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Accuity · 1 week ago

Clinical Documentation Improvement - Query Writer

Mt. Laurel, NJ

Full-time

Hybrid

Mid Level

3+ years exp

Accuity is a pioneer of tech-powered, physician-led clinical documentation review services for hospitals. They are seeking a Clinical Documentation Improvement - Query Writer responsible for facilitating and distributing compliant queries to providers to ensure optimal quality documentation and accurate coding.

Document PreparationHealth CareMedical

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 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

Qualification

Inpatient CDI experienceClinical experienceICD-10 coding guidelinesCDIP certificationRNBSNComputer skillsMulti-taskCommunication skillsWriting skillsCritical thinking skills

Required

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

Minimum 3 years of clinical work experience

Minimum 2 years of current Inpatient CDI experience

At least one of the following: MD, DO, CDIP, RN, BSN, CCS, CCDS

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