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Job description
Clinical Operations Lead
Remote Opportunity
About Reveleer
Reveleer delivers a unified platform spanningrisk adjustment,quality improvement,clinical intelligence, andmember managementfor health plans and provider organizations navigating the complexity of value-based care. Trusted by 80+ customer organizations nationwide, the platform integrates data, analytics, and intelligent workflow automation into one governed system designed to support traceable documentation across diagnoses, quality measures, and submissions. With regulatory expertise and transparent, human-in-the-loop AI at its core, Reveleer supports organizations working to advance care quality, strengthen documentation integrity, and sustain the operational readiness needed to navigate audits with confidence.
What You’ll Do:
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)
Ensure collaboration among cross functional teams for the roll out of product releases
Additional duties as necessary to meet the obligations to our clients
About You:
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
Experience and Skills:
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
WHAT YOU’LL RECEIVE:
Competitive salary
Medical, Dental and Vision benefits
401kmatch
Generous PTO plan
Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job‑related knowledge, skills, and experience.
Reveleer E-Verifies all new hires.
Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.
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Who can apply
Review the original listing for work authorization, qualifications and employer requirements.