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 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, ensuring the query is optimally written and distributed to the correct client provider.
- Create queries in a compliant manner in accordance with AHIMA, ACDIS, and 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 create queries that improve the accuracy of patient severity of illness and risk of mortality, representing the patient's true clinical picture in final code assignment.
- Participate in all educational opportunities provided by Accuity to stay updated on coding and query writing guidelines, as well as internal and client policies and procedures.
- Follow Accuity policies, procedures, and federal and state coding reimbursement guidelines, ensuring documentation supports code assignment at the highest level of specificity.
- Use Accuity tracking tools for data entry related to reportable criteria.
- 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 will be 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, with proper 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 multi-task using multiple screens.
- Proficiency in using a PC in a Windows environment, including MS Word.
- Ability to work remotely or on-site as an independent, focused individual.