Supervisor- Quality and Education - CDI

Fairview Health Services; Saint Paul (MN); Remote; USD 90,000 - 120,000; Full time

Job summary

Fairview Health Services is seeking a Supervisor of Quality and Education for Clinical Documentation Integrity. This fully remote position oversees coding and documentation functions, ensuring optimal care quality through education, compliance standards, and performance management. Successful candidates will lead teams and collaborate cross-functionally to enhance coding accuracy and efficiency.

Benefits

Generous benefit package

Tuition reimbursement

PTO and Sick leave

Health insurance

Qualifications

• 2 years in health care reimbursement, financial management or coding.
• 3 years applicable business-related experience.
• Knowledge and understanding of hospital revenue cycle operations.

Responsibilities

• Supervises a team of Inpatient Coding Documentation and CDI Liaisons.
• Works with cross functionally to develop education plans based on analysis.
• Evaluates and creates the Annual Review and Education plan.

Skills

Communication

Team Leadership

Regulatory Knowledge

Analytical Skills

Education

A.A./A.S. nursing, HIM, Business Administration, or related area

MN Registered Nurse (RN) License

Certified Clinical Documentation Specialist (CCDS)

Tools

Microsoft Office

Job description

Fairview is looking for a Supervisor- Quality and Education- CDI to join our team.

Bring Your Possibilities to Fairview

At Fairview, we believe in the power of possibility — within ourselves, our teams, and the

communities we serve. We believe that leadership isn’t just a title — it’s a mindset we all

share. Whether you’re providing hands-on care, innovating behind the scenes, or

supporting those who do, your work matters.

Job Summary:

The supervisor of Quality & Education for CDI and inpatient coding is responsible for overseeing one or more coding and documentation education functions including CDI and hospital billing inpatient coding to ensure delivery of education and services that supports timely and accurate documentation to reflect severity of illness and patient condition for the purpose of optimal care and quality. This role will ensure operational goals and objectives are met under the direction of the Coding Quality and Support leadership which include both inpatient coding and CDI quality reviews, provider support, and cross-functional collaboration. Documentation is crucial to patient safety, optimal patient outcomes and success in research studies. Physician documentation, related diagnoses, and procedure documentation is integral to accurate coding, which is then used to determine hospital reimbursement, risk-adjust quality outcomes, patient severity of illness, and cost of care metrics. This position will support the organization by analyzing documentation trends and creating plans for consistent improvement on key performance metrics to ensure accurate and appropriate diagnosis-related group (DRG) assignment by capturing comorbidities (CC) or major comorbidities (MCC) and quality metrics like severity of illness (SOI) and risk of mortality (ROM) in the inpatient setting. Additionally, optimizing the risk adjustment factor (RAF) score by documenting and reporting appropriate hierarchical condition categories (HCC) in the outpatient settings. The Supervisor of Quality & Education over CDI and Inpatient Coding works with information technology and clinical operations to improve documentation templates and alerts by disease type to support real time provider documentation to improve accuracy, specificity and help eliminate manual intervention. This supervisor maintains a comprehensive knowledge of the EHR and departmental audit solutions, as well as inpatient, CDI and acuity coding practices.

• 1.0 FTE (80 hours per pay period)
• day shift
• fully remote, salaried position

Job Responsibilities:

