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Clinical Documentation Integrity Specialist - Remote To WI Or IA

Clinical Documentation Integrity Specialist - Remote To WI Or IA

TEKsystemsMilwaukee, WI, US
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About the Role

We are seeking a highly skilled and detail-oriented Clinical Documentation Specialist (CDS) to support automation initiatives within our business office. This is a contract position with an initial term of 6-9 months, with the possibility of extension based on project needs.

The CDS will play a critical role in ensuring accurate and complete clinical documentation to support severity of illness (SOI), risk of mortality (ROM), and appropriate reimbursement. This position requires strong clinical knowledge, attention to detail, and the ability to communicate effectively with physicians and clinical teams.

CANDIDATES MUST RESIDE IN WI OR IA TO BE CONSIDERED

Key Responsibilities

  • Perform concurrent reviews of inpatient medical records to ensure documentation accurately reflects patient acuity and resource utilization.
  • Ensure working DRG assignments are supported by clinical documentation, including identification of CC / MCCs.
  • Use compliant query practices to clarify documentation with providers and follow through to resolution.
  • Maintain integrity and compliance of all documentation and query processes.
  • Utilize CDI software and workflows effectively (e.g., worksheets, query tracking, DRG reconciliation).
  • Meet departmental productivity and quality assurance standards.
  • Collaborate with coding teams, clinical auditors, and CDI leadership to improve documentation quality and compliance.
  • Participate in cross-functional initiatives and maintain awareness of organizational updates and policies.

Qualifications

  • Registered Nurse (RN) certification required
  • Minimum 5 years of full-time adult acute care RN experience in med / surg, critical care, emergency, or utilization review
  • Strong understanding of ICD-CM / PCS coding guidelines
  • Excellent written and verbal communication skills
  • Ability to work independently and collaboratively in a fast-paced environment
  • Preferred Qualifications

  • Bachelor of Science in Nursing (BSN) or higher
  • Previous experience in Clinical Documentation Improvement (CDI)
  • Experience with chart review or auditing
  • Certified Clinical Documentation Specialist (CCDS) credential
  • Experience Level

    Intermediate

    Why Join Us?

    This is a unique opportunity to contribute to a high-impact initiative focused on automation and clinical documentation excellence. You'll work with a collaborative team dedicated to quality, compliance, and continuous improvement.

    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 25, 2025.

    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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