RCS-Operational Performance Expert- RN

IU Health; Indianapolis (IN); On-site; USD 75,000 - 105,000; Full time

Job summary

Indiana University Health is seeking an RCS- Operational Performance Expert CC to lead advanced revenue cycle initiatives, improve clinical documentation, and drive data-informed decisions across the Statewide Financial Clearance Team.

The role requires 5+ years in revenue cycle operations, certification options (RHIA/RHIT/CCS etc.), RN license or health information background, and strong Excel/Office skills.

Qualifications

• High School Diploma/GED required.
• Associate or Bachelor Degree in Health Information Management, Coding, Nursing or Finance preferred.
• RHIA, RHIT, CCS, CCS-P, CPC, CIC, COG or CHDA credentials may be required based on position; active RN license in IN or NLC RN license for clinical roles; BSN preferred.
• Proficiency in Microsoft Office applications (Word, Excel, PowerPoint, OneNote, Visio & Access).
• 5+ years of experience in revenue cycle operations across 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.
• Strong interpersonal, problem solving, and analytic skills; excellent written and verbal communication.
• Ability to handle confidential information with discretion.
• Six Sigma or Lean Six Sigma training preferred.

Responsibilities

• Perform advanced tasks to improve operational workflow and accuracy of clinical documentation and coding.
• Participate in quality initiatives across IU Health and support onboarding/training of team members.
• Collaborate with leadership and clinicians to ensure data accuracy for hospital reporting and billing.
• Coordinate with Revenue Cycle teams to optimize patient status assignment and documentation.

Skills

Revenue cycle operations

Problem solving

Analytical thinking

Communication

Education

Bachelor's degree in Health Information Management, Coding, Nursing or Finance

Tools

Microsoft Office (Word, Excel, PowerPoint, OneNote, Visio & Access)

Job description

Overview

RCS- Operational Performance Expert CC

Our leaders shape strategic initiatives, develop passionate teams, and work to improve health outcomes.They advance our mission and exemplify excellence, compassion, teamwork and purpose in all that they do.Indiana University Health is seeking individuals who embody these values to join our Statewide Financial Clearance Team team in the role of RCS- Operational Performance Expert CC.

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.

Key Relationships

Reports to: RCS Manager

Candidate Qualifications

Candidates for the position will be evaluated according to the following criteria and competencies.

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

Indiana University Health is unlike any other healthcare system and we're looking for team members who share the things that matter most to us. IU Health leaders play a crucial role in advancing the mission of our organization and inspiring teams to make a meaningful difference in the lives of patients. As one of Indiana’s largest employers and the most comprehensive medical system in the state, our vision is to lead the transformation of healthcare through quality, innovation and education, and make Indiana one of the nation’s healthiest states.

Indiana University Health is dedicated to a fair hiring process and is committed to equal opportunity and nondiscrimination for all individuals, regardless of age, color, disability, ethnicity, marital status, national origin, race, religion, gender identity, expression, sexual orientation, or veteran status.