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
POSITION QUALIFICATIONS :
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
Requirements
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