Ability to analyze CDI data (e.g., CMI, query rates, denial trends) and translate into actionable improvement strategies * Effective collaboration with CDI, coding, case management, and ...
Ability to analyze CDI data (e.g., CMI, query rates, denial trends) and translate into actionable improvement strategies * Effective collaboration with CDI, coding, case management, and ...
Ability to analyze CDI data (e.g., CMI, query rates, denial trends) and translate into actionable improvement strategies * Effective collaboration with CDI, coding, case management, and ...
Ability to analyze CDI data (e.g., CMI, query rates, denial trends) and translate into actionable improvement strategies * Effective collaboration with CDI, coding, case management, and ...
Ability to analyze CDI data (e.g., CMI, query rates, denial trends) and translate into actionable improvement strategies * Effective collaboration with CDI, coding, case management, and ...
Ability to analyze CDI data (e.g., CMI, query rates, denial trends) and translate into actionable improvement strategies * Effective collaboration with CDI, coding, case management, and ...
Oversee the physician query process, ensuring queries are clear, concise, compliant, and lead to documentation specificity for accurate code assignment. * Monitor CDI metrics, identify trends, and ...
Oversee the physician query process, ensuring queries are clear, concise, compliant, and lead to documentation specificity for accurate code assignment. * Monitor CDI metrics, identify trends, and ...
CDQI Nurse Specialist PRN
Atlanta, GA · On-site
$40 - $45/hr
Query physicians regarding missing, unclear, or conflicting health record documentation to obtain ... Must pass a CDI skills competency assessment * Must be able to accommodate a min of 15 hours per ...
CDQI Nurse Specialist PRN
Atlanta, GA · On-site
$40 - $45/hr
Query physicians regarding missing, unclear, or conflicting health record documentation to obtain ... Must pass a CDI skills competency assessment * Must be able to accommodate a min of 15 hours per ...
CDQI Nurse Specialist- FT
Atlanta, GA · On-site
$40 - $45/hr
Query physicians regarding missing, unclear, or conflicting health record documentation to obtain ... Must pass a CDI skills competency assessment Pay ranges for this job title may differ based on ...
CDQI Nurse Specialist- FT
Atlanta, GA · On-site
$40 - $45/hr
Query physicians regarding missing, unclear, or conflicting health record documentation to obtain ... Must pass a CDI skills competency assessment Pay ranges for this job title may differ based on ...
CDQI Nurse Specialist - PRN
Atlanta, GA · On-site
$40 - $45/hr
Query physicians regarding missing, unclear, or conflicting health record documentation to obtain ... Must pass a CDI skills competency assessment * Must be able to accommodate a min of 15 hours per ...
CDQI Nurse Specialist - PRN
Atlanta, GA · On-site
$40 - $45/hr
Query physicians regarding missing, unclear, or conflicting health record documentation to obtain ... Must pass a CDI skills competency assessment * Must be able to accommodate a min of 15 hours per ...
Query Cdi information
What are some common challenges faced by a query CDI specialist when handling complex data integration projects?
What is a query CDI?
What are the key skills and qualifications needed to thrive as a Clinical Documentation Integrity (CDI) Specialist, and why are they important?
What is the difference between Query Cdi vs Query Developer?
| Aspect | Query Cdi | Query Developer |
|---|---|---|
| Required Credentials | SQL certifications, data management skills | SQL certifications, programming skills |
| Work Environment | Data analysis, database management | Application development, coding |
| Employer & Industry Usage | Data-driven companies, finance, healthcare | Software companies, IT firms |
Query Cdi primarily focuses on managing and analyzing data queries within databases, often requiring data management certifications. Query Developers, on the other hand, design and develop database queries and applications, emphasizing programming skills. Both roles are common in data-centric industries but serve different functions in data handling and software development.
Physician Advisor - CDI Experience Required
Gainesville, GA • On-site
Other
Re-posted 15 days ago
Northeast Georgia Health System rating
7.3
Based on 154 frontline employees who took The Breakroom Quiz
304th of 887 rated healthcare providers
Job description
Physician Provider
Work Shift/Schedule:
8 Hr Morning - Afternoon
Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.
