HB Coding

Introduction

Northwestern Medicine is seeking a skilled Coding Quality Auditor and Specialist to join its world-class healthcare team. This remote position offers an opportunity to work from Illinois, Wisconsin, Indiana, Missouri, Iowa, or Ohio while contributing to the organization’s mission of excellence in patient care and medical innovation. The Coding Quality Auditor and Specialist will play a critical role in ensuring documentation accuracy, regulatory compliance, and superior coding quality across the Northwestern Medicine Health System.

Key Responsibilities of a Coding Quality Auditor and Specialist

• Partner with clinical documentation teams to review inpatient accounts, focusing on mortality reviews and improvement opportunities.
• Assess DRG, PDx, secondary Dx, PCS, and POA elements to enhance quality metrics.
• Maintain full compliance with national coding guidelines and healthcare regulations.
• Develop and deliver educational programs to clinical and coding teams.
• Identify strategic improvements for the clinical dashboard and system-wide documentation quality.
• Build and maintain cross-departmental relationships to support educational and strategic initiatives.
• Lead multiple audits simultaneously and design actionable plans from data analysis.
• Represent the department in clinical and executive meetings, sharing insights and recommendations.
• Apply advanced knowledge of quality metrics and ranking methodologies (Vizient, USNWR, Leapfrog, CMS).
• Collaborate with IT, analytics, and innovation teams to design and implement workflow improvements.
• Support advanced projects such as Mortality Review, HAC/PSI Review, and Quality Abstraction.

Qualifications for the Coding Quality Auditor and Specialist Role

Required:

• RHIT, RHIA, or CCS Certification.
• Certified Clinical Documentation Specialist credential.
• Bachelor’s degree in a healthcare-related field (or currently enrolled).
• Minimum of 5 years of relevant coding experience.
• Proven experience in clinical documentation improvement.
• Strong computer skills (Word, Excel, PowerPoint, Visio).
• Excellent written, verbal, and presentation abilities.
• Strong critical thinking, organization, and time management skills.
• Previous training or educational experience.

Preferred:

• Master’s degree in a related field or current enrollment in a Master’s program.

Why Join Northwestern Medicine as a Coding Quality Auditor and Specialist

At Northwestern Medicine, you’ll be part of a purpose-driven community dedicated to innovation, education, and exceptional patient care. The organization supports your growth with training, mentorship, tuition reimbursement, and flexible work options. As a Coding Quality Auditor and Specialist, you’ll influence system-wide quality standards while enjoying comprehensive benefits, including medical, dental, and vision coverage, student loan repayment, 401(k) matching, and paid time off.