Retrospective Query Writer

Job Type

Full-time

Description

The 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 ACCDS for updates in current coding and query writing guidelines as well as internal and client policies and procedures
• Utilizes ACCDS 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 ACCDS tracking tool for data entry for reportable criteria
• Maintains expected productivity and quality standards
• Performs miscellaneous job-related duties as assigned

Requirements

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

Experience :

• Minimum 3 years of clinical work experience
• Minimum 2 years of CDI and / or Inpatient coding experience equivalent to coding

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 ACCDS 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
1 day ago