RCS-Clinical Specialist
Location: Remote
Position: RCS - Clinical Specialist
Shift: Monday – Friday 8a – 4:30p; hours may vary; 2-3 weekend shifts per year
IU Health is Indiana’s largest and most comprehensive healthcare system, dedicated to delivering high-quality, compliant revenue cycle operations. We are seeking a dedicated Clinical Specialist to execute clinical team functions within Revenue Cycle Services, ensuring adherence to quality standards and regulatory compliance.
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Position Overview:
The RCS - Clinical Specialist is responsible for performing clinical functions within IU Health Revenue Cycle Services. The role ensures that work processes meet established quality standards, resulting in consistent outcomes aligned with federal, state, and hospital policies and procedures. The specialist facilitates accurate and timely patient-specific information in medical records, supporting compliance and optimal billing and coding activities. Demonstrating a commitment to IU Health’s mission, vision, and values, the specialist aligns behaviors and results with the organization’s strategic goals.
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Key Responsibilities:
- Execute clinical team functions within Revenue Cycle Services, ensuring compliance with documented standards.
- Support the collection and maintenance of accurate, timely patient-specific information in medical records to meet federal, state, and organizational requirements.
- Accept feedback from leadership to identify barriers and improve processes.
- Meet departmental productivity and quality standards consistently.
- Handle verbal and written communication effectively with team members and customers.
- Use experience and judgment to assemble and verify patient care and billing information, ensuring appropriate coding, billing, and cost outcomes.
- Maintain current knowledge of medical record requirements, regulations, and policies.
- Escalate questions, issues, and key decisions appropriately to support service quality and compliance.
- Demonstrate a commitment to IU Health’s mission, vision, and values by exhibiting behaviors aligned with purpose, excellence, compassion, and teamwork.
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Qualifications & Requirements:
- Education:
- Associate of Nursing (ASN) required.
- Bachelor of Nursing (BSN) preferred.
- Licensure & Certifications:
- Active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license.
- Graduate from a nationally accredited nursing program.
- Experience & Skills:
- Clinical work experience and familiarity with medical terminology.
- Understanding of medical record requirements, regulations, and policies.
- High interpersonal, problem-solving, and analytical skills.
- Effective written and verbal communication skills in individual and group settings.
- Ability to prioritize and manage multiple tasks simultaneously.
- Proficiency with personal computers, including word processing and database software.
- Knowledge of InterQual and or MCG criteria preferred
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Why Join IU Health?
- Comprehensive benefits package including health, dental, and vision insurance
- Retirement savings plan with employer match
- Tuition reimbursement and professional development opportunities
- Employee assistance programs and wellness initiatives
- Supportive work environment committed to safety and excellence
To learn more about our benefits, visit: careers.iuhealth.org/pages/benefits-designed-for-you
About Company
Indiana University Health is Indiana’s most comprehensive health system, with 15 hospitals and nearly 40,000 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.Company
- Indiana University Health has nearly 40,000 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.
- IU Health is ranked No. 1 in Indiana by U.S. News & World Report, Riley Children's Health is ranked among the top children's hospitals in the country 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.
- With 15 hospitals, including seven with Magnet designation and eight with Pathways to Excellence designation, our team members are leading the way through excellence.
- At Indiana University 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.
- 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.