Clinical Documentation Improvement - Query Writer

Description: Accuity has an opportunity for those with an RN, MD, or DO with clinical experience, paired with current inpatient Clinical Documentation Improvement (CDI) experience. Join our dedicated team where your expertise will make a significant impact on documentation quality. If you meet these qualifications, we encourage you to apply! POSITION SUMMARY: Clinical Documentation Improvement - Query Writer Accuity is the pioneer of tech-powered, physician-led clinical documentation review services for hospitals, leading to higher quality clinical documentation and accurate, compliant coding. In this way, Accuity partners with hospitals and health systems to bridge the gap between the care delivered and reimbursement Enterprise received with its unique model combining clinical expertise with proprietary clinical technology. The Clinical Documentation Improvement - 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: Clinical Documentation Improvement - Query Writer

• 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 is 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

Requirements: POSITION QUALIFICATIONS: Clinical Documentation Improvement - Query Writer Education: At least one of the following:

• 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 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, 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

Experience:

• Current Inpatient CDI: 2 years (Required)

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