OVERVIEW Joining Redeemer Health means becoming part of an inclusive, supportive team where your professional growth is valued. Our strength comes from bringing different perspectives and talent to our workforce, spanning PA & NJ. We offer programs that set up new team members for long-term success including education assistance, scholarships, and career training. With medical and dental coverage, access to childcare & fitness facilities on campus, investment in your retirement, and community events, your career at Redeemer is more than a job. You’ll discover a commitment to quality care in a safe environment and a foundation from which you can provide and receive personalized attention. We look forward to being a part of your professional journey. We invite you to apply today. SUMMARY OF JOB The OP CDI Supervisor position supports the Health Information Management Department, Business Office, Ancillary Departments, Revenue Cycle, and Corporate Compliance by monitoring adherence to revenue cycle activities related to outpatient and billing, accuracy of facility outpatient clinical documentation and charging to ensure compliance with government and payer specific policies. This position will participate in revenue generating and internal charge capture initiatives with department heads to ensure appropriate reimbursement and is responsible for resolving NCCI, MUE, SSI and other billing/payer edits to expedite clean claims submission to the payers. This position will work with average daily revenue of $2.5 million and will aim to reduce denials by 2.1% of new revenue. Additionally, this position supervises Outpatient CDI colleagues, provides oversight for coordinating denied claims, communicating denials to leadership, tracking/trending denials, maintaining denial tracing system, providing coding and billing support to ancillary clinical departments and adjunct hospital entities. The Supervisor will monitor DNFC and Outpatient Exceptions billing report and act upon delayed billing issues to ensure timely bill-drop. CONNECTING TO MISSION: All individuals, within the scope of their position, are responsible for performing their job in light of the Mission & Values of the Health System. Regardless of position, every job contributes to the challenge of providing health care. There is an ongoing responsibility for ensuring that the values of Respect, Compassion, Justice, Hospitality, Holistic Approach, Stewardship and Collaboration are present in all interactions with patients, residents, families and one another in the services we provide. RECRUITMENT REQUIREMENTS Minimum of 5 years inpatient and/or outpatient coding experience. Will consider experienced clinical caregivers/managers and/or revenue management/revenue cycle professionals In-depth knowledge of coding/classification systems appropriate for outpatient and/or inpatient, and APC and/or DRG prospective payment system and reimbursement structures. Extensive knowledge of CMS, Medicaid and third party payer coding, billing and compliance regulations required (MS-DRG, ICD-10-CM, HCPCS, CPT, Modifiers, etc.) Experience reviewing and refuting payer denials by applying applicable coding and clinical supporting evidence specific to the denial. Experience with 3M Encoder and computerized abstracting system. Demonstrated strong interpersonal skills to communicate effectively with all levels of the organization, especially senior leadership and department heads. Strong problem solving and investigative skills. Strong project management skills, with ability to organize and coordinate multiple functions and tasks. Proven organizational skills to initiate and maintain an efficient work flow. Ability to perform under significant levels of on-going pressure. Ability to train and teach individuals. Ability to use Microsoft Excel and Power Point Presentations and Power - BI (Data Analytics Management system). Ability to utilize multiple hospital application systems (Soarian Clinical/Financial, Athena, inovalon, etc.). Ability to work with minimum supervision at a high level of motivation and initiative while being entrepreneurial, creative and results oriented. Capacity to work independently. LICENSE AND REGULATORY REQUIREMENTS: Must possess an Associate/Diploma Degree in Health Information Technology (HIT) or Medical Assisting or Nursing (RN or LPN), or/and advanced degree in Health Information Management or the medical field. Must possess one of the below: Registered Health Information Administrator (RHIA) Registered Health Information Technician (RHIT) Certified Coding Specialist (CCS). Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Professional (CDIP). Or 5-10 years of auditing experience or other employment that required auditing and training for Inpatient and Outpatient Hospital Medical coding. Registered Nurse, Licensed Practical Nurse (LPN) Redeemer Health is an equal opportunity employer. We prohibit discrimination in employment due to race, color, gender, religion, creed, national origin, age, sex, sexual orientation, gender identity or expression, disability veteran status or any other protected classification required by law.