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 capturing the true clinical picture of each patient.
PRIMARY JOB RESPONSIBILITIES:
- Assess 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, ensuring the query is optimally written and distributed to the correct provider.
- Create queries in a compliant manner according to AHIMA and ACDIS guidelines, as well as AHA Coding Clinic Guidelines, ensuring proper medical diagnoses and procedures are submitted for reimbursement.
- Construct queries with attention to detail, utilizing proper grammar and punctuation.
- Use ICD-10 coding guidelines and medical terminology to create queries that improve accuracy of patient severity of illness and risk of mortality, representing the patient's true clinical picture in final code assignment.
- Participate in educational opportunities provided by Accuity to stay updated on coding and query writing guidelines, as well as internal and client policies.
- Follow Accuity policies, procedures, and federal and state coding reimbursement guidelines to ensure documentation supports code assignment at the highest level of specificity.
- Use Accuity tracking tools for data entry and reporting.
- Maintain expected productivity and quality standards.
- 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 degrees reviewed at management's discretion.
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.
- Strong writing skills, including punctuation and grammar.
- Strong oral communication skills.
- Excellent critical thinking skills.
- Strong computer skills with the ability to learn multiple EMR and data reporting systems.
- Ability to analyze data, perform multiple tasks, and work independently.
- Ability to develop and maintain professional, service-oriented relationships with staff and physician reviewers.
- Understanding and compliance with policies and procedures.
- Ability to multitask using multiple screens.
- Proficiency in Windows environment, MS Word, and other PC applications.
- Ability to work remotely or on-site as an independent, focused individual.