Clinical Documentation Improvement Specialist
Remote
Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.
POSITION SUMMARY :
As a Clinical Documentation Improvement Specialist, you will be a vital member of the team responsible for ensuring accurate clinical suspected conditions are properly curated in the compendium for the provider/patient visit. The primary goal of the Prospective Risk Clinical Coder with in Reveleer, is to validate the results of our prospective suspecting NLP technology, presented by our platform, and ensure the accurate curation of codes and level of specificity found to be clinically evident are presented to the provider in the compendium prior to the encounter. In this position the ideal candidate will evaluate clinical information from a myriad of digital sources, including electronic health records, health information exchanges, claims encounter systems for accuracy and conciseness. This individual will apply clinical coding knowledge, AHA coding clinic guidelines and prospective risk strategies to ensure accurate information is delivered to the provider at point of care.
ESSENTIAL FUNCTIONS :
KEY METRICS:
CORE COMPETENCIES:
EXPERIENCE:
EDUCATION:
WHAT YOU'LL RECEIVE:
SALARY RANGE : $80,000 - $100,000 / annually
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.
Searching for a self-motivated, goal-oriented technician aged 25 years or older to work in the restaurant repair and maintenance industry. Our franchise is motivated and growing. We are looking to expand our maintenance team. Candidates should be self-starters with a good...
Class A Hazmat OTR Driver Needed JobNew EquipmentPiece of mind for our drivers with comfort and equipped with microwave and refrigeratorPay is 1099- .65CPM (loaded) there are rarely DH milesOTR options 2 weeks out/2 days home or 3 weeks out/3-4 days home Pay:...
...Senior BilingualCopywriter. Youwill create compelling and culturally resonant content in both English to Spanish for their CRM campaigns, including email marketing, SMS, in-app messaging and other customer engagement initiatives. This will be a hybrid contract-to-...
...If you are a hard-working individual who enjoys the customer service and energy of being a delivery driver, Kight Home Center (a division of Carter Lumber) should be your career destination! Our customers have many options when buying building materials. They come to...
...Brand Ambassador, Albany, NYTSM Albany is looking for hard working and creative individuals that work well with others, can take direction, have a great attitude, great follow through, want to work hard and WIN!This is a demanding, fun, rewarding part time entry...