RCS-Operational Performance Expert CC

IU Health; Muncie (IN); On-site; USD 70,000 - 100,000; Full time

Job summary

IU Health is seeking an experienced professional to support revenue cycle operations, clinical coding, and medical record documentation. You will conduct quality reviews and contribute to onboarding new team members, aiming to improve billing accuracy and hospital reporting.

The role emphasizes collaboration, problem solving, and adherence to policies while participating in system-wide quality initiatives across Indiana University Health.

Qualifications

• Requires RHIA, RHIT, CCS, CCS-P, CPC, CIC, COG or CHDA credentials (based on position).
• RN license in Indiana or NLC RN license; BSN preferred within five years.
• 5+ years experience in revenue cycle operations including utilization management, coding, billing, collections, denial management and medical record completion.

Responsibilities

• Perform advanced and complex tasks requiring specialized knowledge and problem-solving.
• Conduct quality reviews, training and onboarding new team members.
• Improve operational workflow efficiencies and accuracy of medical record documentation and clinical coding for billing.
• Support data integrity for hospital reporting and participation in quality initiatives across IU Health systems.

Skills

Problem solving

Analytic skills

Communication

Interpersonal skills

Collaboration

Prioritization

Attention to detail

Confidential information handling

Six Sigma

Education

High School Diploma or GED

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

Tools

Microsoft Office

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 team in the role of ROLE.

Summary

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.

Candidate Qualifications

• 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.

Connect to Promise - 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. Ensure 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.

Quality Assurance - 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.

Independent Judgment - 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.

Execution - Addresses problems directly and implements objectives effectively. Produces on time, high-quality work deliverables.

Critical Thinking - 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.

Analysis - 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.

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.

IU Health is the largest health system in Indiana with nearly 40,000 team members, 15 hospitals and $8.64 billion in operating revenue. The system’s programs in cancer, cardiovascular, neuroscience, orthopedics, pediatrics and transplants have received national recognition for quality patient care. IU Health, in partnership with the Indiana University School of Medicine, bring together highly skilled physicians, researchers, and educators into close collaboration to provide world-class care for children and adults and improve the health of patients and communities across Indiana.

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.