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Retrospective Query Writer Accuity Job Type
Full-time
Description
The Query Writer is responsible for facilitating and distributing compliant queries to appropriate providers to obtain optimal quality documentation ensuring proper translation of the medical record and capture the true clinical picture of each patient.
PRIMARY JOB RESPONSIBILITIES:
Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS compliant query guidelines as well as American Hospital Association (AHA) Coding Clinic Guidelines, ensuring that proper medical diagnoses and procedures are being submitted for reimbursement Constructs queries with attention to detail, utilizing proper grammar and punctuation Utilizes ICD-10 coding guidelines and medical terminology to expertly create a query which results in improved accuracy of patient severity of illness, and/or risk of mortality representing the patient's true clinical picture in final code assignment Participates in all educational opportunities provided by ACCDS for updates in current coding and query writing guidelines as well as internal and client policies and procedures Utilizes ACCDS policies and procedures, as well as Federal and State coding reimbursement guidelines, and application of correct coding guidelines to ensure the documentation supports code assignment is at the greatest level of specificity Will competently use ACCDS tracking tool for data entry for reportable criteria Maintains expected productivity and quality standards Performs miscellaneous job-related duties as assigned
Requirements
POSITION QUALIFICATIONS:
Education:
At least one of the following:
Foreign Medical Graduate Associates Degree in Nursing Bachelor's Degree in Nursing Bachelor's Degree in Health Information Management Other related degree will be reviewed as the discretion of management Experience:
Minimum 3 years of clinical work experience Minimum 2 years of CDI and/or Inpatient coding experience equivalent to coding Licensure and/or Credentials:
At least one of the following: MD, DO, CDIP, RN, BSN, CCS, CCDS Knowledge, Skills, and Abilities:
Excellent communication skills Very strong writing skills, appropriate punctuation, grammar etc. Strong oral skills Excellent critical thinking skills Strong computer skills with the ability to learn multiple EMR systems as well as data reporting systems Ability to analyze data, perform multiple tasks and work independently Must be able to develop and maintain professional, service-oriented working relationships with all staff especially ACCDS physician reviewers Must be able to understand and comply with policies and procedures Ability to multi-task while utilizing multiple screens Ability to use a PC in a Windows environment, including MS Word Independent, focused individual able to work remotely or on-site
Huntsville, AL, US, 35824Posted 2 days ago CAREGIVER / HOME HEALTH AIDE. All Ways Caring HomeCare All Ways Caring HomeCare delivers quality, compassionate and highly individualized care and support that helps people in need of assistance stay at home - all while maximizing their dignity, privacy and independence. Whether recovering from illness, injury or surgery, living with a chronic disability or dealing with the natural process of aging, services are tailored to meet the individual needs of people of all ages, physical conditions and cognitive abilities. All Ways Caring HomeCare services include personal care and homemaking programs, professional nursing, geriatric care management, Alzheimer's/dementia care, respite care and other programs. For more information, please visit Follow us on Facebook and LinkedIn. Whitwell, TN, US, 37397Posted 2 days ago CLIENT ADVOCATE INTAKE - HOME VISITS 3 DAYS A WEEK PART TIME. All Ways Caring HomeCare All Ways Caring HomeCare delivers quality, compassionate and highly individualized care and support that helps people in need of assistance stay at home - all while maximizing their dignity, privacy and independence. Whether recovering from illness, injury or surgery, living with a chronic disability or dealing with the natural process of aging, services are tailored to meet the individual needs of people of all ages, physical conditions and cognitive abilities. All Ways Caring HomeCare services include personal care and homemaking programs, professional nursing, geriatric care management, Alzheimer's/dementia care, respite care and other programs. For more information, please visit Follow us on Facebook and LinkedIn. Sewanee, TN, US, 37375Posted 2 days ago CLIENT ADVOCATE INTAKE - HOME VISITS PART TIME 3 DAYS A WEEK 8:30-5:30. All Ways Caring HomeCare All Ways Caring HomeCare delivers quality, compassionate and highly individualized care and support that helps people in need of assistance stay at home - all while maximizing their dignity, privacy and independence. Whether recovering from illness, injury or surgery, living with a chronic disability or dealing with the natural process of aging, services are tailored to meet the individual needs of people of all ages, physical conditions and cognitive abilities. All Ways Caring HomeCare services include personal care and homemaking programs, professional nursing, geriatric care management, Alzheimer's/dementia care, respite care and other programs. For more information, please visit Follow us on Facebook and LinkedIn. Jasper, TN, US, 37347Posted 2 days ago Lab Assistant (Specimen Technician III) Quest Diagnostics Incorporated This positionhas mastered all duties of the Specimen ProcessingTechnician II. Work is highly self-directed, and role may include additional responsibilities such as client communications, internal training and problem solving related to special accounts and compliance. This individual will have completed the necessary training consistent with local business practices for Specimen Processing. Strong proficiency is required in test ordering policy and specimen requirements related to test ordering as well as accuracy and production standards.This positionwill be more involved in complex processing including but not limited to: Microbiology processing, Frozen splits, Sendouts, Cytology processing, irreplaceablespecimens(spinal fluid, bone marrow, etc.); Specialhandling; allergies; serial; pediatric specimens. Bessemer, AL, US, 35021Posted 2 days ago Customer Experience Advocate. Protective Life Insurance Company The Customer Experience Advocate must be able to make appropriate decisions on behalf of our customers quickly and effectively, prioritize work to ensure efficiency, and abide by all applicable