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CDI Query Writer

Sarasota Memorial Hospital, Mount Laurel, New Jersey, United States

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Position 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 capture 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 to ensure the query is optimally written and distributed to the correct client provider

Creates 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

Constructs queries with attention to detail, utilizing proper grammar and punctuation

Utilizes 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

Participates 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

Utilizes 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

Will competently use Accuity tracking tool for data entry for reportable criteria

Maintains expected productivity and quality standards

Performs miscellaneous job-related duties as assigned

Position Qualifications Education (at least one of the following):

Foreign Medical Graduate

Associate's degree in nursing

Bachelor’s degree in nursing

Bachelor’s degree in health information management

Other related degree will be reviewed as 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, or 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 Accuity 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

Physical Requirements The requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job with or without reasonable accommodations.

Unless otherwise indicated, Accuity Delivery Systems positions require interaction with people and technology while either sitting or standing. Employees must be able to communicate via phone, email, etc. and sit for extended periods of time, with or without reasonable accommodations. Physical effort and exposure to physical risk are limited to that of an office role / environment.

Note While this job description is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add or remove duties from a job and to assign other duties as necessary and at any time. All positions at Accuity Delivery Systems, LLC, are at-will employment, and a position description is not a guarantee of a job or of job responsibilities.

While this job description is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add or remove duties from a job and to assign other duties as necessary and at any time. All positions at Accuity are at-will employment, and a position description is not a guarantee of a job or of job responsibilities.

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