PT Retrospective Query Writer

Accuity•Mount Laurel Township, NJ

1d•Remote

About The Position

The Part-Time Retrospective CDI Specialist conducts detailed post-discharge reviews of inpatient medical records to ensure accurate, complete, and compliant clinical documentation. This role supports coding accuracy, appropriate reimbursement, and quality reporting by identifying documentation gaps and collaborating with internal teams to drive consistency and improvement.

Requirements

At least one of the following required: CCDS, CDIP, RHIT, RHIA, RN, or equivalent credential
Minimum of 3 years of CDI, coding, or clinical experience, preferably in an inpatient setting
Demonstrated knowledge of ICD-10-CM/PCS coding guidelines and DRG methodology
Familiarity with clinical documentation standards, reimbursement methodologies, and quality metrics
Strong analytical and critical thinking skills with the ability to interpret complex clinical information
High attention to detail and commitment to accuracy
Effective written and verbal communication skills in a remote work environment
Ability to manage time independently and meet productivity expectations in a part-time structure
Collaboration and partnership mindset when working with cross-functional teams
Adaptability and comfort working within evolving guidelines and priorities
Accountability for quality, compliance, and performance outcomes

Nice To Haves

Experience performing retrospective CDI reviews strongly preferred

Responsibilities

Perform retrospective reviews of inpatient medical records to evaluate documentation accuracy, completeness, and compliance
Identify opportunities to improve documentation related to severity of illness (SOI), risk of mortality (ROM), and accurate code assignment
Ensure alignment with ICD-10-CM/PCS coding guidelines, DRG methodologies, and regulatory requirements
Apply critical thinking to assess clinical documentation and identify inconsistencies or gaps
Partner with coding, CDI, and quality teams to support standardized documentation practices
Communicate findings and trends to internal stakeholders to support continuous improvement
Provide feedback and education based on retrospective review outcomes.
Meet established productivity and quality benchmarks defined by leadership
Maintain accuracy, consistency, and timeliness in review completion
Adhere to internal workflows, tools, and documentation standards in a fully remote environment.
Ensure all reviews meet regulatory, compliance, and audit standards
Support organizational readiness for audits and external reviews through accurate documentation
Perform additional responsibilities as needed to support departmental and organizational objectives