New

Clinical Documentation Integrity Specialist

TEKsystems
$35.00 - $44.00 / hr
life insurance, sick time, 401(k), retirement plan, remote work
United States, Iowa, West Des Moines
Sep 18, 2025
Description 100% remote role; prefer someone that sits within Iowa, the Quad Cities region, and Wisconsin. Due to the demand behind this role - they are open to reviewing candidates outside of the normal work location requirement if they are a best fit for the role. The Clinical Documentation Specialist (CDS) is responsible for performing concurrent review of medical records to ensure complete and accurate clinical documentation to support severity of illness, risk of mortality for outcomes reporting, and for hospital reimbursement. The position requires a strong attention to detail and process orientation and an ability to think globally about documentation requirements in the medical records. The CDS must communicate effectively in oral and written form to physicians and other clinicians to promote accurate and complete documentation during the patient's course of care. CDS supports the hospital's overall compliance efforts designed to ensure the accuracy of diagnosis and procedural coding, Diagnosis Related Group (DRG) assignment, severity of illness (SOI), and expected risk of mortality (ROM). This role uses Nuance CDE One as their clinical documentation integrity (CDI) software system. This position is a highly demanding and not a relaxed work from home opportunity. Daily Duties: Conducts reviews of designated medical records to facilitate the creation of a health record that accurately represents the acuity of the patient's illness and the resources used to treat the patient by ensuring provider documentation supports all applicable diagnosis codes. Ensures assignment of the working DRG is supported by diagnostic and procedural findings from the medical record. This will include the identification of secondary diagnosis that may result in Complications and Co-morbidities (CC) and/or Major Complications and Co-morbidities (MCC) assignment. Utilizes a compliant query process per guidelines and policies and follows each query through closure including complete documentation of ongoing follow up and communication. Maintains integrity and compliance of medical record reviews, clinical documentation integrity documentation, and queries. Efficiently and effectively utilizes selected CDI software and processes (i.e. CDI worksheet and workflow, physician query, query and DRG reconciliation processes). Meets the minimum productivity and quality assurance standards established by the CDI department. Collaborates with coding staff and leaders for improved knowledge and understanding of coding guidelines. Collaborates with physicians and/or other hospital staff to coordinate work and resolve issues. Collaborates with Clinical Documentation Integrity leaders to provide feedback and receive work direction. Collaborates with other hospital departments as needed and directed by CDI leaders. Additional Skills & Qualifications Registered Nurse Certification 5+ year of RN experience - full time adult acute care RN experience in med/surg, critical care, emergency or Utilization review Previous CDI experience Work from home space required PREFER: BSN or higher certification Previous experience in clinical documentation improvement Previous experience with chart review or chart auditing Nuance CDE One experience Knowledge of ICD CM/PCS coding guidelines Certified Clinical Documentation Specialist (CCDS) Experience Level Intermediate Level Pay and Benefits The pay range for this position is $35.00 - $44.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Sep 24, 2025. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.