Offer summary

Qualifications:

Current Coding Certification (CPC, CPC-P, CPC-H, CPC-I, CRC, CCS, RHIT, RHIA) through AAPC and/or AHIMA., Minimum of 5 years coding experience with knowledge of Medicare and Commercial Risk Adjustment., Strong organizational skills and attention to detail, with the ability to adapt to changing priorities., Excellent verbal and written communication skills for effective interaction with clients and team members..

Key responsabilities:

Assist Managers with clinical pends and provide over-read feedback.

Assign manual assignments and assist with individual data entry production.

Review daily reports for QA scores and ensure collaboration among cross-functional teams.

Perform additional duties as necessary to meet client obligations.

Job description

Clinical Risk Adjustment Lead
Remote Opportunity

As the industry’s pioneering value-based care (VBC) technology platform, Reveleer is purpose-built to solve the most pressing real-world challenges faced by providers and health-plan organizations today. By unifying retrieval, clinical intelligence, risk adjustment, quality improvement, and member management solutions into one intelligent, AI-powered system, Reveleer streamlines fragmented workflows to supercharge productivity, enhance care quality, and optimize performance on high-priority value-based initiatives.

What You’ll Do

Assisting Managers with clinical pends
Assisting with over-read feedback
Assigning manual assignments
Assisting with individual data entry production (MRR or OR1)
Reviewing reports daily for QA scores during the season(s) (abstractors, coders, HPs)
Ensure collaboration among cross functional teams for the roll out of product releases
Additional duties as necessary to meet the obligations to our clients

About You

Current Coding Certification (CPC, CPC-P, CPC-H, CPC-I, CRC, CCS, RHIT, RHIA etc.) through AAPC and/or AHIMA
Minimum of 5 years coding experience with specific knowledge of Medicare and Commercial Risk Adjustment such as Hierarchical Condition category (HCC)
Additional experience in facility (OPPS/IPPS) coding experience is preferred
Additional experience in Health Plan Risk Adjustment Data Validation Audit (RADV) experience is preferred
Excellent verbal and written communication skills, including the ability to effectively communicate with internal and external customers

Experience and Skills

Ability to work independently in a fast-paced remote environment with minimal supervision and guidance
Ability to interact with management and remote coding personnel
Possess strong organizational skills and attention to detail
Ability to adapt to changing priorities while managing a wide range of projects
Adaptive and flexible to new ideas and change
Advanced knowledge of medical terminology, anatomy and pharmacology
Advanced skills utilizing official coding resources for research and problem solving
Advanced skills and knowledge of computers, use of required software to perform job functions
Excellent written and communication skills and the ability to explain complex information

What You'll Receive:

Competitive pay
Medical, Dental and Vision benefits including HSA/FSA
401k with Employer Match
100% paid short term and long-term disability insurance
PTO plan and 10 paid company holidays

Salary Range: $65,000 - $70,000 / annually

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

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