and skills. Call Processing:  - Responsible for connecting the patient with the appropriate individual to progress their care in the clinic; Transfers calls to schedulers as needed, creates telephone encounters, contacts nursing coordinators, and pages providers and staff as needed per circumstance; Scheduling and managing of patient access to the Hematology/Oncology and Center for Hematologic Malignancies groups. - Create telephone calls from patients in the EMR which will include accurate documentation of requests for medication refills, complaints, general information inquiries and urgent health care concerns;  Triage calls to the appropriate staff for patient care /needs assessment; Process call (answering, screening, routing, paging etc.) in a timely, polite, professional  manner;  Route calls to appropriate conclusion; Provide information to callers, including directions, addresses and hours of operation; Use schedules and departmental procedures to locate appropriate on-call person for internal and external callers; Understand and process calls per departmental policy for each encounter type (ie refill, telephone, documentation, etc); Expected to take 30%-33% of incoming volume of clinic calls. Check-in/Checkout:  - Checks in and out clinic, procedure, and infusion appointments. - This includes, but is not limited to careful review of insurance benefits, demographic information, confirming insurance eligibility, and /or authorization.  - Checks patient account numbers and corrects any problems, seeking advice from Central Registration as required.  - Ensures that all appointment comment information is accurate and completed.  - Identifies and updates deductible payments, co-payments, and prepayment requirements. - Proper use of OHSU forms and documentation required for all patients. Scheduling:  - Coordinate patient care appointments and managed care as directed by physician and/or nurse staff;Serves as a liaison and information resource for physicians, and nursing support staff; Return phone messages; Prepare and mail patient information packets; Direct patients to appropriate providers for other health care issues; Complete and route direct referrals to other clinical services; Enter patient information accurately into the electronic medical record when necessary.  - Maintains a service-based working knowledge of oncology practice. Integrated Care: - Obtain prior medical records and studies when appropriate; Responsible for obtaining, recording, tracking, and verifying referrals and authorizations for the respective outpatient clinic and lab visits when necessary.  Administrative Duties:   - Faxing; Letter queues; Use right fax to send outgoing fax notification re: referral receipt; Mail sorting; Other duties as assigned.

Medical Laboratory Science Bench Duties - Perform routine lab testing; accurately record results and interpretations by computer entry and/or legibly in writing. - Use lab instruments, supplies and equipment responsibly and according to lab and manufacturer's guidelines and Transfusion Service procedures. - Perform complex serologic testing to resolve problems encountered in routine testing, accurately record results and interpretations. - Obtain consult to resolve issues. - Recognize incorrect or unusual blood product orders and take steps to modify the order after consult with patient physician or Transfusion Service medical staff or resident. - Maintain and manage an adequate inventory of perishable blood products and ensure that excessive wastage does not occur. - Choose appropriate blood products for patients based on urgency of need, available inventory, lab results, and therapeutic requirements. - Prepare blood components; document preparation, and label correctly. - Sign in blood products received from Red Cross with appropriate documentation. Issue and receive blood products to and from patient care areas. - Document transactions involving blood products correctly and legibly, i.e., receive/issue documentation; verbal orders; and orders placed with Red Cross, etc. - Follow established policies and procedures, but also have knowledge and authority to modify in special situations; bring these to the attention of the Technical Coordinator, Manager, or Medical Director. Seek guidance from or notify the Technical Coordinator, Manager, Medical Director, or Resident, when appropriate. - Train new personnel and mentor personnel in Transfusion Service procedures and policies while promoting excellent customer service, communication and teamwork. - Guide, instruct, and evaluate Medical Technician and Medical Laboratory Scientist students. - Ensure department specific turn-around times are met for tests, products and services.

