CDI Query Writer Full Time NEW

Summary:

• The CDI Query Writer is responsible for facilitating and distributing compliant queries to appropriate providers to obtain optimal quality documentation ensuring proper translation of the medical record and capturing the true clinical picture of each patient.

Responsibilities:

• Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/DRG Integrity Specialist.
• Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider.
• Create queries in a compliant manner in accordance with AHIMA and ACDIS compliant query guidelines as well as American Hospital Association (AHA) Coding Clinic Guidelines, ensuring that proper medical diagnoses and procedures are being submitted for reimbursement.
• Construct queries with attention to detail, utilizing proper grammar and punctuation.
• Utilize ICD-10 coding guidelines and medical terminology to expertly create a query that results in improved accuracy of patient severity of illness and/or risk of mortality, representing the patient’s true clinical picture in final code assignment.
• Participate in all educational opportunities provided by Accuity for updates in current coding and query writing guidelines as well as internal and client policies and procedures.
• Utilize Accuity policies and procedures, as well as Federal and State coding reimbursement guidelines, and application of correct coding guidelines to ensure the documentation supports code assignment at the greatest level of specificity.
• Competently use Accuity tracking tool for data entry for reportable criteria.
• Maintain expected productivity and quality standards.
• Perform miscellaneous job-related duties as assigned.

Requirements:

• Education: At least one of the following:
  • Foreign Medical Graduate
  • Associates Degree in Nursing
  • Bachelor’s Degree in Nursing
  • Bachelor’s Degree in Health Information Management
  • Other related degrees will be reviewed at the discretion of management.
• Experience:
  • Minimum 3 years of clinical work experience.
  • Minimum 2 years of current Inpatient CDI experience.
• Licensure and/or Credentials:
  • At least one of the following: MD, DO, CDIP, RN, BSN, CCS, CCDS.
• Knowledge, Skills, and Abilities:
  • Excellent communication skills.
  • Very strong writing skills, appropriate punctuation, grammar, etc.
  • Strong oral skills.
  • Excellent critical thinking skills.
  • Strong computer skills with the ability to learn multiple EMR systems as well as data reporting systems.
  • Ability to analyze data, perform multiple tasks, and work independently.
  • Ability to develop and maintain professional, service-oriented working relationships with all staff, especially Accuity physician reviewers.
  • Ability to understand and comply with policies and procedures.
  • Ability to multi-task while utilizing multiple screens.
  • Ability to use a PC in a Windows environment, including MS Word.
  • Independent, focused individual able to work remotely or on-site.

Tagged as: CDI, Clinical Documentation, Healthcare, Medical Coding, United States