RCS Quality Expert CC

divh2RCS Quality Expert CC/h2pThis 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./ppKey responsibilities/duties of this role include:/pulliPerformance of provider or coder quality reviews to ensure compliance with ICD-10 diagnosis coding, CPT coding including modifiers, CCI edits, other payer edits, Medicare and commercial payer policies as well as any regulatory coding guidelines across all specialties./liliAttending and providing education to physicians, APPs, coders, other leaders around results of reviews, coding, payer guidelines, etc as needed./liliAssist with any coding questions, research, etc as needed./li/ulpMust haves:/pulliCurrent coding or health information credential through AHIMA or AAPC./lili3-5 years of coding and/or quality review experience with a preference of multispecialty coding of both surgical procedures as well as E/M coding./liliKnowledge of revenue cycle requirements and regulations with a preference of understanding both coding and billing, but the later is not a requirement./liliRequires critical thinking, problem solving, working well with others and strong presentation skills./liliRequires effective written and verbal communication skills in both individual and group settings./li/ulpOther requirements:/pulliRequires 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)./liliRequires High School Diploma./liliAssociate or Bachelor Degree in Health Information Management, Coding, Nursing or Finance is preferred./liliSix Sigma or Lean Six Sigma training preferred./liliRequires 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./liliRequires ability to read, understand and interpret medical records and other treatment documentation./liliRequires a high level of interpersonal, problem solving, and analytic skills./liliRequires 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)./liliRequires the ability to establish and maintain collaborative working relationships with others./liliRequires ability to set and adjust defined priorities as necessary and to process multiple tasks at once./liliRequires strong attention to detail, problem solving and critical thinking skills./liliRequires ability to work with and maintain confidential information./liliRequires proficiency in the use of Microsoft Office applications (Word, Excel, PowerPoint, OneNote, Visio Access)./li/ulpWe 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./p/div