• Supervises a team of Inpatient Coding Documentation and CDI Liaisons to support inpatient and outpatient CDI, inpatient coding, physicians, advanced practice providers, allied health professionals and other organizational staff in providing education following quality and compliance standards.
• Works with cross functionally to develop education plan based on analysis and prioritization to administer outreach and results defined by quality outcomes and frequency criteria. Evaluate and create the Annual Review and Education plan for coders and providers in partnership with corporate compliance. Based on organizational need, analysis of data, known compliance risks and documentation trends
• Participates and actively contributes to the selection, training, and evaluation of staff engaged in the performance of coding quality and support functions including prospective and retrospective reviews and associated education. Manages and evaluates performance, conducts professional development plans.
• Understands team requirements and leads teams to achieve performance outcomes ensuring team members industry knowledge is kept current creating fully functional and cross trained team performance
• Ensures self and team remain current with regulatory and payer requirements and implement people, process and technology changes needed to maintain ensure compliance.
• Coordinates, prioritizes and documents inpatient/outpatient coding and CDI educational workflows to ensure the greatest specificity, continuous efficiency, and process improvement. Works in concert with CDI teams to develop queries, workflows and priorities based on trends.
• Participates in creation of standard work and onboarding processes.
• Reviews work for accuracy and conformance with industry regulation and guidelines, departmental policies and procedures, tracks and monitors productivity and quality.
• Determines priorities, schedules, and assigns work as required.
• Develops, revises, and maintains work unit policies and procedures.
• May compose correspondence or prepare reports independently to support organizational initiatives.
• Demonstrates maturity and accountability for job performance, supports objectives and goals of the department and organization., Assess for areas of personal and professional growth.
• Analyze charging practices through financial and activity reports, as well as documentation review, to identify potential opportunities for revenue capture and recognize areas of compliance concern.
• Works in concert with IP Coding, OP Coding and CDI team to develop queries, workflows and priorities based on trends.
• Supports the industry transition from fee for service payment models to value-based care payment models.
• Organize, analyze, and present data for the purpose of working with Department Leaders and other stakeholders throughout the organization to outline and institute strategies for improvement.
• Collaborate with key stakeholders to determine and address trends and educational needs. Make recommendations for efficiency related to edits / hold bills based on findings.
• Recommends additional system and industry education to improve performance outcomes.
• Evaluates self and team processes to ensure individual, team and organizational goals are met.
• Publish outcomes and benchmarks against national trends
• Leads or participates in work with peers and other departments to create an excellent understanding of workflows and interdependencies, and to identify and implement strategies to improve revenue cycle performance
• Works collaboratively with vendors to assure performance expectations are being met
• Represent Revenue Cycle and Fairview Health Services at industry forums to network and identify process improvement opportunities
• Serves as a resource on revenue cycle issues and regulatory expectations
• Creates strong collaborative partnerships and influence others across teams, groups and business boundaries to achieve real world problem solving

Required Qualifications

• A.A./A.S. nursing, HIM, Business Administration, Health Care Administration, or related area or
• 2 years in health care reimbursement, financial management, coding OR an approved equivalent combination of education and experience
• 3 years applicable business-related experience
• Fosters a culture of improvement, efficiency, and innovative thinking
• Thorough knowledge of computer systems used by assigned revenue cycle team
• Knowledge of applicable regulatory requirements
• Thorough knowledge of functions assigned
• Knowledge and understanding of hospital revenue cycle operations (registration, charge capture, health information management, claims, payment posting)
• Ability to present to small and large groups
• Consistent demonstration of excellent written and verbal communication skills
• Proficiency in Microsoft Office: Word, Excel, Power-Point, Visio, Teams, SharePoint and Outlook
• Performance improvement, project management and/or lean skills
• MN Registered Nurse (RN) License or
• Certified Clinical Documentation Specialist (CCDS) or
• Clinical Documentation Improvement Practitioner (CDIP) or
• Registered Health Info Admin (RHIA) or
• Registered Health Info Tech (RHIT)

Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: https://www.fairview.org/careers/benefits/noncontract

Job Overview

Fairview is looking for a Supervisor- Quality and Education- CDI to join our team.

Bring Your Possibilities to Fairview At Fairview, we believe in the power of possibility — within ourselves, our teams, and the communities we serve. We believe that leadership isn’t just a title — it’s a mindset we all share. Whether you’re providing hands-on care, innovating behind the scenes, or supporting those who do, your work matters. Job Summary: The supervisor of Quality & Education for CDI and inpatient coding is responsible for overseeing one or more coding and documentation education functions including CDI and hospital billing inpatient coding to ensure delivery of education and services that supports timely and accurate documentation to reflect severity of illness and patient condition for the purpose of optimal care and quality. This role will ensure operational goals and objectives are met under the direction of the Coding Quality and Support leadership which include both inpatient coding and CDI quality reviews, provider support, and cross-functional collaboration. Documentation is crucial to patient safety, optimal patient outcomes and success in research studies. Physician documentation, related diagnoses, and procedure documentation is integral to accurate coding, which is then used to determine hospital reimbursement, risk-adjust quality outcomes, patient severity of illness, and cost of care metrics. This position will support the organization by analyzing documentation trends and creating plans for consistent improvement on key performance metrics to ensure accurate and appropriate diagnosis-related group (DRG) assignment by capturing comorbidities (CC) or major comorbidities (MCC) and quality metrics like severity of illness (SOI) and risk of mortality (ROM) in the inpatient setting. Additionally, optimizing the risk adjustment factor (RAF) score by documenting and reporting appropriate hierarchical condition categories (HCC) in the outpatient settings. The Supervisor of Quality & Education over CDI and Inpatient Coding works with information technology and clinical operations to improve documentation templates and alerts by disease type to support real time provider documentation to improve accuracy, specificity and help eliminate manual intervention. This supervisor maintains a comprehensive knowledge of the EHR and departmental audit solutions, as well as inpatient, CDI and acuity coding practices. Position Details:

