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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
Phoenix, AZ, US, 85003Posted 14 days ago AMS Technical Assistant (HYBRID) Selective Insurance Selective Insurance is looking for a AMS Technical Assistant for our Scottsdale, AZ office. Under technical direction, this position supports the daily service demands of our Agency Management Specialist field staff and requires a thorough understanding of underwriting rating and system transactions, State specific LOB and system error correction. This position requires knowledge and understanding of coverage and program features when computing premiums for quotes for new business and/or endorsements, within underwriting guidelines. Scottsdale, AZ, US, 85250Posted 14 days ago Hybrid Pharmaceutical Sales Representative- PST/MST. Amplity Health The Hybrid (HSR) is responsible for engaging Health Care Professionals (HCPs) in telephone, virtual, or in-person conversations to promote assigned Client product, maximize the product's selling potential, and meet program and Client objectives. The HSR achieves this by developing and maintaining relationships with HCPs and by educating them about product features, benefits, safety profile, and approved indications to ensure appropriate patient use. The HSR utilizes approved tools for product promotion and maintains a competent level of product, program, and customer activity knowledge. The HSR is expected to collaborate with Client field-based teams and Management. Phoenix, AZ, US, 85003Posted 15 days ago Behavioral Health Technician - Bridging the Gap - Re Entry -Sign onBonus-Javelina-Mesa. Terros Health Terros Health is pleased to share an exciting and rewarding opportunity for a Full-Time Behavioral Health Technician (BHT) working at our Javelina location in Mesa, AZ . Reporting to the Program Manager, the ideal individual is flexible, compassionate and professional. If you enjoy working with individuals during some of the most vulnerable times of their lives this may be just the opportunity you've been seeking. You will need to be professional, friendly, a self-starter, organized, and compassionate. Mesa, AZ, US, 85123Posted 15 days ago PHARMACY TECHNICIAN - DATA ENTRY . BrightSpring Health Services OnePoint Patient Care is the nation's leading independent provider of community-based hospice pharmacy and pharmacy benefits management (PBM) services - offering hospices nationwide flexible and adaptable solutions for their hospice pharmacy needs. OnePoint fills prescriptions, creates custom compounds and formularies, provides home deliveries, and manages pharmacy benefits for more than 32,000 patients per day. Through its Concierge PBM, Next Day Valet mail order and Direct Express local services, OnePoint serves more than 350 hospice programs and is available in 50 states. Tempe, AZ, US, 85285Posted 15 days ago Part Time Entry Level Phlebotomist. American Red Cross The Red Cross offers paid phlebotomy training with the ability to grow your healthcare skills and career within the nation's top humanitarian organization. To learn more about being a phlebotomist and the impact you can make in this position, watch this short video: Gilbert, AZ, US, 85233Posted 15 days ago Call Center Specialist (E) - FT (Phoenix Area) Universal Health Services, Inc. Behavioral Health Connections (BHC) in Phoenix is seeking a dynamic and talented Call Center Specialist (FT) to join the team of compassionate, dedicated professionals. The Call Center Specialist performs administrative functions to include assistance in the processes for managing patient care by monitoring referrals and connecting them to relevant health care providers. Organizing, facilitating, and coordinating the timely evaluation with therapist and the acceptance of patients referred for services. Tempe, AZ, US, 85283Posted 15 days ago Call Center Specialist (E) - PRN (Phoenix Area) Universal Health Services, Inc. Behavioral Health Connections, Inc. is a provider of patient-focused, comprehensive mental health services. We offer mental health evaluations to children, adolescents, adults and older adults in crisis 24 hours a day, 7 days a week response, including all holidays. Our service model focuses on the assessment, diagnosis, treatment, and disposition of your mental health patients. Based on the results of an assessment, we determine the most appropriate level of care and recommend treatment facilities. The tele-psychiatric assessment and consultation services we offer are designed to connect people with the care provides best equipped to address their mental health issues. Rapid response means that the patient will get to the most appropriate level of care faster and expedite their journey to wellness. Tempe, AZ, US, 85283Posted 15 days ago Intake Counselor - Licensed (Outpatient) Universal Health Services, Inc. The Intake Counselor (Outpatient) is the initial contact for patients and referral sources, providing clinical assessment and determination of ongoing clinical needs. The Counselor provides telephonic risk assessment and in-person clinical assessment. The Counselor also, determines appropriate level of care by providing appropriate DSM V diagnosis, and consulting with the hospital psychiatrist to determine disposition. If Patient is being admitted to Outpatient, the Counselor facilities the admission process and provides appropriate clinical information for ongoing treatment. The Counselor also assists therapists with administering group therapies, completing psycho-social assessments, treatment plans, discharge plans, and other clinical related duties as assigned. Phoenix, AZ, US, 85027Posted 15 days ago Intake Therapist. Universal Health Services, Inc. The Intake Therapist assures that smooth, trauma-informed, and orderly processes are followed for telephonic and in-person assessments to assist the physician in the identification of an appropriate level of care for potential patients. The Intake Therapist is responsible for initial contact with referral sources, potential patients, coordinating the referral and intake process and the admission process, providing trauma-informed assessment/treatment of patients, and ability to effectively and timely serve patients, as well as maintaining communication with referral sources, families, patients, and unit staff. This position interfaces closely with both internal hospital staff, facility physicians, as well as referring hospitals, patients, families, and community referral sources. The Intake Therapist will also at times be responsible for the verification and prior authorization of insurance benefits as needed. Scottsdale, AZ, US, 85250Posted 15 days ago Retrospective Query Writer Accuity |
Phoenix, AZ, US, 85003 Salary Range: $64,000 – $105,000 Salary range estimated by Zippia Apply Now 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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