Clinical Operations Lead

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $70k - $80k / year

⏰ Full Time

🟠 Senior

🏥 Clinical Operations

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Reveleer

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

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

• Assist Managers with clinical pends • Assist with over-read feedback • Assign manual assignments • Assist with individual data entry production (MRR or OR1) • Review reports daily for QA scores during the season(s) for abstractors, coders, and HPs • Ensure collaboration among cross-functional teams for product release rollouts • Perform additional duties as necessary to meet client obligations • Interact with management and remote coding personnel • Explain complex information

🎯 Requirements

• 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 • 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 • Must pass E-Verify requirements for new hires

🏖️ Benefits

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