• 1.0 FTE (80 hours per pay period)
• day shift
• no weekends
• fully remote, salaried position

Job Responsibilities:

• Supervises a team of Inpatient Coding Documentation and CDI Liaisons to support inpatient and outpatient CDI, inpatient coding, physicians, advanced practice providers, allied health professionals and other organizational staff in providing education following quality and compliance standards.
• Works with cross functionally to develop education plan based on analysis and prioritization to administer outreach and results defined by quality outcomes and frequency criteria. Evaluate and create the Annual Review and Education plan for coders and providers in partnership with corporate compliance. Based on organizational need, analysis of data, known compliance risks and documentation trends
• Participates and actively contributes to the selection, training, and evaluation of staff engaged in the performance of coding quality and support functions including prospective and retrospective reviews and associated education. Manages and evaluates performance, conducts professional development plans.
• Understands team requirements and leads teams to achieve performance outcomes ensuring team members industry knowledge is kept current creating fully functional and cross trained team performance
• Ensures self and team remain current with regulatory and payer requirements and implement people, process and technology changes needed to maintain ensure compliance.
• Coordinates, prioritizes and documents inpatient/outpatient coding and CDI educational workflows to ensure the greatest specificity, continuous efficiency, and process improvement. Works in concert with CDI teams to develop queries, workflows and priorities based on trends.
• Participates in creation of standard work and onboarding processes.
• Reviews work for accuracy and conformance with industry regulation and guidelines, departmental policies and procedures, tracks and monitors productivity and quality.
• Determines priorities, schedules, and assigns work as required.
• Develops, revises, and maintains work unit policies and procedures.
• May compose correspondence or prepare reports independently to support organizational initiatives.
• Demonstrates maturity and accountability for job performance, supports objectives and goals of the department and organization., Assess for areas of personal and professional growth.
• Analyze charging practices through financial and activity reports, as well as documentation review, to identify potential opportunities for revenue capture and recognize areas of compliance concern.
• Works in concert with IP Coding, OP Coding and CDI team to develop queries, workflows and priorities based on trends.
• Supports the industry transition from fee for service payment models to value-based care payment models.
• Organize, analyze, and present data for the purpose of working with Department Leaders and other stakeholders throughout the organization to outline and institute strategies for improvement.
• Collaborate with key stakeholders to determine and address trends and educational needs. Make recommendations for efficiency related to edits / hold bills based on findings.
• Recommends additional system and industry education to improve performance outcomes.
• Evaluates self and team processes to ensure individual, team and organizational goals are met.
• Publish outcomes and benchmarks against national trends
• Leads or participates in work with peers and other departments to create an excellent understanding of workflows and interdependencies, and to identify and implement strategies to improve revenue cycle performance
• Works collaboratively with vendors to assure performance expectations are being met
• Represent Revenue Cycle and Fairview Health Services at industry forums to network and identify process improvement opportunities
• Serves as a resource on revenue cycle issues and regulatory expectations
• Creates strong collaborative partnerships and influence others across teams, groups and business boundaries to achieve real world problem solving

Required Qualifications

• A.A./A.S. nursing, HIM, Business Administration, Health Care Administration, or related area or
• 2 years in health care reimbursement, financial management, coding OR an approved equivalent combination of education and experience
• 3 years applicable business-related experience
• Fosters a culture of improvement, efficiency, and innovative thinking
• Thorough knowledge of computer systems used by assigned revenue cycle team
• Knowledge of applicable regulatory requirements
• Thorough knowledge of functions assigned
• Knowledge and understanding of hospital revenue cycle operations (registration, charge capture, health information management, claims, payment posting)
• Ability to present to small and large groups
• Consistent demonstration of excellent written and verbal communication skills
• Proficiency in Microsoft Office: Word, Excel, Power-Point, Visio, Teams, SharePoint and Outlook
• Performance improvement, project management and/or lean skills
• MN Registered Nurse (RN) License or
• Certified Clinical Documentation Specialist (CCDS) or
• Clinical Documentation Improvement Practitioner (CDIP) or
• Registered Health Info Admin (RHIA) or
• Registered Health Info Tech (RHIT)

Benefit Overview

Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: https://www.fairview.org/careers/benefits/noncontract

Compensation Disclaimer

The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within thisrange may depend on several factors, such as FTE, skills, knowledge, relevant education, experience,and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If yourrole is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.
EEO Statement

EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status

About the company

M Health Fairview is the newly expanded academic health system that represents a collaboration among the University of Minnesota, University of Minnesota Physicians, and Fairview Health Services. The partnership combines the university’s deep history of clinical innovation and training with Fairview’s extensive roots in community medicine.

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