Natalie Inchiosa

Job Title: Clinical Documentation Integrity Specialist                  

Department: Medical Records

Remote *** Required to be onsite for orientation (2-3 days) - expenses full paid.  

Full Time Position rate dependent on CDI experience. Full Benefits, Retirement, Holiday pay and PTO included!

 

The Clinical Documentation Integrity Specialist (CDIS) is responsible for evaluating the quality, accuracy, and completeness of provider documentation in the medical record. The CDIS uses advanced clinical knowledge and a strong understanding of ICD-10 coding guidelines and documentation standards to perform comprehensive, concurrent reviews. 

 

Essential Responsibilities:

1. Conduct concurrent reviews of clinical documentation to assess completeness, clarity, and consistency for coding accuracy, quality outcomes, and compliance.
2. Complete initial chart reviews within 24–48 hours of admission; perform continued stay reviews every three (3) acute care days for targeted patient populations.
3. Analyze the full medical record to identify discrepancies or documentation gaps, including review of labs, imaging, nursing/therapy/dietary notes, consults, physician orders, and interventions.
4. Issue compliant physician queries per ACDIS Guidelines when documentation is ambiguous, inconsistent, or lacks clinical support.
5. Assign working MS-DRGs using ICD-10-CM/PCS guidelines, including correct identification of principal diagnoses, secondary conditions, and procedures.
6. Participate in reviews supporting quality metrics such as Hospital-Acquired Conditions (HACs), Elixhauser Comorbidities (ELIX), and expected mortality indicators.
7. Collaborate with providers, coding professionals, and interdisciplinary teams to ensure alignment of documentation and coding.
8. Utilize the electronic health record (EHR) and CDI software for concurrent reviews, query generation, and workflow documentation.
9. Meet or exceed performance targets related to review volume, query accuracy, and documentation quality.
10. Stay informed of industry best practices, regulatory changes, and updates to coding standards.
11. While this position can be performed remotely, flexibility in hours may be required for provider collaboration and documentation discussions.

Minimum Qualifications

Education:

• Graduate of an LPN certificate/diploma, or
• RN (Associate’s or Bachelor’s Degree), or
• Health Information Management (Associate’s or Bachelor’s Degree)

 

OR

 

Licensure/Certifications:

• Active Registered Nurse (RN) or Licensed Practical Nurse (LPN) license (Georgia)
• OR RHIA/RHIT credential with CCS certification
• CDIP or CCDS preferred (required within two years of hire)

 

WITH

Experience:

• Minimum of 3 years of inpatient CDI experience, or
• 5 years of recent acute care nursing experience or
• 5 years of inpatient coding / CDI in a Hospital environment

Knowledge, Skills, and Abilities:

• Strong clinical judgment and knowledge base
• Deep understanding of ICD-10-CM/PCS coding conventions
• High-level analytical and critical thinking skills
• Excellent verbal and written communication skills
• Proficient computer and organizational skills
• Ability to work independently in a secure remote setting

IDR is seeking a Principal Data Engineer to join one of our top clients for an opportunity in Irving, Texas. This organization specializes in leveraging advanced data technologies to drive business insights and optimize operations through scalable data solutions. The role offers an exciting chance to lead data engineering initiatives in a highly technical and collaborative environment.

Position Overview for the Principal Data Engineer:

• Design and build scalable data pipelines and infrastructure to support analytics and machine learning initiatives
• Optimize data models and leverage big data technologies and frameworks to ensure performance and reliability
• Partner with cross-functional teams to meet data needs, ensure security and compliance, and drive continuous improvement
• Mentor team members and lead data engineering projects from conception through implementation
• Communicate effectively in business terms and bring hands-on experience with enterprise data and analytics use cases

Requirements for the Principal Data Engineer:

• 9+ years of experience in data engineering, including experience in designing and building data pipelines
• Strong programming skills in one or more languages and tools, such as Python, DBT, Airflow, GIT
• Strong proficiency in data engineering technologies, such as ETL/ELT frameworks, CI/CD, big data processing, and SQL/Snowflake and NoSQL databases
• Deep understanding of database systems, data modeling, and data warehousing
• Strong proficiency in building analytical dashboards using PowerBI/Tableau

What's in it for you?

