RCS Quality Expert CC

divh2Job Description/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./ppstrongKey responsibilities/duties of this role/strong/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/ulpstrongMust Haves/strong/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/ulpstrongOther Requirements/strong/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/ulh2About Us/h2ulliIndiana University Health has nearly 40,000 team members, including more than 3,600 physicians and 1,200 advanced practice providers, and were home to the largest nursing network in Indiana with more than 9,000 nursing team members at over 800 sites of care./liliIU Health is ranked No. 1 in Indiana by U.S. News World Report, Riley Childrens Health is ranked among the top childrens hospitals in the country by U.S. News World Report./liliA unique partnership with the Indiana University School of Medicine one of the nations 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./liliWith 15 hospitals, including seven with Magnet designation and eight with Pathways to Excellence designation, our team members are leading the way through excellence./liliAt 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./liliIndiana University Health is invested in the lives of Hoosiers, leading the transformation of healthcare to make Indiana one of the nations healthiest states./li/ulh2About the Team/h2pIndiana University Health is Indianas most comprehensive health system, with 15 hospitals and nearly 40,000 team members serving Hoosiers across the state. Were 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./p/div

Indiana University Health