Indiana University 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, brings 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. IU Health is invested in the lives of Hoosiers, leading the transformation of healthcare to make Indiana one of the nation’s healthiest states. As an employee of Indiana’s most comprehensive health system, we are excited to support team members who are inspired by challenging and meaningful work for the good of every patient.
RCS - Quality Expert CC
Location
United States
Posted
2 days ago
Salary
Not specified
Seniority
Mid Level
Job Description
Days M-F, Remote
This position exists to support Revenue Cycle Services' Total Quality Management team. This position will be responsible for performing various quality reviews, preparing and providing feedback to operational team members as well as other departments, and assisting in the development of Standard Work for team members. This position will 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. This position will also be very involved in various quality initiatives across the Indiana University Health system.
Key responsibilities/duties of this role
- Facility Coding Quality
Must Haves
- 3-5 years facility Coding experience required. Knowledge with Inpatient, Outpatient, and ED preferred
Other Requirements
- Requires RHIA, RHIT, CCS, CCS-P, CPC, CIC, or COC, or an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license., ASN required, BSN preferred (based on position/focus).
- Requires High School Diploma.
- Associate or Bachelor Degree in Health Information Management, Coding, Nursing or Finance is preferred.
- Six Sigma or Lean Six Sigma training preferred.
- 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.
- Requires proficiency in the use of Microsoft Office applications (Word, Excel, PowerPoint, OneNote, Visio & Access).
- Indiana University Health has nearly 40,000 team members, including more than 3,600 physicians and 1,200 advanced practice providers, and we’re home to the largest nursing network in Indiana with more than 9,000 nursing team members at over 800 sites of care.
- IU Health is ranked No. 1 in Indiana by U.S. News & World Report, Riley Children's Health is ranked among the top children's hospitals in the country by U.S. News & World Report.
- A unique partnership with the Indiana University School of Medicine – one of the nation’s largest medical schools – gives patients access to groundbreaking research and innovative treatments, and it offers team members access to the latest science and the very best training – advancing healthcare for all.
-
With 15 hospitals, including seven with Magnet designation and eight with Pathways to Excellence designation, our team members are leading the way through excellence.
- At Indiana University Health, your personal and professional growth is a top priority. You will have access to many diverse opportunities to learn and develop in meaningful ways that matter most to you, such as advanced clinical training, leadership development, promotion opportunities and cross training development.
- Indiana University Health is invested in the lives of Hoosiers, leading the transformation of healthcare to make Indiana one of the nation’s healthiest states.
Indiana University Health is Indiana’s most comprehensive health system, with 15 hospitals and nearly 40,000 team members serving Hoosiers across the state. We’re looking for team members who are inspired by challenging and meaningful work for the good of every patient. People who are compassionate and serve with a purpose. People who aspire to excellence every day.
Job Requirements
- 3-5 years facility Coding experience required
- Knowledge with Inpatient, Outpatient, and ED preferred
- Requires RHIA, RHIT, CCS, CCS-P, CPC, CIC, or COC, or an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license
- ASN required, BSN preferred (based on position/focus)
- Requires High School Diploma
- Associate or Bachelor Degree in Health Information Management, Coding, Nursing or Finance is preferred
- Six Sigma or Lean Six Sigma training preferred
- 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
- 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
- Requires proficiency in the use of Microsoft Office applications (Word, Excel, PowerPoint, OneNote, Visio & Access)
Benefits
- Access to diverse opportunities to learn and develop in meaningful ways
- Advanced clinical training
- Leadership development
- Promotion opportunities
- Cross training development
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