This level 3 coding positions provides support to the Enterprise Coding Department for coding highly specialized services. This position covers requires advanced coding experience in highly specialized areas of coding and requires certification with AAPC or AHIMA. - For Professional Services coding positions: Depending on the posted job need, this position is responsible for reviewing clinical documentation and applying the correct coding and modifiers to complex Specialty surgical procedures and/or other highly specialized services such as ED, Interventional Radiology, Neurosurgery, Orthopedics, Trauma, Critical care and may include integrated desks (i.e. coding both professional and facility services for the same patient). This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is in compliance with Medicare/Medicaid billing regulations, and provider documentation guidelines, CPT documentation and CMS coding guidelines. - For Facility Services coding positions: Depending on the posted job need, this position is responsible for reviewing clinical documentation and applying the correct coding and modifiers to Inpatient records; Day Surgery/Observation surgical services; and/or other highly specialized services such as Infusions/Chemo. This position ensures that the documentation is in compliance with Medicare/Medicaid billing regulations, and provider documentation guidelines, CPT documentation and CMS coding guidelines. This position provides support to the Enterprise Coding Department for abstracting of records, coding, and charge router submission of Facility services rendered at OHSU. - Responsible for meeting performance standards set for accurate and timely submission of charges and coding for professional and facility services rendered at OHSU. - Working in collaboration with Enterprise Coding Leadership and billing departments, provide technical expertise regarding a broad range of third-party payer and reimbursement issues. - Orient peer coders or new hires to specified coding assignments. - Requires maintaining an hourly productivity standard and quality standard as set by Enterprise Coding and based on Industry Standards. - Will require attendance of Enterprise Coding and Clinical Department meetings via conference call and WebEx. - Coding Work Queue assignment will vary based on business needs or management assignment.

Medical Laboratory Science Bench Duties - Perform routine lab testing; accurately record results and interpretations by computer entry and/or legibly in writing. - Use lab instruments, supplies and equipment responsibly and according to lab and manufacturer's guidelines and Transfusion Service procedures. - Perform complex serologic testing to resolve problems encountered in routine testing, accurately record results and interpretations. - Obtain consult to resolve issues. - Recognize incorrect or unusual blood product orders and take steps to modify the order after consult with patient physician or Transfusion Service medical staff or resident. - Maintain and manage an adequate inventory of perishable blood products and ensure that excessive wastage does not occur. - Choose appropriate blood products for patients based on urgency of need, available inventory, lab results, and therapeutic requirements. - Prepare blood components; document preparation, and label correctly. - Sign in blood products received from Red Cross with appropriate documentation. Issue and receive blood products to and from patient care areas. - Document transactions involving blood products correctly and legibly, i.e., receive/issue documentation; verbal orders; and orders placed with Red Cross, etc. - Follow established policies and procedures, but also have knowledge and authority to modify in special situations; bring these to the attention of the Technical Coordinator, Manager, or Medical Director. Seek guidance from or notify the Technical Coordinator, Manager, Medical Director, or Resident, when appropriate. - Train new personnel and mentor personnel in Transfusion Service procedures and policies while promoting excellent customer service, communication and teamwork. - Guide, instruct, and evaluate Medical Technician and Medical Laboratory Scientist students. - Ensure department specific turn-around times are met for tests, products and services.

This level 3 coding positions provides support to the Enterprise Coding Department for coding highly specialized services. This position covers requires advanced coding experience in highly specialized areas of coding and requires certification with AAPC or AHIMA. - For Professional Services coding positions: Depending on the posted job need, this position is responsible for reviewing clinical documentation and applying the correct coding and modifiers to complex Specialty surgical procedures and/or other highly specialized services such as ED, Interventional Radiology, Neurosurgery, Orthopedics, Trauma, Critical care and may include integrated desks (i.e. coding both professional and facility services for the same patient). This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is in compliance with Medicare/Medicaid billing regulations, and provider documentation guidelines, CPT documentation and CMS coding guidelines. - For Facility Services coding positions: Depending on the posted job need, this position is responsible for reviewing clinical documentation and applying the correct coding and modifiers to Inpatient records; Day Surgery/Observation surgical services; and/or other highly specialized services such as Infusions/Chemo. This position ensures that the documentation is in compliance with Medicare/Medicaid billing regulations, and provider documentation guidelines, CPT documentation and CMS coding guidelines. This position provides support to the Enterprise Coding Department for abstracting of records, coding, and charge router submission of Facility services rendered at OHSU. - Responsible for meeting performance standards set for accurate and timely submission of charges and coding for professional and facility services rendered at OHSU. - Working in collaboration with Enterprise Coding Leadership and billing departments, provide technical expertise regarding a broad range of third-party payer and reimbursement issues. - Orient peer coders or new hires to specified coding assignments. - Requires maintaining an hourly productivity standard and quality standard as set by Enterprise Coding and based on Industry Standards. - Will require attendance of Enterprise Coding and Clinical Department meetings via conference call and WebEx. - Coding Work Queue assignment will vary based on business needs or management assignment.

