Location: Indianapolis, IN
Cap-Exempt H-1B Position — No lottery required
# **RCS Quality Expert CC** ## **Job Description** **Overview** **Flexible M-F** **Remote/Hybrid – Majority remote; on-site for quarterly meetings** This 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. **Key responsibilities/duties of this role** - Performance 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. - Attending and providing education to physicians, APPs, coders, other leaders around results of reviews, coding, payer guidelines, etc as needed. - Assist with any coding questions, research, etc as needed. **Must Haves** - Current coding or health information credential through AHIMA or AAPC. - 3-5 years of coding and/or quality review experience with a preference of multispecialty coding of both surgical procedures as well as E/M coding. - Knowledge of revenue cycle requirements and regulations with a preference of understanding both coding and billing, but the later is not a requirement. - Requires critical thinking, problem solving, working well with others and strong presentation skills. - Requires effective written and verbal communication skills in both individual and group settings. *