RCS-Operational Performance Expert CC

IU Health•Muncie, IN

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 is 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.
Requires proficiency in the use of Microsoft Office applications (Word, Excel, PowerPoint, OneNote, Visio & Access).
Requires 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.
Requires ability to read, understand and interpret medical records and other treatment documentation.
Requires a high level of interpersonal, problem solving, and analytic skills.
Requires effective written and verbal communication skills in both individual and group settings to ensure professional correspondence and presentation to all levels of individuals within the organization (operational team members, leadership internal and external to Revenue Cycle, clinicians, physicians, auditors and other external individuals/groups).
Requires the ability to establish and maintain collaborative working relationships with others.
Requires ability to set and adjust defined priorities as necessary and to process multiple tasks at once.
Requires strong attention to detail, problem solving and critical thinking skills.
Requires 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 a range of advanced and complex tasks that require specialized knowledge and exceptional 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 billing for services provided.
Involvement in various quality initiatives across the Indiana University Health system.
Demonstrates a commitment to IU Health's mission, vision, and values by exhibiting behaviors and delivering results that align with the strategic direction of the organization.
Ensures IU Health is working toward its vision of improving the health of all Hoosiers by providing the best care for each person as we practice our values of purpose, excellence, compassion and team.
Maintains a consistent, high level of quality outcomes by adhering to every stage of the process, continuously planning, and systematically measuring the effectiveness of outcomes.
Exhibits sound professional judgment and diplomacy in handling unexpected problems and frequent interruptions that require immediate action or attention.
Seeks appropriate guidance when determining next steps.
Addresses problems directly and implements objectives effectively.
Produces on time, high-quality work deliverables.
Leverages curiosity and insights to explore rationale behind decision-making.
Connects pieces of information from various sources to improve problem solving capabilities and recommendations.
Recognizes and distinguishes questions, problems, and conflict.
Analyzes problems and opportunities as they arise.
Takes into account all fact-based information available to provide meaningful suggestions.
Asks appropriate follow up questions to try to determine the root cause of the problem.