RCS-Quality Expert

Indiana University Health; Indianapolis (IN); On-site; USD 65,000 - 90,000; Full time

Job summary

Indiana University Health is seeking a RCS-Quality Expert to support Revenue Cycle Services managers and directors by performing quality reviews, providing feedback, and delivering training. The role focuses on improving service quality, developing standard work, and tracking day-to-day operations to drive continuous improvement across RCS.

The position emphasizes collaboration with internal teams, data-driven recommendations, and timely reporting to leadership.

Qualifications

• Requires High School Diploma.
• Associate or Bachelor Degree in related field preferred. Requires proficiency in the use of Microsoft Office applications (Word, Excel, PowerPoint, OneNote, Visio & Access).
• Requires 3+ years experience in revenue cycle operations.

Responsibilities

• 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.
• Quality Reviews - Develops and performs on-going quality reviews on operational team members to ensure appropriate levels of quality performance are being met.
• Training & Education - Assists with new team member onboarding and training in preparation for their move to operations.
• Quality Assurance and Continuous Improvement - Assists with the evaluation, coordination and completion of both internal and external quality reviews/audits within defined time-frames.
• Self-Improvement - Maintains expertise in relevant areas of responsibility (coding, stat using/level of care, certification/authorization, chart completion, etc.).
• Communication - Able to communicate professionally, appropriately and effectively via both written and verbal methods with internal and external IU Health individuals/groups.
• Special Projects - Provides support for any additional special projects as directed by leadership.
• Coverage - Provides coverage in operational areas on both an as needed basis and in an effort to remain current on operational workflow and functions.

Skills

Interpersonal skills

Problem solving

Analytical skills

Written and verbal communication

Collaboration

Prioritization

Confidentiality

Attention to detail

Education

High School Diploma

Associate or Bachelor Degree in related field (preferred)

Tools

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

Job description

Overview

RCS-Quality Expert

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 Revenue Cycle and Scheduling team in the role of RCS-Quality Expert.

Summary

This position exists to support Revenue Cycle Services' (RCS) managers and directors in planning, coordinating quality departmental functions by performing various quality reviews, preparing and providing feedback to operational team members as well as other departments, preparing and performing training and education on identified topics and assisting in the development of Standard Work for team members. The incumbent will track and trend the day to day RCS operations as it relates to quality improvement initiatives. This position will be required to report recommendations to management and/or directors that will alleviate any issues while improving the quality of services. Upon acceptance of any recommendations, he/she will assist in implementing the changes as needed in said department in addition to providing quality training to current and new team members. Monthly in-service education programs will be conducted in order to continue meeting the quality standards of RCS.

Responsibilities

• 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 Reviews - Develops and performs on-going quality reviews on operational team members to ensure appropriate levels of quality performance are being met. Conducts individual feedback sessions with team members to discuss quality review results. Assists with continued review of areas of concern as necessary based on individuals findings. Prepares and submits formal quality reports to operational management on team members? results.
• Training & Education - Assists with new team member on-boarding and training in preparation for their move to operations. Evaluates the educational needs of team members based upon findings, trends or as requested by leadership. Develops and provides training and education to team members in varied formats (written, recorded, in-person or via Web Ex).
• Quality Assurance and Continuous Improvement - Assists with the evaluation, coordination and completion of both internal and external quality reviews/audits within defined time-frames. Serves as a member of various committees/teams both internal and external to Revenue Cycle Services. Monitors departmental compliance with policies/procedures/guidelines/rules and provides suggestions for improvement.
• Self-Improvement - Maintains expertise in relevant areas of responsibility (coding, stat using/level of care, certification/authorization, chart completion, etc.).
• Communication - Able to communicate professionally, appropriately and effectively via both written and verbal methods with internal and external IU Health individuals/groups.
• Special Projects - Provides support for any additional special projects as directed by leadership.
• Coverage - Provides coverage in operational areas on both an as needed basis and in an effort to remain current on operational workflow and functions.

Key Relationships

Reports to : RCS-Specialized Manager

Direct Reports: None

Scope: Charge Management- Observation & Extended Recovery

Candidate Qualifications

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

Requires High School Diploma.

• Associate or Bachelor Degree in related field preferred. Requires proficiency in the use of Microsoft Office applications (Word, Excel, PowerPoint, OneNote, Visio & Access). Requires 3+ years? experience in revenue cycle operations in various positions related to the position.
• 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, 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.

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.

We are an equal opportunity employer. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.