Customer Service: Provides high quality customer service to both external customers (patient, referring providers, and insurance carriers) and internal customers (OHSU health care providers and staff) that meets or exceeds the service standards of the health care industry. This duty includes prompt and professional communication efforts, face-to-face customer contact skills, crisis management, facility with available information technology, standard complaint processing, flexible coverage of internal service needs, and the continuous application of process improvement methods and skills.   Point of Service Operations: Greets patients and confirms that an appointment has been kept. Inspects insurance cards and/or authorization notices. Identifies and collects deductible payments, co-payments, and deposits on services; provides receipts and completes necessary accounting procedures. Verifies and updates the common data set on-line. Explains and satisfies any necessary patient signature requirements. Validates parking.   Arranged Care: Schedules new patient appointments on line and manually if necessary. Obtains prior medical records and studies if appropriate. Creates a medical record if needed. Arranges stretchers, wheelchairs, and interpreters when necessary, and accommodates other special needs whenever possible. Mails information packets. Provides personal reminders to patients about upcoming appointments. Obtains and prepares OHSU medical records before scheduled appointments.   Telecommunications: Triages and documents accurately telephone calls from patients including requests for medication refills, complaints, general information inquiries, and urgent health care concerns. Delivers such information or requests promptly to the appropriate providers or their designees.  

Coordinate refill processing and deliveries to ensure consistent medication and equipment supply for Home Infusion patients.    Assist pharmacist through performance of computer order entry of outpatient orders and filling unit dose medication orders.   Assist in inventory management by ensuring current Pharmacy inventory in line with expected need based on upcoming referrals and refill schedule.   Coordinate patient care by answering telephone, filing, medication profile update and maintenance.   Assist Pharmacist in obtaining necessary documentation including laboratory results, chart notes, etc.   Tracking of deliveries en route to ensure patients receive medication and supplies in a timely manner.   Perform other technician duties as assigned.

1. Surgical Preparation and Assistance. Checks schedule of surgeries to be performed during shift; reviews procedures by checking manuals outlining procedure and instruments needed; listens to dictation tape of physician performing surgical procedure, if available; assembles supplies and instruments such as needles, clamps, sponges, and scalpels; checks supplies and instruments for sterility and proper functioning; reviews preferences of physicians and nurses performing surgery; scrubs hands; arranges supplies and instruments in surgical procedure room; counts needles and sponges at start of surgery; under direction of physician or nurse, opens sterile packs, and hands instruments to surgeon; counts needles and sponges at end of surgery. 2. Post Operative Decontamination. After surgery, separates used and un-sterile supplies and equipment from those still sterilized; sterilizes instrument or sends un-sterilized instruments to central service to be sterilized; removes all disposable items such as sponges and gloves; disposes of contaminated blood and water; wipes down entire surgical procedure room with disinfectant including furniture, lamps, monitors, walls, and floors; removes all supplies not necessary for next surgical procedure.

- Communicate professionally with OHSU staff and third-party customers including departments and insurance companies to ensure timely and accurate processing of account transactions. Uses independent decision making in the moment acting as patient advocates in helping customers/patients satisfactorily resolve issues with our “one touch” philosophy. Each interaction will be handled promptly, efficiently, and courteously. Uses independent judgment to decide when to process Insurance adjustments. Identifies trends in problematic billing processes and escalates issues and proposed solutions to management for resolution. - Review Aged A/R along with WQ volume to independently prioritize work. Completes complex and variable billing claims for medical insurers, auto insurers, SAIF/Workers' Compensation insurers, managed-care contracts, special grants, government agencies and Student health clinics; ensures that all billing information is complete and accurate; ensures that billing claims are coded correctly and transferred to the appropriate parties when coding errors are discovered. - Trending provider activity and the denials that may arise. Researching and forwarding documentation for Revenue Cycle Business Analyst to present to department, including updating files with current regulations, policies, and procedures  - Promote and implement LEAN processes and other duties as assigned

