Northwestern Medicine · 1 day ago
Coding Quality Auditor and Specialist, HB Coding, Full-time, Days (Remote)
United States
Full-time
Remote
Senior Level
5+ years expNorthwestern Medicine is a leader in the healthcare industry focused on patient care and employee well-being. The Coding Quality Auditor and Specialist is responsible for ensuring compliance with coding guidelines and improving clinical documentation quality, collaborating closely with healthcare teams to achieve quality metrics. This role involves advanced project work and problem-solving to enhance documentation integrity and coding compliance.
Emergency MedicineHealth CareHospitalMedicalNutritionRehabilitation
Responsibilities
Collaborates with clinical documentation team in the review of inpatient accounts (with an emphasis on mortality reviews) identifying documentation improvement opportunities
Assess DRG, PDx, secondary Dx, PCS, POA and all other components of documentation that impact quality metrics
Consistently assures coding practices remain compliant with coding guidelines and regulations
Continually identifies educational opportunities related to coding and documentation
Expert educator to clinical teams and medical staff
Identifies strategic plans that will result in a positive impact to the clinical dashboard
Develops clinical relationships across the health system securing interdepartmental support necessary for successful implementation of education strategies assuring achievement of overall strategic targets
Ability to multi-task a variety of audits
Ability to analyze data and construct appropriate action plans
Develops teaching tools to promote quality outcomes
Is an active member of clinical and executive meetings as identified
Advanced understanding of quality metrics for health system (Vizient, PSI, USNWR)
Advanced understanding of clinical documentation and coding through the lens of local and national quality and ranking methodologies, including but not limited to, U.S News and World Report, Vizient, Leapfrog, the CMS Star Rating, and payer contracts and assists the Managers of Clinical Documentation and Coding in implementing key strategies to effect change
Partners with Coding, Clinical Documentation leadership and Medical Directors to coordinate, maintain, and execute advanced project work that includes but, is not limited to, Mortality Review, HAC/PSI Review, Quality Abstraction and Analysis, and/or special and non-traditional project work
Partners with NM departments that includes but is not limited to: IT; Analytics; and Innovation to design and implement new and advanced workflow solutions
Partners with third-party consultants/partners to contribute to workflow and methodology build and refine as necessary
Qualification
Required
RHIT or RHIA or CCS Certification
Certified Clinical Documentation Specialist
Bachelor Degree – Healthcare field related OR completion of an Associate's Degree with five plus years of healthcare coding experience
Clinical expertise and understanding achieved through prior experience working with clinical documentation teams
Strong personal computer skills (Word, Excel, PowerPoint, Visio)
Excellent verbal, written, and presentation skills
Demonstrates critical thinking skills
Excellent interpersonal skills
Planning and time management skills
Educational/training experience
Preferred
Master's Degree in related field or currently enrolled in Master's program
Benefits
Tuition reimbursement
Loan forgiveness
401(k) matching
Lifecycle benefits
Company
Northwestern Medicine
Northwestern Medicine is the collaboration between Northwestern Memorial HealthCare and Northwestern University Feinberg School of Medicine around a strategic vision to transform the future of health care.
10001+ employees
H1B Sponsorship
Northwestern Medicine has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (75)
2024 (66)
2023 (70)
2022 (78)
2021 (35)
2020 (39)
Funding
Current Stage
Late StageTotal Funding
$25M2018-06-26Grant· $25M
Leadership Team
Howard Chrisman, MD
President and CEO
John A. Orsini, CPA
Senior Vice President and Chief Financial Officer
Recent News
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