RCS-Operational Performance Expert CC

About the Role

This position performs a range of advanced and complex tasks requiring specialized knowledge and exceptional problem-solving skills, including quality reviews, training and onboarding new team members, and ensuring efficiencies in operational workflow. The role focuses on the accuracy and completeness of clinical medical record documentation and clinical coding, impacting patient status assignment, care documentation, billing support, and hospital reporting. Additionally, the position is heavily involved in various quality initiatives across the Indiana University Health system.

Responsibilities

• Perform advanced and complex tasks requiring specialized knowledge, such as quality reviews and training new team members.
• Ensure operational workflow efficiencies and accuracy in clinical medical record documentation and coding.
• Support billing for services provided and ensure data integrity for hospital reporting.
• Participate in quality initiatives across the Indiana University Health system.
• Interpret medical records and other treatment documentation.
• Communicate effectively in both individual and group settings with operational team members, leadership, clinicians, physicians, auditors, and external stakeholders.
• Maintain collaborative working relationships and handle confidential information.
• Set and adjust priorities, manage multiple tasks, and demonstrate strong attention to detail and critical thinking.

Requirements

• High School Diploma or GED is required.
• Associate or Bachelor Degree in Health Information Management, Coding, Nursing, or Finance is preferred.
• For Coding/HIM Positions: RHIA, RHIT, CCS, CCS-P, CPC, CIC, COG, or CHDA certification (based on position/focus).
• For Clinical Positions: Active Registered Nurse (RN) license in Indiana or an active Nurse Licensure Compact (NLC) RN license. BSN preferred; ASN RNs hired after 1/1/2013 must complete BSN within five years of hire.
• Proficiency in Microsoft Office applications (Word, Excel, PowerPoint, OneNote, Visio, and Access).
• 5+ years of experience in revenue cycle operations, including utilization management, coding, billing, collections, payment adjustments, auditing, denial management, and medical record completion.
• High level of interpersonal, problem-solving, and analytic skills.
• Effective written and verbal communication skills.
• Ability to establish and maintain collaborative working relationships.
• Strong attention to detail, problem-solving, and critical thinking skills.
• Ability to work with and maintain confidential information.
• Six Sigma or Lean Six Sigma training preferred.

Skills

• Commitment to IU Health’s mission, vision, and values.
• Quality assurance and maintaining high-level outcomes.
• Independent judgment and diplomacy in handling unexpected problems.
• Execution of objectives and production of high-quality deliverables.
• Critical thinking and leveraging insights for decision-making.
• Analysis of problems and opportunities, including root-cause determination.

About Indiana University Health

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 is recognized nationally for programs in cancer, cardiovascular, neuroscience, orthopedics, pediatrics, and transplants. IU Health partners with the Indiana University School of Medicine to provide world-class care and improve health outcomes for patients and communities across Indiana. Leaders at IU Health play a crucial role in advancing the organization’s mission and inspiring teams to make a meaningful difference in patients' lives.