Clinical Documentation Integrity Specialist
TEKsystems, West Des Moines, Iowa, United States, 50265
Overview
TEKsystems is hiring a clinical documentation integrity specialist to join a client in a remote capacity. Chosen candidates should reside in Iowa, Illinois, or Wisconsin. Responsibilities
Conduits 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 UnityPoint Health's 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. Qualifications
Registered Nurse Certification Clinical Documentation Integrity RN experience in an adult acute care setting - 3 years Experience collaborating with other clinicians, coding staff, and CDI leaders on medical records/charting to help improve data integrity Epic experience is also required. Work from home space required Preferred skills: 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) Job Details
Job Type & Location: This is a Contract position based out of West Des Moines, IA. Pay: The pay range for this position is $35.00 - $41.00/hr. Benefits: 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 medical, dental & vision; critical illness, accident, and hospital; 401(k) retirement plan; life insurance; disability; HSA; transportation benefits; EAP; PTO/vacation/sick leave. Workplace Type: This is a fully remote position. Application Deadline: This position is anticipated to close on Feb 13, 2026. 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.
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TEKsystems is hiring a clinical documentation integrity specialist to join a client in a remote capacity. Chosen candidates should reside in Iowa, Illinois, or Wisconsin. Responsibilities
Conduits 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 UnityPoint Health's 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. Qualifications
Registered Nurse Certification Clinical Documentation Integrity RN experience in an adult acute care setting - 3 years Experience collaborating with other clinicians, coding staff, and CDI leaders on medical records/charting to help improve data integrity Epic experience is also required. Work from home space required Preferred skills: 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) Job Details
Job Type & Location: This is a Contract position based out of West Des Moines, IA. Pay: The pay range for this position is $35.00 - $41.00/hr. Benefits: 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 medical, dental & vision; critical illness, accident, and hospital; 401(k) retirement plan; life insurance; disability; HSA; transportation benefits; EAP; PTO/vacation/sick leave. Workplace Type: This is a fully remote position. Application Deadline: This position is anticipated to close on Feb 13, 2026. 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.
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