OK, I think I understand. What you can do is create an alias in a query. Start new. Create a new query for testing. Add your two date fields. Then, create an alias. The following syntax should work, you just need to use this syntax with a new alias.
Code:
IIf(IsNull([Final Suspense]), DateDiff("d", [Routing Status Date], Date()), DateDiff("d", [Routing Status Date], [Final Suspense]))
To create a new alias type a name for your alias in a new filed in the design grid at the bottom of your query designer. So to the right of Final Suspense, for instance, type MyAlias:
Right after the colon of your alias, paste the IIf statement.