Clinical Operations QA Specialist (Fully Remote)

Reveleer; United States; Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

401k match

Generous PTO

Job summary

Reveleer is seeking a Clinical QA Specialist to oversee quality standards for coding activities and support QA and training teams in achieving high-quality outputs. You will collaborate with coders to ensure overreads, onboarding QA processes, and trend analysis drive improved accuracy and productivity.

The role emphasizes risk adjustment expertise, strong documentation, and cross-functional collaboration with the QA and clinical teams to uphold regulatory and quality standards within a

Qualifications

• AHIMA/AAPC coding certificate required.
• Expertise in Medicare/Commercial Risk Adjustment and HCC required.
• Strong Microsoft Office and Adobe Pro skills required.

Responsibilities

• Complete overread of chases for coders and assist in onboarding QA processes.
• Communicate coding error trends and help create action plans to mitigate discrepancies.
• Maintain quality checks, track scores, and analyze report trends.

Skills

Quality assurance

QA processes

Medicare/Medical Risk Adjustment

Education

AHIMA/AAPC coding certificate

Tools

Microsoft Office

Adobe Pro

Job description

• Ensure clinical resources meet quality standards as a Clinical QA Specialist.
• Support QA and training teams to deliver excellent quality and productivity outcomes.

Responsibilities:

• Complete overread of chases for coders and assist in onboarding QA processes.
• Communicate coding error trends and help create action plans to mitigate discrepancies.
• Maintain quality checks, track scores, and analyze report trends.

Qualifications:

• AHIMA/AAPC coding certificate with 5+ years of coding experience.
• Expertise in Medicare/Commercial Risk Adjustment and HCC.
• Strong Microsoft Office and Adobe Pro skills.

What You'll Receive:

• Competitive salary, medical, dental, vision, and 401k match.
• Generous PTO and equal opportunity employer.

Reveleer provides a unified platform for risk adjustment, quality improvement, clinical intelligence, and member management in value-based care. Trusted by 80+ customer organizations, the company emphasizes regulatory expertise, transparent AI, and collaborative, detail-oriented teams.