CDI Query Writer

Description

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 capture the true clinical picture of each patient.

PRIMARY JOB RESPONSIBILITIES:

1. Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist
2. Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider
3. 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
4. Construct queries with attention to detail, utilizing proper grammar and punctuation
5. Utilize ICD-10 coding guidelines and medical terminology to expertly create a query which 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
6. 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
7. 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
8. Competently use Accuity tracking tool for data entry for reportable criteria
9. Maintain expected productivity and quality standards
10. Perform miscellaneous job-related duties as assigned

POSITION QUALIFICATIONS:

Education:

• Foreign Medical Graduate
• Associates Degree in Nursing
• Bachelor’s Degree in Nursing
• Bachelor’s Degree in Health Information Management
• Other related degree will be reviewed at the discretion of management

Experience:

• Minimum 3 years of clinical work experience
• Minimum 2 years of CDI inpatient experience required

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
• Must be able to develop and maintain professional, service-oriented working relationships with all staff especially ACCDS physician reviewers
• Must be able 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