• Competitive compensation package
• Full Benefits; Medical, Vision, Dental, and more!
• Opportunity to get in with an industry leading organization

Why IDR?

• 25+ Years of Proven Industry Experience in 4 major markets
• Employee Stock Ownership Program
• Dedicated Engagement Manager who is committed to you and your success
• Medical, Dental, Vision, and Life Insurance
• ClearlyRated's Best of Staffing® Client and Talent Award winner 12 years in a row

Job Title: Multi-Specialty Radiation Therapy Technologist Department: Radiation Oncology Reporting To: Manager of Oncology 115K+ plus    Summary The Multi-Specialty Radiation Therapy Technologist provides direct care to Radiation Oncology patients by accurately setting up and delivering prescribed radiation treatments with minimal supervision. This position is responsible for ensuring the precision and safety of all imaging and radiation procedures performed. All team members are expected to promote a culture of safety, comply with federal and state regulatory requirements, meet Joint Commission standards, and follow all national patient safety protocols. Essential Responsibilities

1. Prepare treatment room and equipment according to each patient’s prescription, including beam modifiers, positioning devices, and alignments. Perform and document daily machine checks during morning warm-up.
2. Deliver radiation therapy treatments as outlined in treatment plans, ensuring precision and adherence to safety protocols. Perform imaging (OBI and CBCT) accurately, with full understanding of quality parameters.
3. Maintain proficiency in simulation and therapy techniques, routine dosimetry calculations, and block cutting. Fabricate custom treatment devices (e.g., cerrobend blocks) before therapy initiation.
4. Coordinate simulation and treatment schedules, order and charge procedures accurately, and assist with patient chart checks to ensure proper documentation.
5. Maintain manual and electronic records to ensure availability of accurate patient data for clinical review.
6. Stay current with advancements in radiation therapy techniques, equipment, and safety measures; participate in evaluations and implementation of new methods.
7. Maintain exceptional patient relations, demonstrating respect for all patients, families, and visitors. Serve as a patient advocate when needed, particularly in cases involving limited ability to communicate or understand care needs.
8. Assist in cost control efforts, including monitoring supply usage and supporting preventative maintenance programs for therapy equipment.

Minimum Qualifications Education:

• High school diploma or equivalent.
• Graduate of an ARRT-approved Radiology Program with a completed course in radiation therapy, or
• Graduate of an accredited radiation therapy program and must be registry eligible.
• ARRT certification required within 1 year of hire or transfer.

Experience:

• Prior experience in Radiation Therapy preferred.

Licensure/Certification:

• ARRT certification in Radiation Therapy required (or must be obtained within one year of hire).

Knowledge, Skills, and Abilities

• Strong clinical judgment and professionalism
• Adherence to patient confidentiality standards
• Effective interpersonal and communication skills
• Ability to work collaboratively and independently
• Demonstrated customer service and patient advocacy skills
• Over 80% of time spent interacting with patients, staff, and care teams

IDR is seeking an Monitoring & Automation Administrator to join one of our top clients in Suwanee, GA. This role is pivotal in ensuring the seamless deployment and maintenance of observability tools, with a focus on automation and integration across various platforms. If you are looking for an opportunity to join a growing organization and work within an ever-growing team-oriented culture, please apply today!

Position Overview/Responsibilities for the Monitoring & Automation Administrator:

• Develop and sustain monitoring dashboards, alerts, and SLO/SLA reporting using Dynatrace as the primary tool.

• Design and implement automated workflows utilizing tools such as Ansible, Terraform, and ServiceNow.

• Collaborate with infrastructure and application teams to integrate telemetry and logging standards effectively.

• Utilize AI/ML features in observability platforms to enhance alert accuracy and root cause analysis.

• Engage in incident response activities, including after-action reviews and proactive system improvements.

Required Skills for Monitoring & Automation Administrator:

• Minimum of 3 years of experience in IT infrastructure, DevOps, or SRE with a focus on monitoring and automation.

• Proficient in observability platforms like Dynatrace, Datadog, or Grafana.

• Skilled in scripting languages such as Python, PowerShell, or Bash.

• Strong understanding of telemetry concepts, including logs, metrics, traces, and events.

• Experience with hybrid cloud environments, including AWS, Azure, and on-premises systems.

What's in it for you?

