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Query Cdi Jobs in Tennessee (NOW HIRING)

Senior Outpatient Coder

Brentwood, TN · On-site

$17.75 - $23.75/hr

Supports effective collaboration between Coding and CDI staff while maintaining role-appropriate accountability and compliant query practices. * Adheres to the AHIMA Standards of Ethical Coding, the ...

Senior Outpatient Coder

Brentwood, TN · Remote

$17.75 - $23.75/hr

Supports effective collaboration between Coding and CDI staff while maintaining role-appropriate accountability and compliant query practices. * Adheres to the AHIMA Standards of Ethical Coding, the ...

Senior Outpatient Coder

Brentwood, TN · Remote

$17.75 - $23.75/hr

Supports effective collaboration between Coding and CDI staff while maintaining role-appropriate accountability and compliant query practices. * Adheres to the AHIMA Standards of Ethical Coding, the ...

Senior Outpatient Coder

Brentwood, TN · Remote

$17.75 - $23.75/hr

Supports effective collaboration between Coding and CDI staff while maintaining role-appropriate accountability and compliant query practices. * Adheres to the AHIMA Standards of Ethical Coding, the ...

Senior Outpatient Coder

Brentwood, TN · On-site

$17.75 - $23.75/hr

Supports effective collaboration between Coding and CDI staff while maintaining role-appropriate accountability and compliant query practices. * Adheres to the AHIMA Standards of Ethical Coding, the ...

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 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 ...

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 validation) * Provides timely feedback and education as it relates to coding opportunities ... and/or CDI Liaisons with day-to-day operations * Assists Coding Manager in the review and ...

Showing results 21-40

Query Cdi information

What are some common challenges faced by a query CDI specialist when handling complex data integration projects?

As a Query CDI specialist, you may encounter challenges such as ensuring data quality and consistency when integrating information from multiple sources. Managing large volumes of data while maintaining performance and meeting strict deadlines can also be demanding. Additionally, you’ll need to collaborate closely with business analysts, developers, and stakeholders to understand requirements and resolve data discrepancies. Effective communication and attention to detail are key to overcoming these challenges and delivering reliable integration solutions.

What is a query CDI?

Query CDI jobs typically involve working with the Clinical Data Interchange Standards Consortium (CDISC) and managing clinical data queries in research or healthcare settings. Professionals in these roles are responsible for reviewing, tracking, and resolving queries related to clinical trial data to ensure its accuracy and quality. They often collaborate with data managers, clinical research associates, and other stakeholders. Strong attention to detail, familiarity with clinical trial processes, and experience with data management systems are essential for this position.

What are the key skills and qualifications needed to thrive as a Clinical Documentation Integrity (CDI) Specialist, and why are they important?

To thrive as a Clinical Documentation Integrity (CDI) Specialist, you need a background in healthcare (often nursing or HIM), strong knowledge of medical terminology, coding, and clinical documentation requirements. Familiarity with electronic health record (EHR) systems, coding software (such as ICD-10 and DRG grouper tools), and often a CCDS or CDIP certification is typically required. Excellent communication, critical thinking, and attention to detail are key soft skills for collaborating with physicians and ensuring documentation accuracy. These competencies are crucial for improving the quality of clinical documentation, optimizing reimbursement, and supporting compliance with healthcare regulations.

What is the difference between Query Cdi vs Query Developer?

AspectQuery CdiQuery Developer
Required CredentialsSQL certifications, data management skillsSQL certifications, programming skills
Work EnvironmentData analysis, database managementApplication development, coding
Employer & Industry UsageData-driven companies, finance, healthcareSoftware 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.

What cities in Tennessee are hiring for Query Cdi jobs? Cities in Tennessee with the most Query Cdi job openings:

Senior Outpatient Coder

Quorum Health

Brentwood, TN • On-site

$17.75 - $23.75/hr

Full-time

Medical, Retirement, PTO

Posted 20 days ago


Quorum Health rating

6.5

Company rating: 6.5 out of 10

Based on 8 frontline employees who took The Breakroom Quiz


Job description

Senior Outpatient Coder
Position Details:Full-Time Remote
Reports to Coding Operations Manager
You must reside in one of these states to be eligible for this position:
Arkansas California Kentucky
Massachusetts Nevada New Mexico
Oregon Utah Tennessee
Texas Wyoming
Job Summary:
  • The Senior Coder supports assigned inpatient and/or outpatient coding operations through day-to-day workflow leadership and may provide oversight of coding quality, coding edits, auditing, and staff education.
  • Assigned functions may include inpatient, observation, emergency department, ambulatory surgery, ancillary, clinic, and other hospital-based coding services.
  • The position supports Revenue Cycle Operations with special projects, including denial review, appeals, discharge-not-final-billed management, regulatory and payer edit review, and process improvement efforts designed to meet organizational goals while promoting accurate, complete, and compliant coding and billing.

