[Hiring] Clinical Operations Lead @Reveleer

Role Description

As a Clinical Operations Lead, you will be responsible for:

• 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)
• Ensuring collaboration among cross-functional teams for the roll-out of product releases
• Additional duties as necessary to meet the obligations to our clients

Qualifications

• 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

Requirements

• 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

Benefits

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