Fractional Retrospective Query Writer

PT Retrospective Query Writer

Work Schedule Requirements

• Minimum commitment of 8 hours per week, with the opportunity to work up to 16 hours per week
• Required: At least 8 hours worked on weekends
• Optional additional hours may be completed as:
  • An additional 8 hours on weekends, or
  • Two 4-hour evening shifts (4:00 PM – 8:00 PM) during the week
• This is an hourly, part-time position and is not eligible for benefits or paid time off
• Training schedule is flexible and may include a combination of weekend and weekday sessions

Responsibilities

Core Duties

• 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

Cross-Functional Collaboration

• 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

Operational Excellence

• 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

Compliance and Quality

• Ensure all reviews meet regulatory, compliance, and audit standards
• Support organizational readiness for audits and external reviews through accurate documentation

Other Duties as Assigned

• Perform additional responsibilities as needed to support departmental and organizational objectives

Qualifications

Education and Credentials

• At least one of the following required: CCDS, CDIP, RHIT, RHIA, RN, or equivalent credential

Experience

• 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
• Experience performing retrospective CDI reviews strongly preferred
• Familiarity with clinical documentation standards, reimbursement methodologies, and quality metrics

Core Competencies

• 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