Clinical Coding Manager

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🕒 May 14

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Reveleer

51 - 200 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤖 Artificial Intelligence

Healthcare Insurance • SaaS • Artificial Intelligence

Reveleer is a healthcare technology company that specializes in providing an end-to-end platform for value-based care. Their platform leverages artificial intelligence to automate tasks, improve efficiency, and enhance patient care by consolidating risk adjustment and quality improvement workflows. Reveleer helps healthcare organizations streamline their operations through intelligent data acquisition, enhancing productivity and ensuring accurate reimbursement. With a focus on healthcare intelligence, Reveleer integrates with HIEs and EHR systems to improve care delivery and capture relevant diagnoses. They have a significant presence in the healthcare industry, working with various health plans to maximize their performance and patient outcomes.

📋 Description

• Oversee and/or perform an accurate medical record review for all RISK Support and participate in process and quality improvement initiatives • Conduct training related to ,RISK, platform usage, up date any training materials, and function as RISK SME • Monitor project status • Work on flexible projects with variable client/project specific guidelines • Review all Negative / Positive hits • Manage RISK coding projects when needed- including project status and completing chart reviews for coding projects as needed

🎯 Requirements

• Must have a professional coding certificate through AHIMA/AAPC • Minimum of 5 years of hands-on medical records experience • 5 Years of RISK and IVA experience • 3+ years of management experience • Background in UR, QA and/or QI experience preferred • Strong computer skills and high-speed internet access at home • Commitment to confidentiality of patient health information • Professional, articulate and able to work independently • Ability to manage teams and meet deadlines • Be able to conduct trainings in nonstandard time frames to meet abstractor needs and training

🏖️ Benefits

• Competitive salary • Medical, Dental and Vision benefits • 401k match • Generous PTO plan

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