RCS - Quality Expert CC

IU Health•Indianapolis, IN

4h•Remote

About The Position

This position supports the Revenue Cycle Services' Total Quality Management team. The Quality Expert CC will perform various quality reviews, provide feedback to operational team members and other departments, and assist in developing Standard Work. A key aspect of the role is ensuring the accuracy and completeness of clinical medical record documentation and clinical coding, specifically concerning patient status assignment, care documentation, billing support, and the impact of data on hospital reporting. The role also involves active participation in various quality initiatives across the Indiana University Health system.

Requirements

Possess RHIA, RHIT, CCS, CCS-P, CPC, CIC, or COC certification, OR an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license.
ASN required (based on position/focus).
High School Diploma.
3 - 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.
A high level of interpersonal, problem solving, and analytic skills.
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).
The 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.
Proficiency in the use of Microsoft Office applications (Word, Excel, PowerPoint, OneNote, Visio & Access).

Nice To Haves

BSN preferred (based on position/focus).
Associate or Bachelor Degree in Health Information Management, Coding, Nursing or Finance is preferred.

Responsibilities

Perform various quality reviews.
Prepare and provide feedback to operational team members as well as other departments.
Assist in the development of Standard Work for team members.
Help to ensure 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.
Be involved in various quality initiatives across the Indiana University Health system.