Duties and Responsibilities:
  • Provides day-to-day leadership and operational support for assigned inpatient and/or outpatient coding workflows, work queues, facilities, and coding staff, consistent with delegated authority.
  • Provides direct support to Coding Management, including process improvement, denials, special projects, coding edits, auditing, staff education, and other duties as assigned.
  • Applies current official coding guidelines and authoritative guidance, including ICD-10-CM/PCS, CPT, HCPCS, UHDDS, Coding Clinic, CMS payment rules, and applicable payer requirements.
  • Maintains at least 95% coding accuracy, or another threshold established by Coding Leadership, using the organization's approved audit methodology.
  • Monitors coder productivity and quality at established intervals and provides timely, objective feedback, coaching, and education as directed by Coding Management.
  • Ensures encounters processed by the coding team include an appropriate documented claim-hold reason before the account appears on the DNFB report.
  • Collaborates with the CDI/Audit team to confirm second-level review is completed for applicable HAC, PSI, and Never Event cases in accordance with established workflows.
  • Tracks and trends post-discharge coding queries, supports timely resolution, and provides feedback and education to ensure queries are non-leading, supported by the health record, and compliant with organizational policy and applicable guidance.
  • Ensures accounts are not final billed until required documentation is available and assigned codes are supported by the health record, consistent with organizational policy and applicable billing requirements.
  • Coordinate workflow improvements with HIM Operations Team(s).
  • Assists in developing, implementing, and monitoring coding policies and procedures that support accurate coding, appropriate reimbursement, and compliance with federal and state laws, regulations, official coding guidelines, and payer requirements.
  • Supports effective collaboration between Coding and CDI staff while maintaining role-appropriate accountability and compliant query practices.
  • Adheres to the AHIMA Standards of Ethical Coding, the organizational code of conduct, and applicable compliance policies, and promotes compliant coding practices within assigned workflows.
  • Maintains Discharged Not Final Billed goals established by Coding Leadership without compromising coding accuracy, documentation requirements, or compliance.
  • Ensures coding policies related to HIM, Revenue Cycle, and Compliance are implemented and monitored within assigned areas.
  • Implements HIM related projects at the direction of Coding Leadership.
  • Supports Quality, Risk Management, Case Management, and other departments regarding HIM and coding matters within the scope of the role.
  • Assists HIM, Coding, and CDI Leadership with the development and implementation of coding and CDI policies and procedures.
  • Monitors and communicates changes in federal and state laws, regulations, accreditation standards, official coding guidance, CMS NCCI/OCE/MUE edits, and payer requirements that affect Coding and HIM operations.
  • May develop and deliver staff education, coaching, and reference materials based on audit findings, coding-edit trends, denial trends, regulatory changes, and identified knowledge gaps; documents education as required.
  • May research, review, resolve, and trend coding edits, including NCCI, OCE, MUE, encoder, claim-scrubber, and payer-specific edits; validates that any modifier or code change is supported by the health record and applicable guidance.
  • May perform or support prospective, concurrent, and retrospective coding audits using an approved methodology; documents findings, identifies trends and potential overpayments or underpayments, and escalates compliance concerns through established channels.
  • Protects the confidentiality, integrity, and security of protected health information and accesses only information necessary to perform assigned duties in accordance with HIPAA and organizational policy.
  • Promptly reports suspected coding, billing, privacy, or compliance concerns through established channels and supports corrective action; does not alter the health record or direct unsupported coding.

Knowledge, Skills and Abilities:
  • Extensive knowledge of OPPS, IPPS, UHDDS, Coding Clinic, official coding guidelines, CMS NCCI/OCE edits, and applicable reimbursement methodologies.
  • Microsoft Office (Word, One Note, Excel, Outlook, PowerPoint)
  • Ability to interpret audit findings, coding-edit logic, and payer requirements and translate findings into staff education and process improvement.
  • Ability to maintain objectivity, confidentiality, and accurate audit documentation and to communicate compliance concerns through established channels.
  • Excellent verbal and written communication skills.
  • Ability to meet assigned deadlines.
  • Extensive knowledge of Anatomy & Physiology, Medical Terminology, and Pathophysiology.

Work Experience, Education and Certifications:
  • EDUCATION: CCS Credential, RHIT or RHIA
  • EXPERIENCE: 5-10 years progressive HIM coding management experience within an acute care hospital setting. Extensive experience with Revenue Cycle Operations including acute care coding
  • CERTIFICATION/LICENSURE: RHIA or RHIT or CCS
  • SOFTWARE/HARDWARE: 3M 360 experience required

Travel Requirements:
  • Expected travel is up to 10% at the request of leadership.

Benefits:
  • Competitive salary and benefits package.
  • Opportunities for professional development and advancement.
  • Supportive work environment with a collaborative team.
  • Comprehensive healthcare coverage.
  • Retirement savings plan.
  • Paid time off and flexible scheduling options.
  • Student loan repayment program.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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