Posted 3 months ago

Physician Quality Reviewer

Requisition Number: 256381

Description

Indiana University Health is Indiana's most comprehensive health system, with 16 hospitals and more than 34,000 team members serving Hoosiers across the state. We're looking for team members who are inspired by challenging and meaningful work for the good of every patient. People who are compassionate and serve with a purpose. People who aspire to excellence every day.

Summary:

IU Health Revenue Cycle Services is looking for a Physician Quality Reviewer to join their team! The individual will perform provider reviews on coding, documentation and payer policies specific to Medicare, Medicaid and anthem for providers on our Work Plans as well as provide education and feedback and able to attend provider meetings when needed.

This position exists to support Revenue Cycle Services' Total Quality Management team. This position will be responsible for preparing and performing training and education on identified topics, assisting in the development of Standard Work, assisting with the identification and resolution of opportunities for improvement in operational areas (sometimes crossing multiple departments), assisting with quality reviews, performing data analysis and preparing and providing feedback to operational leadership in Health Information Management as well as other departments. This position will help to ensure efficiencies in operational workflow, as well as 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.

Are you a Medical Coder looking to grow your career with a nationally recognized organization? Apply today!

Learn more about working at IU Health

Requirements:

  • Requires High School Diploma.
  • Associate or Bachelor Degree in Health Information Management, Coding, Nursing or Finance is preferred.
  • Coding/HIM Position Requires RHIA.
  • Requires proficiency in the use of Microsoft Office applications (Word, Excel, PowerPoint, OneNote, Visio & Access).
  • RHIT, CCS, CCS-P, CPC, CIC, COC or CHDA
  • Requires 5+ years' experience in revenue cycle operations in various positions related to utilization management, coding, billing, collections, payment adjustments, auditing, denial management and medical record completion.
  • Requires ability to read, understand and interpret medical records and other treatment documentation.
  • Requires a high level of interpersonal, problem solving, and analytic skills.
  • Requires effective written and verbal communication skills in both individual and group settings to ensure professional correspondence and presentation to all levels of individuals within the organization (operational team members, leadership internal and external to Revenue Cycle, clinicians, physicians, auditors and other external individuals/groups).
  • Requires the ability to establish and maintain collaborative working relationships with others.
  • Requires ability to set and adjust defined priorities as necessary and to process multiple tasks at once.
  • Requires strong attention to detail, problem solving and critical thinking skills.
  • Requires ability to work with and maintain confidential information.
  • Six Sigma or Lean Six Sigma training preferred.

Apply teamwork. Apply experience. Apply skill. Apply yourself. And together we can change everything.

Indiana University Health has more than 34,000 team members, including more than 3,600 physicians and 1,200 advanced practice providers, and we're home to the largest nursing network in Indiana with more than 9,000 nursing team members at over 800 sites of care.

Indiana University Health is Indiana's most comprehensive healthcare system with hospitals and specialties ranked among the nation's best by U.S. News & World Report.

A unique partnership with the Indiana University School of Medicine one of the nation's largest medical schools gives patients access to groundbreaking research and innovative treatments, and it offers team members access to the latest science and the very best training advancing healthcare for all.

At IU Health, your personal and professional growth is a top priority. You will have access to many diverse opportunities to learn and develop in meaningful ways that matter most to you, such as advanced clinical training, leadership development, promotion opportunities and cross training development.

With 16 hospitals, including eight with Magnet designation and five with Pathways to Excellence designation, our team members are leading the way through excellence.

IU Health is invested in the lives of Hoosiers, leading the transformation of healthcare to make Indiana one of the nation's healthiest states.

Location

IUH Rev Cycle Svcs Intech Bldg Get Directions

Department

HIM Coding TQM 110590

Schedule

Full Time

Shift

Days

Posted 3 months ago

Physician Quality Reviewer

Requisition Number: 256381

Description

Indiana University Health is Indiana's most comprehensive health system, with 16 hospitals and more than 34,000 team members serving Hoosiers across the state. We're looking for team members who are inspired by challenging and meaningful work for the good of every patient. People who are compassionate and serve with a purpose. People who aspire to excellence every day.

Summary:

IU Health Revenue Cycle Services is looking for a Physician Quality Reviewer to join their team! The individual will perform provider reviews on coding, documentation and payer policies specific to Medicare, Medicaid and anthem for providers on our Work Plans as well as provide education and feedback and able to attend provider meetings when needed.

This position exists to support Revenue Cycle Services' Total Quality Management team. This position will be responsible for preparing and performing training and education on identified topics, assisting in the development of Standard Work, assisting with the identification and resolution of opportunities for improvement in operational areas (sometimes crossing multiple departments), assisting with quality reviews, performing data analysis and preparing and providing feedback to operational leadership in Health Information Management as well as other departments. This position will help to ensure efficiencies in operational workflow, as well as 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.

Are you a Medical Coder looking to grow your career with a nationally recognized organization? Apply today!

Learn more about working at IU Health

Requirements:

  • Requires High School Diploma.
  • Associate or Bachelor Degree in Health Information Management, Coding, Nursing or Finance is preferred.
  • Coding/HIM Position Requires RHIA.
  • Requires proficiency in the use of Microsoft Office applications (Word, Excel, PowerPoint, OneNote, Visio & Access).
  • RHIT, CCS, CCS-P, CPC, CIC, COC or CHDA
  • Requires 5+ years' experience in revenue cycle operations in various positions related to utilization management, coding, billing, collections, payment adjustments, auditing, denial management and medical record completion.
  • Requires ability to read, understand and interpret medical records and other treatment documentation.
  • Requires a high level of interpersonal, problem solving, and analytic skills.
  • Requires effective written and verbal communication skills in both individual and group settings to ensure professional correspondence and presentation to all levels of individuals within the organization (operational team members, leadership internal and external to Revenue Cycle, clinicians, physicians, auditors and other external individuals/groups).
  • Requires the ability to establish and maintain collaborative working relationships with others.
  • Requires ability to set and adjust defined priorities as necessary and to process multiple tasks at once.
  • Requires strong attention to detail, problem solving and critical thinking skills.
  • Requires ability to work with and maintain confidential information.
  • Six Sigma or Lean Six Sigma training preferred.

Apply teamwork. Apply experience. Apply skill. Apply yourself. And together we can change everything.

Indiana University Health has more than 34,000 team members, including more than 3,600 physicians and 1,200 advanced practice providers, and we're home to the largest nursing network in Indiana with more than 9,000 nursing team members at over 800 sites of care.

Indiana University Health is Indiana's most comprehensive healthcare system with hospitals and specialties ranked among the nation's best by U.S. News & World Report.

A unique partnership with the Indiana University School of Medicine one of the nation's largest medical schools gives patients access to groundbreaking research and innovative treatments, and it offers team members access to the latest science and the very best training advancing healthcare for all.

At IU Health, your personal and professional growth is a top priority. You will have access to many diverse opportunities to learn and develop in meaningful ways that matter most to you, such as advanced clinical training, leadership development, promotion opportunities and cross training development.

With 16 hospitals, including eight with Magnet designation and five with Pathways to Excellence designation, our team members are leading the way through excellence.

IU Health is invested in the lives of Hoosiers, leading the transformation of healthcare to make Indiana one of the nation's healthiest states.

Location

IUH Rev Cycle Svcs Intech Bldg Get Directions

Department

HIM Coding TQM 110590

Schedule

Full Time

Shift

Days