RCS-Operational Performance Expert CC

IU Health • Indianapolis, IN

7d

About The Position

This position will be responsible for performing a range of advanced and complex tasks that require specialized knowledge and exceptional problem-solving skills, potentially inclusive of but not limited to quality reviews, training and onboarding new team members, etc. This position will help to ensure efficiencies in operational workflow, as well as the accuracy and completeness of clinical medical record documentation and clinical coding as it pertains to assignment of patient status, documentation of care provided, support of billing for services provided and affect that data has on hospital reporting. This position will also be very involved in various quality initiatives across the Indiana University Health system.

Requirements

• High School Diploma/GED required.
• Coding/HIM Position - Requires RHIA, RHIT, CCS, CCS-P, CPC, CIC, COG or CHDA (based on position/focus).
• Clinical Position - Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license.
• Proficiency in the use of Microsoft Office applications (Word, Excel, PowerPoint, OneNote, Visio & Access).
• 5+ years experience in revenue cycle operations in various positions related to utilization management, coding, billing, collections, payment adjustments, auditing, denial management and medical record completion.
• Ability to read, understand and interpret medical records and other treatment documentation.
• High level of interpersonal, problem solving, and analytic skills.
• Effective written and verbal communication skills in both individual and group settings.
• Ability to establish and maintain collaborative working relationships with others.
• Ability to set and adjust defined priorities as necessary and to process multiple tasks at once.
• Strong attention to detail, problem solving and critical thinking skills.
• Ability to work with and maintain confidential information.

Nice To Haves

• Associate or Bachelor Degree in Health Information Management, Coding, Nursing or Finance is preferred.
• BSN preferred (after 1/1/2013, ASN RN hired will be required to complete the BSN within five (5) years of hire date).
• Six Sigma or Lean Six Sigma training preferred.

Responsibilities

• Performing advanced and complex tasks requiring specialized knowledge and problem-solving skills.
• Conducting quality reviews.
• Training and onboarding new team members.
• Ensuring efficiencies in operational workflow.
• Ensuring accuracy and completeness of clinical medical record documentation and clinical coding.
• Supporting patient status assignment, documentation of care, and billing for services.
• Analyzing the impact of data on hospital reporting.
• Participating in quality initiatives across the Indiana University Health system.

Benefits

• Access to many diverse opportunities to learn and develop.
• Advanced clinical training.
• Leadership development.
• Promotion opportunities.
• Cross training development.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: High school or GED