[Hiring] Quality Expert @IU Health

Role Description

This position exists to support Revenue Cycle Services' Total Quality Management team. Responsibilities include:

• Performing various quality reviews.
• Preparing and providing feedback to operational team members and other departments.
• Assisting in the development of Standard Work for team members.
• Ensuring the accuracy and completeness of clinical medical record documentation and clinical coding.
• Supporting billing for services provided and understanding the impact of data on hospital reporting.
• Involvement in various quality initiatives across the Indiana University Health system.

Qualifications

• 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).
• High School Diploma required.
• Associate or Bachelor Degree in Health Information Management, Coding, Nursing, or Finance preferred.

Requirements

• 3 - 5+ years experience in revenue cycle operations in various positions related to:
• Utilization management
• Coding
• Billing
• Collections
• Payment adjustments
• Auditing
• Denial management
• Medical record completion
• Ability to read, understand, and interpret medical records and other treatment documentation.
• High level of interpersonal, problem-solving, and analytic skills.
• Effective written and verbal communication skills in both individual and group settings.
• Ability to establish and maintain collaborative working relationships.
• Ability to set and adjust defined priorities and process multiple tasks at once.
• Strong attention to detail, problem-solving, and critical thinking skills.
• Ability to work with and maintain confidential information.
• Proficiency in Microsoft Office applications (Word, Excel, PowerPoint, OneNote, Visio & Access).

Benefits

• Access to diverse opportunities for personal and professional growth.
• Advanced clinical training.
• Leadership development.
• Promotion opportunities.
• Cross-training development.

Company Description

Indiana University Health has nearly 40,000 team members, including:

• More than 3,600 physicians.
• 1,200 advanced practice providers.
• The largest nursing network in Indiana with over 9,000 nursing team members at over 800 sites of care.

Ranked No. 1 in Indiana by U.S. News & World Report, with Riley Children's Health among the top children's hospitals in the country.

A unique partnership with the Indiana University School of Medicine provides access to groundbreaking research and innovative treatments.

With 15 hospitals, including seven with Magnet designation and eight with Pathways to Excellence designation, our team members are leading the way through excellence.

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.

We’re looking for team members who are inspired by challenging and meaningful work for the good of every patient.