Conducts psychosocial evaluations of patients/families and significant others including, but not limited to the following: adjustment to medical or health condition; care coordination; mental health status; adjustment/compliance to treatment process; substance usage; child and elder abuse/neglect assessments; domestic violence issues; cognitive status (including potential guardian issues); and patient/family resources. Provides crisis intervention and supportive short-term counseling to patients/families and significant others as necessary to meet immediate psycho-social needs including, but not limited to: Trauma/Emergency Department/ On Call/ Family Notification, CODE Response (family intervention); unanticipated change in health conditions/suicidal ideation; teenage pregnancy; single parent pregnancy/parenthood, domestic violence, child and elder abuse/neglect.   Provides grief/loss counseling and education regarding fetal demise; actual/pending death of patient//family member; complicated pregnancies; postpartum depression; chronic/acute stress associated with life circumstances; divorce/separation; loss of independence associated with illness or disability. Provides brief psychotherapy including: individual short-term psychotherapy; group work including information/support groups, family support, patient therapy); regarding but not limited to issues of adoption, abortion, domestic violence, family of origin, sexual/gender, substance abuse, parenting, relationship adjustment to disabilities and chronic or acute illness.  Provides patient advocacy and associated services to patient/family and other involved agencies/parties regarding decision-making; advance directives; ethics consultations; court holds; guardianship/conservatorship; citizenship cases; and social cultural factors Assess patient/family support needs regarding: transportation, housing, clothing and educational/patient vocational rehabilitation and training materials and refer to appropriate resources. Maintains accurate and timely documentation of patient care activities an efficient manner per departmental policies.   Participates in Department of Care Management and assigned service meetings, in services and conferences, as indicated including Complex Patient Interdisciplinary Rounds. Provides support to patient care staff following traumatic events through individual or group consultation.  Reviews literature on pertinent patient care/Social Work service issues and conducts in services regarding psychosocial patient care issues and Social Work services.  Meets in regularly scheduled supervisory sessions.   Participates in patient rounds as appropriate. Complete all OHSU/JCAHO mandatory education requirements and activities within established time lines. Yearly competencies as identified by department. 

Interprets and evaluates physician's orders and prescriptions for accuracy, completeness and appropriateness. Verify the accuracy and appropriateness of medications prepared and dispensed from the home infusion pharmacy. Supervise the activities and assume responsibility for all duties being performed by pharmacy technicians in your work areas.   Identifies, resolves and documents complex therapeutic problems, demonstrating advanced knowledge and application of this knowledge to a home infusion patient population.   Responds accurately to requests for drug information from physicians, nurses, patients and patient's families; independently reviews and interprets the literature and applies this information to specific patient care situations.   Monitors therapeutic response and adverse effects of medications to guide home infusion drug therapy. Consults with provider when questions or problems are identified. Appropriately reports all adverse drug reactions, drug defects, and medication errors.   Directs the work of students/residents and monitors and evaluates their performance.   Influences standards of therapy by forming peer level relationships with patient's physicians and all other care teams.   Assists in the development of treatment guidelines to be used in patients with specific diagnosis. Documents activities in the patient medical record, pharmacy monitoring profile, drug use evaluation data collection or adverse drug reaction reporting program.   Participates in both intra and interdepartmental education programs; participates in the development of peers.

Identifies, resolves and documents complex therapeutic problems, demonstrating advanced knowledge and application of this knowledge to a specific patient population.   Responds accurately to requests for drug information from physicians, nurses, patients and patient's families; independently reviews and interprets the literature and applies this information to specific patient care situations.   Monitors therapeutic response and adverse effects of medications to guide drug therapy. Consults with provider when questions or problems are identified. Appropriately reports all adverse drug reactions, drug defects, and medication errors.   Directs the work of students/residents and monitors and evaluates their performance.   Influences standards of therapy by forming peer level relationships with attending medical staff members; is recognized as a drug authority in a specialized practice area by physicians, nurses and pharmacists.   Assists in the development of treatment guidelines to be used in patients with specific diagnosis. Documents activities in the patient medical record, pharmacy monitoring profile, drug use evaluation data collection or adverse drug reaction reporting program.   Interprets and evaluates physician's orders and prescriptions for accuracy, completeness and appropriateness. Verify the accuracy and appropriateness of medications prepared and dispensed from the central pharmacy. Supervise the activities and assume responsibility for all duties being performed by pharmacy technicians in your work areas.   Participates in both intra and interdepartmental education programs; participates in the development of peers.