Senior Clinical Documentation Lead & Quality Champion

Northwestern Medicine; Winfield (IL); On-site; USD 110,000 - 140,000; Full time

Job summary

Northwestern Medicine is seeking a Lead Clinical Quality Documentation Specialist to lead CDI initiatives, coach staff, and align documentation practices with clinical quality goals. The role requires nursing leadership, strong data analysis, and collaboration with executives across NM.

The position emphasizes improving documentation accuracy, value-based outcomes, and governance through expert CDI guidance and education. Travel may be required to support NM needs.

Qualifications

• Registered Nurse in Illinois.
• Bachelor’s or Master’s degree in nursing.
• Minimum of 3 years of Clinical Documentation Integrity experience.
• Minimum 2 years of bedside nursing with quality/patient safety initiatives.
• Current Certification in Clinical Documentation (ACDIS)
• Strong leadership and change management skills.
• Analytical skills to interpret clinical data.
• Strong interpersonal and communication skills.
• Proficient with common computer applications.

Responsibilities

• Lead Clinical Documentation Integrity initiatives across NM to support strategic goals.
• Collaborate with CDI Managers, Director, and Medical Director leadership.
• Coach and mentor CDI staff; drive onboarding and training programs.
• Oversee documentation reviews, data collection, and trend analysis for improvements.
• Support DRG denials review, PSI/HAC reporting, and policy development.

Skills

Clinical Documentation

Leadership

Analytical skills

Communication

Problem solving

Education

Bachelor’s or Master’s in nursing

Tools

Microsoft Office

Job description

Northwestern Medicine is seeking a Lead Clinical Quality Documentation Specialist to lead CDI initiatives, coach staff, and align documentation practices with clinical quality goals. The role requires nursing leadership, strong data analysis, and collaboration with executives across NM.

The position emphasizes improving documentation accuracy, value-based outcomes, and governance through expert CDI guidance and education. Travel may be required to support NM needs.