RCS-Quality Expert

Overview

RCS-Quality Expert

Our leaders shape strategic initiatives, develop passionate teams, and work to improve health outcomes.

They advance our mission and exemplify excellence, compassion, teamwork and purpose in the all that they do. Indiana University Health is seeking individuals who embody these values to join our Revenue Cycle and Scheduling team in the role of RCS-Quality Expert.

This position exists to support Revenue Cycle Services' (RCS) managers and directors in planning, coordinating quality departmental functions by performing various quality reviews, preparing and providing feedback to operational team members as well as other departments, preparing and performing training and education on identified topics and assisting in the development of Standard Work for team members. The incumbent will track and trend the day to day RCS operations as it relates to quality improvement initiatives.

This position will be required to report recommendations to management and/or directors that will alleviate any issues while improving the quality of services. Upon acceptance of any recommendations, he/she will assist in implementing the changes as needed in said department in addition to providing quality training to current and new team members. Monthly in-service education programs will be conducted in order to continue meeting the quality standards of RCS.

• Connect to Promise - Demonstrates a commitment to IU Health's mission, vision, and values by exhibiting behaviors and delivering results that align with the strategic direction of the organization. Ensure IU Health is working toward its vision of improving the health of all Hoosiers by providing the best care for each person as we practice our values of purpose, excellence, compassion and team.
• Quality Reviews - Develops and performs on-going quality reviews on operational team members to ensure appropriate levels of quality performance are being met. Conducts individual feedback sessions with team members to discuss quality review results. Assists with continued review of areas of concern as necessary based on individuals findings. Prepares and submits formal quality reports to operational management on team members?
  
  results.
• Training & Education - Assists with new team member on-boarding and training in preparation for their move to operations. Evaluates the educational needs of team members based upon findings, trends or as requested by leadership. Develops and provides training and education to team members in varied formats (written, recorded, in-person or via Web Ex).
• Quality Assurance and Continuous Improvement - Assists with the evaluation, coordination and completion of both internal and external quality reviews/audits within defined time-frames. Serves as a member of various committees/teams both internal and external to Revenue Cycle Services. Monitors departmental compliance with policies/procedures/guidelines/rules and provides suggestions for improvement.
• Self-Improvement - Maintains expertise in relevant areas of responsibility (coding, stat using/level of care, certification/authorization, chart completion, etc.).
• Communication - Able to communicate professionally, appropriately and effectively via both written and verbal methods with internal and external IU Health individuals/groups.
• Special Projects - Provides support for any additional special projects as directed by leadership.
• Coverage - Provides coverage in operational areas on both an as needed basis and in an effort to remain current on operational workflow and functions.

Reports to:

RCS-Specialized Manager

Direct Reports:
None

Scope:
Charge Management
- Observation & Extended Recovery

Candidates for the position will be evaluated according to the following criteria and competencies.

• Requires High School Diploma.
• Associate or Bachelor Degree in related field preferred. Requires proficiency in the use of Microsoft Office applications (Word, Excel, PowerPoint, One Note, Visio & Access). Requires 3+ years? experience in revenue cycle operations in various positions related to the position.
• Requires a high level of…