regulatory and department practices and procedures. Birmingham, AL, US, 35223Posted 2 days ago SQL Reporting Analyst (Hybrid) Protective Life Insurance Company The SQL Reporting Analyst operates as a resource to multiple teams within the organization. The position will be responsible for providing insight and actionable data to all of Protective's operational functions. This position will primarily provide analysis through reporting, data usage, tuning of current tools and adapting new tools. This position will work across platforms to connect dots and tell a fuller story from both a customer and employee perspective. The ability to tell these stories in a way that can be easily consumed and actioned on by the business will be key to success. This individual must understand and assess current state of the business process, technology, needs and gaps. SQL & Power BI will be essential for this role. Birmingham, AL, US, 35223Posted 2 days ago Technician II, IT Operations. Protective Life Insurance Company We aim to protect our employees' wellbeing through a broad benefits offering. For example, we protect physical wellbeing through health, dental and vision insurance. We protect mental wellbeing through mental health benefits and an employee assistance program. We protect time away from work with a variety of paid time away benefits ( e.g. , paid time off, paid parental leave, short-term disability, and a cultural observance day). We protect financial wellbeing through contributions to healthcare accounts, a pension plan, and a 401(k) plan with Company matching. All employees are encouraged to protect their overall wellbeing by engaging in ProHealth Rewards, Protective's platform to improve wellbeing while earning cash rewards. Birmingham, AL, US, 35223Posted 2 days ago Special Investigations Unit/AML Manager (Hybrid) Protective Life Insurance Company We aim to protect our employees' wellbeing through a broad benefits offering. For example, we protect physical wellbeing through health, dental and vision insurance. We protect mental wellbeing through mental health benefits and an employee assistance program. We protect time away from work with a variety of paid time away benefits ( e.g. , paid time off, paid parental leave, short-term disability, and a cultural observance day). We protect financial wellbeing through contributions to healthcare accounts, a pension plan, and a 401(k) plan with Company matching. All employees are encouraged to protect their overall wellbeing by engaging in ProHealth Rewards, Protective's platform to improve wellbeing while earning cash rewards. Birmingham, AL, US, 35223Posted 2 days ago Automotive Service Technician/Adjuster - Birmingham AL. Protective Life Insurance Company The Asset Protection Division of Protective Life Corporation is looking for an Automotive Claims Adjuster to work out of their Birmingham, AL Office! Protective Asset Protection has been providing finance and insurance (F&I) solutions for the automotive industry for more than 60 years. We proudly serve thousands of dealerships and financial institutions in the automotive, marine, powersports and recreation vehicle industries throughout the U.S. providing innovative vehicle protection products, wealth-building programs, training and technology. Our portfolio of vehicle protection plans, GAP coverage, limited warranties and ancillary products provide opportunities to generate revenue with products that help drive customer retention and satisfaction. Protective Asset Protection is part of the financial services holding company, Protective Life Corporation. For more information about Protective Asset Protection visit Birmingham, AL, US, 35223Posted 2 days ago Description
Job Type
Full-time
Description
The Query Writer is responsible for facilitating and distributing compliant queries to appropriate providers to obtain optimal quality documentation ensuring proper translation of the medical record and capture the true clinical picture of each patient.
PRIMARY JOB RESPONSIBILITIES:
Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Integrity Specialist Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS compliant query guidelines as well as American Hospital Association (AHA) Coding Clinic Guidelines, ensuring that proper medical diagnoses and procedures are being submitted for reimbursement Constructs queries with attention to detail, utilizing proper grammar and punctuation Utilizes ICD-10 coding guidelines and medical terminology to expertly create a query which results in improved accuracy of patient severity of illness, and/or risk of mortality representing the patient's true clinical picture in final code assignment Participates in all educational opportunities provided by ACCDS for updates in current coding and query writing guidelines as well as internal and client policies and procedures Utilizes ACCDS policies and procedures, as well as Federal and State coding reimbursement guidelines, and application of correct coding guidelines to ensure the documentation supports code assignment is at the greatest level of specificity Will competently use ACCDS tracking tool for data entry for reportable criteria Maintains expected productivity and quality standards Performs miscellaneous job-related duties as assigned
Requirements
POSITION QUALIFICATIONS:
Education:
At least one of the following:
Foreign Medical Graduate Associates Degree in Nursing Bachelor's Degree in Nursing Bachelor's Degree in Health Information Management Other related degree will be reviewed as the discretion of management Experience:
Minimum 3 years of clinical work experience Minimum 2 years of CDI and/or Inpatient coding experience equivalent to coding Licensure and/or Credentials:
At least one of the following: MD, DO, CDIP, RN, BSN, CCS, CCDS Knowledge, Skills, and Abilities:
Excellent communication skills Very strong writing skills, appropriate punctuation, grammar etc. Strong oral skills Excellent critical thinking skills Strong computer skills with the ability to learn multiple EMR systems as well as data reporting systems Ability to analyze data, perform multiple tasks and work independently Must be able to develop and maintain professional, service-oriented working relationships with all staff especially ACCDS physician reviewers Must be able to understand and comply with policies and procedures Ability to multi-task while utilizing multiple screens Ability to use a PC in a Windows environment, including MS Word Independent, focused individual able to work remotely or on-site
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