Reveleer
The End-to-End Platform for Risk Adjustment, Quality Improvement, and Member Management
51 - 200
Clinical Operations QA Specialist
March 15
🏡 Remote – Anywhere in California
Reveleer
The End-to-End Platform for Risk Adjustment, Quality Improvement, and Member Management
51 - 200
Description
• Ensures all clinical resources are monitored to meet quality scores based on QA standards. • Provides support to clinical QA and Training team to deliver excellent quality and productivity outcomes. • Completes overread of chases for coders in production and assists in the initial QA process during onboarding. • Communicates feedback to the Training and QA team on coding error trends. • Creates and maintains quality control activities including monthly QA reviews.
Requirements
• Must have a professional coding certificate through AHIMA/AAPC (CRC Certification preferred). • Minimum of 5 years coding experience with specific knowledge of Medicare and Commercial Risk Adjustment such as Hierarchical Condition category (HCC). • Strong computer skills and high-speed internet access at home. • Commitment to confidentiality of patient health information. • Professional, articulate and able to work independently.
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