About the Role:
Job Summary
The Physician Advisor for Clinical Documentation Integrity (CDI) serves as a clinical subject matter expert responsible for promoting accurate, complete, and compliant medical record documentation. This role partners with CDI, coding, and medical staff to ensure documentation accurately reflects severity of illness, risk of mortality, and complexity of care, while supporting regulatory compliance, quality reporting, and appropriate reimbursement.
Minimum Job Qualifications
- Licensure or other certifications: Hold an Active unrestricted medical license in the state of Georgia. Member of the NGHS medical staff. Board certification in a primary specialty
- Educational Requirements: Medical Degree, MD or DO
- Minimum Experience: Five (5) - seven (7) years physician practice experience. Demonstrated clinical practice experience
- Other:
- Preferred Licensure or other certifications: CCDS, CDIP, or ACPA-C Medical License
- Preferred Educational Requirements:
- Preferred Experience: Prior Physician Advisor experience strongly preferred.
- Other:
- Working knowledge of clinical documentation integrity, coding principles, and working knowledge of clinical documentation integrity, coding principles, and clinical validation
- Strong physician-to-physician communication and engagement skills
- Ability to perform secondary clinical reviews and provide defensible clinical validation for high-risk diagnoses (e.g., sepsis, respiratory failure, encephalopathy, AKI)
- Experience with physician education, query processes, and documentation improvement initiatives across multidisciplinary teams.
- Ability to interpret and apply coding guidelines (ICD-10-CM, CC/MCC capture) in a clinical context
- Familiarity with payer expectations and clinical validation denial trends
- Ability to analyze CDI data (e.g., CMI, query rates, denial trends) and translate into actionable improvement strategies
- Effective collaboration with CDI, coding, case management, and interdisciplinary teams
- Familiarity with utilization management principles and ability to provide cross-coverage support, including UM reviews
- Provide ongoing education to physicians on documentation best practices, including accurate diagnosis capture, severity of illness, and risk of mortality
- Deliver both formal presentations and targeted 1:1 education based on identified gaps and trends
- Serve as a physician-to-physician resource to drive engagement and accountability in documentation practices
- Perform secondary clinical reviews for complex, high-risk, or escalated CDI cases
- Provide clinical validation for diagnoses with high denial risk (e.g., sepsis, acute respiratory failure, encephalopathy, AKI)
- Ensure documentation accurately reflects patient acuity, clinical complexity, and resource utilization
- Support development and standardization of compliant query practices
- Review and provide guidance on complex, high-impact, or disputed queries
- Educate providers on appropriate query responses and documentation clarification
- Identify patterns in clinical validation denials and documentation vulnerabilities
- Collaborate with CDI, coding, and denials teams to reduce risk and improve defensibility
- Draft and support appeal letters for clinical validation and documentation-related denials
- Partner with CDI, Coding, Quality, and Case Management to align documentation practices across the organization
- Contribute to development of documentation guidelines, tip sheets, and educational resources
- Educate CDI specialists, RNs, and interdisciplinary staff on clinical documentation and validation principles
- Utilize CDI metrics (CMI, CC/MCC capture, query trends) to drive targeted improvement initiatives
- Provide cross-coverage for Physician Advisor functions as needed
- Perform utilization management (UM) reviews in support of operational needs and team coverage
- Participate in Medical Record Utilization Review (MR-UR) Committee and provide clinical input on documentation, medical necessity, and regulatory compliance
- Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time
- Weight Carried: Up to 20 lbs, Occasionally 0-30% of time
- Vision: Moderate, Frequently 31-65% of time
- Kneeling/Stooping/Bending: Occasionally 0-30%
- Standing/Walking: Occasionally 0-30%
- Pushing/Pulling: Occasionally 0-30%
- Intensity of Work: Frequently 31-65%
- Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding, Driving
Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.
NGHS: Opportunities start here.
Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.
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About Northeast Georgia Health System
Sourced by ZipRecruiter
Northeast Georgia Health System (NGHS) is a not-for-profit community health system dedicated to improving the health and quality of life of the people of Northeast Georgia. Through the services of a medical staff of more than 800 physicians, the residents of Northeast Georgia enjoy access to the state’s finest and most comprehensive medical services. It is our mission to improve the health of our community in all we do.
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Gainesville, GA, US
Year founded
1951