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Accuity

Clinical Documentation Improvement - Query Writer

Accuity, Mount Laurel, New Jersey, United States

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Position Summary The CDI Query Writer is responsible for facilitating and distributing compliant queries to appropriate providers to obtain optimal quality documentation, ensuring proper translation of medical records and capturing the true clinical picture of each patient.

Job Type Full-time

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, ensuring the query is optimally written and distributed to the correct client provider.

Create queries in a compliant manner in accordance with AHIMA and ACDIS compliant query guidelines as well as AHA Coding Clinic Guidelines, ensuring that proper medical diagnoses and procedures are being submitted for reimbursement.

Construct queries with attention to detail, utilizing proper grammar and punctuation.

Utilize ICD‑10 coding guidelines and medical terminology to expertly create a query that improves accuracy of patient severity of illness and/or risk of mortality, representing the patient’s true clinical picture in final code assignment.

Participate 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.

Utilize Accuity policies and procedures, as well as Federal and State coding reimbursement guidelines, ensuring documentation supports the highest level of specificity for code assignment.

Competently use the Accuity tracking tool for data entry for reportable criteria.

Maintain expected productivity and quality standards.

Perform miscellaneous job‑related duties as assigned.

Position Qualifications Education

Foreign Medical Graduate

Associate’s Degree in Nursing

Bachelor’s Degree in Nursing

Bachelor’s Degree in Health Information Management

Other related degree reviewed at management discretion.

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.

Seniority Level Mid‑Senior level

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