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Northwestern Memorial Hospital · 1 day ago

Coding Quality Auditor and Specialist, HB Coding, Full-time, Days (Remote)

United States

Full-time

Remote

Senior Level

5+ years exp

Northwestern Medicine is a leading healthcare provider committed to delivering world-class care and innovation. They are seeking a Coding Quality Auditor and Specialist who will ensure compliance with coding guidelines and improve clinical documentation quality while collaborating with various healthcare professionals. The role involves maintaining quality work queues, leading quality initiatives, and applying advanced knowledge of clinical documentation integrity.

Health Care

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

RHIT CertificationRHIA CertificationCCS CertificationClinical Documentation ExpertiseBachelor's DegreeHealthcare Coding ExperiencePC SkillsVerbal SkillsPlanning SkillsEducational ExperienceWritten SkillsPresentation SkillsCritical Thinking SkillsInterpersonal SkillsTime Management Skills