RCS-Operational Performance Expert CC

Indiana University Health is seeking individuals who embody excellence, compassion, teamwork, and purpose to join our team in a role focused on operational performance and clinical documentation integrity.

About the Role

This position performs advanced and complex tasks requiring specialized knowledge and exceptional problem-solving skills, including quality reviews, training and onboarding new team members, and ensuring operational workflow efficiencies. The role ensures accuracy and completeness of clinical medical record documentation and clinical coding related to patient status, 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 quality reviews of clinical medical record documentation and clinical coding.
• Train and onboard new team members.
• Ensure operational workflow efficiencies.
• Support accurate and complete clinical documentation for patient status, care provided, and billing.
• Contribute to quality initiatives across the Indiana University Health system.
• Interpret medical records and treatment documentation.
• Collaborate with operational teams, leadership, clinicians, physicians, auditors, and external stakeholders.
• Maintain confidentiality and handle sensitive information appropriately.
• Set and adjust priorities to manage multiple tasks effectively.

Requirements

• High School Diploma or GED (required).
• Associate or Bachelor’s Degree in Health Information Management, Coding, Nursing, or Finance (preferred).
• For Coding/HIM Positions: RHIA, RHIT, CCS, CCS-P, CPC, CIC, COG, or CHDA certification (required based on position/focus).
• For Clinical Positions: Active Registered Nurse (RN) license in Indiana or an active Nurse Licensure Compact (NLC) RN license (required). 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.
• Ability to read, understand, and interpret medical records and treatment documentation.
• Strong interpersonal, problem-solving, and analytical skills.
• Effective written and verbal communication skills for professional correspondence and presentations.
• Ability to establish and maintain collaborative working relationships.
• Strong attention to detail, critical thinking, and ability to manage multiple priorities.
• Six Sigma or Lean Six Sigma training (preferred).

Skills

• Quality assurance and process adherence.
• Independent judgment and decision-making with appropriate guidance.
• Execution of objectives and high-quality deliverables.
• Critical thinking and problem-solving using insights from various sources.
• Root-cause analysis and fact-based problem resolution.

Indiana University Health is Indiana’s largest health system, with nearly 40,000 team members, 15 hospitals, and $8.64 billion in operating revenue. The system partners with the Indiana University School of Medicine to provide world-class care and improve health outcomes for patients and communities across Indiana.