• Competitive compensation package

• Full Benefits; Medical, Vision, Dental, and more!

• Opportunity to get in with an industry leading organization

• Close-knit and team-oriented culture

Why IDR?

• 25+ Years of Proven Industry Experience in 4 major markets

• Employee Stock Ownership Program

• Medical, Dental, Vision, and Life Insurance

• Clearly Rated's Best of Staffing® Client and Talent Award winner 12 years in a row

  #LI-Onsite

IDR is seeking a Program Manager to join one of our top clients in Grenada, MS. This role offers a dynamic opportunity to lead and manage complex projects within a hybrid work schedule. If you are eager to contribute to a growing organization and thrive in a collaborative, team-oriented environment, we encourage you to apply today!

Position Overview/Responsibilities for the Program Manager: • Lead and oversee multiple complex projects, focusing on physical product development in industrial or data center cooling solutions. • Drive manufacturing expansions, including planning floor layouts and implementing process improvements. • Utilize strong leadership and communication skills to manage organizational change effectively. • Collaborate with cross-functional teams using ERP systems, project management software, and collaboration tools. • Engage in a 6-month contract-to-hire arrangement, with potential for long-term growth.

Required Skills for Program Manager: • Bachelor's degree in Engineering, Industrial Technology, or a related technical field, or equivalent practical experience. • 8+ years of experience in project or program management, preferably in a manufacturing or technical setting. • Proven ability to manage multiple projects in a fast-paced environment. • Experience with industrial compliance standards and manufacturing best practices. • PMP certification preferred; familiarity with Agile, Lean, or Six Sigma frameworks is a plus.

What's in it for you? • Competitive compensation package

• Full Benefits; Medical, Vision, Dental, and more! • Opportunity to get in with an industry leading organization • Close-knit and team-oriented culture

Why IDR? • 25+ Years of Proven Industry Experience in 4 major markets

• Employee Stock Ownership Program • Medical, Dental, Vision, and Life Insurance • ClearlyRated's Best of Staffing® Client and Talent Award winner 12 years in a row Compensation Details: $80-90/Hour

IDR is seeking an Account Manager - Biometric Security to join one of our top clients in a remote capacity. This role is perfect for a seasoned professional eager to drive growth and foster relationships at the executive level within the biometric security sector. If you are looking for an opportunity to join a growing organization and work within an ever-growing team-oriented culture, please apply today!

Position Overview/Responsibilities for the Account Manager - Biometric Security:

• Manage and expand a portfolio of strategic technology and channel partners, focusing on mutually beneficial partnerships and revenue growth.

• Lead consultative sales engagements by understanding customer security challenges and crafting integrated biometric and access control solutions.

• Identify and pursue new strategic opportunities with channel partners and key technology collaborators.

• Develop and execute strategic plans, tracking progress against KPIs to ensure customer satisfaction, retention, and profitability.

• Collaborate with product, engineering, and marketing teams to meet customer requirements and influence future product development.

Required Skills for Account Manager - Biometric Security:

• 5-8 years of experience in enterprise or strategic account management, ideally within access control, biometrics, identity management, or physical security industries.

• Proven success in solution or consultative selling, managing complex sales cycles with multiple stakeholders.

• Strong understanding of physical and logical security systems, including hardware, software, and integration platforms.

• Excellent interpersonal skills with experience engaging senior-level decision-makers.

• Ability to translate customer challenges into actionable business solutions and long-term strategic value.

What's in it for you?

• Competitive compensation package

• Full Benefits; Medical, Vision, Dental, and more!

• Opportunity to get in with an industry leading organization

• Close-knit and team-oriented culture

Why IDR?

• 25+ Years of Proven Industry Experience in 4 major markets

• Employee Stock Ownership Program

• Medical, Dental, Vision, and Life Insurance

• ClearlyRated's Best of Staffing® Client and Talent Award winner 12 years in a row

IDR is seeking a Legal Associate to join one of our top clients in Des Moines, IA. This role is perfect for a seasoned professional eager to contribute to a dynamic legal team focused on insurance product filings. If you are looking for an opportunity to join a growing organization and work within an ever-growing team-oriented culture, please apply today!

