CDI Query Writer
Sarasota Memorial Hospital, Baltimore, MD, United States
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 theMD Reviewer/DRG Integrity Specialist Collaborateand communicateas necessarytoclarifyand avoid misinterpretationto ensure the query isoptimallywritten and distributed to the correct client provider Creates queries in a compliant manner in accordance withAHIMA 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 toexpertly create a query which results in improved accuracy of patient severity of illness, and/orrisk of mortality representing the patient’s true clinical picture in final code assignment Participates in all educational opportunities provided by Accuity for updates incurrent 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 ofclinical 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.
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Assess the clinical indicators and suggestions of various query requests received from theMD Reviewer/DRG Integrity Specialist Collaborateand communicateas necessarytoclarifyand avoid misinterpretationto ensure the query isoptimallywritten and distributed to the correct client provider Creates queries in a compliant manner in accordance withAHIMA 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 toexpertly create a query which results in improved accuracy of patient severity of illness, and/orrisk of mortality representing the patient’s true clinical picture in final code assignment Participates in all educational opportunities provided by Accuity for updates incurrent 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 ofclinical 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.
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