Remote Clinical QA & Coding Operations Specialist

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

Benefits offered by this job

Competitive salary

Medical, Dental and Vision benefits

401k with Employer Match

Generous PTO plan

Job summary

Reveleer is seeking a Clinical Operations QA Specialist to oversee clinical resources for quality scores and support the QA and Training team. This role emphasizes independent work with strong collaboration across teams, and leadership in drafting new QA protocols within Reveleer clinical operations.

The candidate should be a SME, guiding staff at all levels. The ideal candidate will bring meticulous attention to detail, strong coding knowledge in Medicare and risk adjustment, and proficiency

Qualifications

• Professional coding certifications required.
• Minimum 5 years coding experience with Medicare and Commercial Risk Adjustment (HCC).
• Commitment to confidentiality of patient health information.
• Professional, articulate and able to work independently.

Responsibilities

• Overread coder work in production and assist during onboarding QA processes.
• Provide feedback on coding trends to QA/Training teams and help develop action plans.
• Assist coders with resolving coding queries using Reveleer guidelines and official guidance.
• Create and maintain QA activities: bi-monthly checks, monthly QA reviews, track QA scores, implement corrections.

Skills

HCC Coding Expertise

Medicare/Commercial Risk Adjustment

Attention to detail

MS Office proficiency

Education

AHIMA/AAPC Coding Certificate

Tools

Adobe Pro

Microsoft Office

Job description

Reveleer is seeking a Clinical Operations QA Specialist to oversee clinical resources for quality scores and support the QA and Training team. This role emphasizes independent work with strong collaboration across teams, and leadership in drafting new QA protocols within Reveleer clinical operations.

The candidate should be a SME, guiding staff at all levels. The ideal candidate will bring meticulous attention to detail, strong coding knowledge in Medicare and risk adjustment, and proficiency