[Hiring] Clinical Coding Manager @Reveleer

Role Description

We are seeking a full time Clinical Coding Manager to oversee duties of Risk Adjustment and reporting.

• 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, update 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

Qualifications

• 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

Requirements

• Analyze medical records and NLP results and validate that the clinical evidence meets the necessary requirements for submission and documentation
• Ensure documentation aligns with accurate code assignment and follow CMS's coding guidelines for HCC risk adjustment coding
• Maintain a deep understanding of medical terminology, disease processes, treatments, and procedures to accurately interpret and validate clinical documentation
• Safeguard the integrity and confidentiality of patient health information while handling medical records and sensitive data in accordance with HIPAA and other relevant regulations
• Foster clear communication and collaboration between different healthcare departments, ensuring that accurate patient information is shared across the continuum

Benefits

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