Clinical Quality Documentation Specialist Hybrid; eligible

Clinical Quality Documentation Specialist

The salary range for this position is $37.35 - $48.56 (Hourly Rate). Placement within the salary range depends on relevant work experience and internal equity. A $4,000 sign‑on bonus is offered.

Northwestern Medicine is powered by a community of colleagues who are purpose‑driven and committed to our mission of delivering world‑class care and leading medical innovation. Here you will work alongside top clinical talent and collaborate with interdisciplinary teams to improve quality data and outcomes.

• $10,000 Tuition Reimbursement per year (part time $5,700)
• $10,000 Student Loan Repayment (part time $5,000)
• $1,000 Professional Development per year (part time $500)
• $250 Well‑Being Fund per year (part time $125)
• Matching 401(k)
• Excellent medical, dental and vision coverage
• Life insurance
• Annual Employee Salary Increase and Incentive Bonus
• Paid time off and Holiday pay

The Clinical Quality Documentation Specialist I is a change agent who facilitates improvement in the overall completeness and accuracy of quality data and outcomes through extensive interaction with physicians, nursing staff, interdisciplinary quality committees, multidisciplinary teams and clinical coders.

• Maintain integrated relationships with business unit and system physician and administrative leaders to advance quality metrics through front‑line documentation efforts.
• Round daily with physician and advanced practice providers (APPs) in assigned service line(s) or business units to ensure appropriate and accurate documentation in the medical record.
• Partner with operational and medical leadership to identify, develop and implement successful communication and education to engage physicians and improve processes and outcomes.
• Perform daily medical record reviews in assigned service line(s). Perform data collection activities to identify documentation issues, quality issues and opportunities for improvement in patient care and services.
• Basic understanding of clinical documentation through the lens of local and national quality and ranking methodologies, including U.S. News and World Report, Vizient, Leapfrog, the CMS Star Rating and payer contracts and assist the Managers of Clinical Documentation in execution of and maintenance of key strategies to effect change.
• Understand the basics of leveraging the NM network to initiate conversations, identify root causes and resolution, and align resources.
• Analyze quality and patient safety data to identify patterns in the management of patient care and services using reported
  1) Hospital acquired conditions,
  2) Patient safety indicators,
  3) Case Mix index, and
  4) Expected mortality.
• Collaborate with the Clinical Quality Team to model, teach and improve upon the culture of safety with shared improvement in all venues.
• Present updates to operational and medical leadership, attending and resident physicians and interdisciplinary quality committees.
• Communicate effectively and collaborate with colleagues and the Clinical Coding Team. Foster an environment to execute a shared vision in creating a model of best practice in the accurate reporting of patient diagnoses, comorbid conditions and treatment rendered.
• Professional Development and
  
  Education:
  • Master evidence and literature in relevant clinical area, discipline, and improvement science, including clinical quality improvement, patient safety, human factors, failure modes, root cause analysis, and related performance and safety resources.
  • Apply knowledge of professional nursing standards, best practices, and interdisciplinary collaboration to advance problem analysis and resolution and creative process redesign.
• Other:
  • Participate in a minimum of one NM Clinical Documentation committee as approved by Manager, Clinical Documentation.
  • Participate on departmental and hospital committees and task‑for‑ces as assigned.
  • Participate in concurrent performance improvement activities and on‑going review activities.
  • Perform other job‑related duties as requested, including special projects.
  • Comply with Northwestern Memorial Hospital policies on patient confidentiality including HIPAA requirements and…