Position Overview/Responsibilities for the Legal Associate:

• Collaborate with our client's team to draft and review contract provisions for new retail annuity products, ensuring compliance with applicable laws and regulations.
• Develop and manage project timelines for state product submissions, setting clear expectations for approval processes. 
• Analyze legal standards related to state insurance laws and the Interstate Insurance Product Regulation Commission to support new product development. 
• Engage with state regulators to negotiate and respond to objections, streamlining the submission process for quicker approvals. 
• Partner with internal marketing teams to ensure consumer advertising aligns with contract requirements and maintain records of regulated forms.

Required Skills for Legal Associate:

• Over seven years of experience in the annuity and/or life insurance industry, with at least three years in a legal, compliance, or product development role. 
• Strong understanding of insurance products, sales practices, and regulatory changes. 
• Proficiency in communication, both verbal and written, with excellent negotiation and interpersonal skills. 
• Familiarity with insurance administration and experience with SERFF.
• Competency in Microsoft Office, Adobe Professional, and other relevant software.

What's in it for you?

• Competitive compensation package
• Full Benefits; Medical, Vision, Dental, and more!
• Opportunity to get in with an industry leading organization
• Close-knit and team-oriented culture

Why IDR?

• 25+ Years of Proven Industry Experience in 4 major markets
• Employee Stock Ownership Program
• Medical, Dental, Vision, and Life Insurance
• ClearlyRated's Best of Staffing® Client and Talent Award winner 12 years in a row

#LI-Onsite

IDR is seeking a dynamic and experienced System Test Data Manager to join one of our top clients in Colorado Springs, CO. This role is perfect for a self-starter with strong Linux and Windows Server system administration skills, and a knack for problem-solving. If you are looking for an opportunity to join a large organization and work within a team-oriented culture, please apply today!

Position Overview/Responsibilities for the System Test Data Manager: - Manage and oversee data collection and management activities - Develop scripts to assist in automating data collection and management activities - Troubleshoot software components in a widely distributed, virtual environment - Work effectively in a fast-paced team environment with both internal and external personnel - Maintain an active Secret Clearance and DoD 8570 IAT Level-II certification Required Skills for System Test Data Manager: - At least 5 years of experience as a data manager or Linux systems administrator - Strong Linux and Windows Server system administration skills - Rudimentary coding skills, particularly in Python and Java - Basic troubleshooting skills - Technical knowledge of the Missile Defense Agency (MDA) Missile Defense System (MDS) - Bachelor's degree in engineering, computer science, mathematics, physics or other STEM field from an accredited college What’s in it for you? - Competitive compensation package - Full Benefits; Medical, Vision, Dental, and more! - Opportunity to get in with an industry leading organization - Close-knit and team-oriented culture Why IDR? - 25+ Years of Proven Industry Experience in 4 major markets - Employee Stock Ownership Program - Medical, Dental, Vision, and Life Insurance - ClearlyRated's Best of Staffing® Client and Talent Award winner 12 years in a row ; pay transparency: 100-106k/year #LI-Onsite  

IDR is seeking a Lead Security Technician to join one of our top clients in Tucker, GA. This role is perfect for individuals with a strong background in physical security, who are eager to lead and supervise a team of technicians on construction sites. If you are looking for an opportunity to join a growing organization and work within an ever-growing team-oriented culture, please apply today!

Position Overview & Responsibilities for the Lead Security Technician:

• Lead and supervise lower-level technicians on-site, ensuring project progress and providing oversight
• Engage in hands-on work at construction sites, focusing on physical security, AV, and access control systems
• Utilize your expertise in CCTV systems, from design to monitoring and support
• Apply your knowledge of access control and physical security throughout project phases, from initiation to completion
• Maintain a strong presence on-site, ensuring the successful deployment and support of security systems

Required Skills for the Lead Security Technician:

• Minimum of 5 years of professional experience in monitoring and supporting CCTV systems
• Proven experience in access control and physical security, including system-level design and support
• Familiarity with platforms such as CCURE 9000, Lenel S2, Avigilon, and others
• Relevant certifications from large firms in security and access control systems
• Ability to reliably commute to our client's location in Tucker, GA, five days a week

What's in it for you?

• Competitive compensation package
• Full Benefits; Medical, Vision, Dental, and more!
• Opportunity to get in with an industry leading organization
• Close-knit and team-oriented culture