Know ATS Score
CV/Résumé Score
  • Expertini Resume Scoring: Our Semantic Matching Algorithm evaluates your CV/Résumé before you apply for this job role: HCC Risk Adjustment Coder.
United States Jobs Expertini

Urgent! HCC Risk Adjustment Coder Job Opening In remote us – Now Hiring Reveleer

HCC Risk Adjustment Coder



Job description

HCC Risk Adjustment Coder (Clinical Operations 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.

This is a Full-Time (FT, 40 Hours a week) remote position to perform duties for Risk Adjustment Coding and related Audit initiatives.

Essential Duties and Responsibilities:

  • Review of medical records as needed (MRR, OR1, any backlog) and assist platform clients as needed with backlog, larger chart page counts
  • Work population of clinical pends, with goal to clear within 72 hours
  • Updating and maintaining training course material for medical record abstraction and data entry (HEDIS, RISK, IVA)
  • Reviewing training test scores and sending feedback if necessary
  • Assigning and overreading disciplinary charts- (this is a chart move back) all projects
  • Reviewing reports daily for QA scores during the season(s) (abstractors, coders, HPs)
  • Maintaining an accuracy score of 95% on all work submitted (all projects)
  • Ability to adapt to changing priorities in managing a wide range of projects.
  • Must be able to work independently and in a team environment
  • Remote mentoring/ coaching (for all projects) in a group or 1:1 session with staff and leadership
  • Client trainings (Reveleer technology, if needed)
  • Over read challenges for all projects (reviewing abstractor/coder OR1 feedback challenges)
  • Oversite and coordination of IVA documentation audits: ENR/RXC/ATT/DOB/GEN-
  • Assist in training and successful adoption of Natural Language Processing/” Bot” -assisted coding reviews and relating tools/reporting
  • Reviewing reports for workload assignments, looking at inventory by project to make sure sufficient headcount are assigned per workload (all projects) multi time zone coverage/ shift coverage- evening/ weekends/holidays
  • Managing and addressing questions and clarifications that coders submit to a designated online communication forum and “Q&A” email mailbox while reviewing charts
  • Works actively to monitor and maintain minimum 95% accuracy in all coding projects by providing coaching/feedback to coders, as well as researching literature and attending professional seminars, workshops and conference as required by AAPC and/or AHIMA to maintain professional certification(s).
  • Stay up to date with Risk/IVA protocols (coding clinics, coding guidelines)
  • Maintain ongoing communication with Clinical Management team regarding coding workload, turnaround time expectations and deliverables
  • Additional duties as necessary to meet the obligations to our clients
  • Qualification Requirements:

  • Current Coding Certification (CPC, CPC-P, CPC-H, CPC-I, CRC, CCS) 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
  • 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 pay
  • Medical, Dental and Vision benefits including HSA/FSA
  • 401k with Employer Match
  • 100% paid short term and long-term disability insurance
  • PTO plan and 10 paid company holidays
  • Hourly Rate: $ / hour

    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.


    Required Skill Profession

    Health Technologists And Technicians



    Your Complete Job Search Toolkit

    ✨ Smart • Intelligent • Private • Secure

    Start Using Our Tools

    Join thousands of professionals who've advanced their careers with our platform

    Rate or Report This Job
    If you feel this job is inaccurate or spam kindly report to us using below form.
    Please Note: This is NOT a job application form.


      Unlock Your HCC Risk Potential: Insight & Career Growth Guide


    • Real-time HCC Risk Jobs Trends in remote, us, United States (Graphical Representation)

      Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph below. This graph displays the job market trends for HCC Risk in remote, us, United States using a bar chart to represent the number of jobs available and a trend line to illustrate the trend over time. Specifically, the graph shows 12643 jobs in United States and 30 jobs in remote, us. This comprehensive analysis highlights market share and opportunities for professionals in HCC Risk roles. These dynamic trends provide a better understanding of the job market landscape in these regions.

    • Are You Looking for HCC Risk Adjustment Coder Job?

      Great news! is currently hiring and seeking a HCC Risk Adjustment Coder to join their team. Feel free to download the job details.

      Wait no longer! Are you also interested in exploring similar jobs? Search now: .

    • The Work Culture

      An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at Reveleer adheres to the cultural norms as outlined by Expertini.

      The fundamental ethical values are:
      • 1. Independence
      • 2. Loyalty
      • 3. Impartiality
      • 4. Integrity
      • 5. Accountability
      • 6. Respect for human rights
      • 7. Obeying United States laws and regulations
    • What Is the Average Salary Range for HCC Risk Adjustment Coder Positions?

      The average salary range for a varies, but the pay scale is rated "Standard" in remote us. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.

    • What Are the Key Qualifications for HCC Risk Adjustment Coder?

      Key qualifications for HCC Risk Adjustment Coder typically include Health Technologists And Technicians and a list of qualifications and expertise as mentioned in the job specification. Be sure to check the specific job listing for detailed requirements and qualifications.

    • How Can I Improve My Chances of Getting Hired for HCC Risk Adjustment Coder?

      To improve your chances of getting hired for HCC Risk Adjustment Coder, consider enhancing your skills. Check your CV/Résumé Score with our free Tool. We have an in-built Resume Scoring tool that gives you the matching score for each job based on your CV/Résumé once it is uploaded. This can help you align your CV/Résumé according to the job requirements and enhance your skills if needed.

    • Interview Tips for HCC Risk Adjustment Coder Job Success
      Reveleer interview tips for HCC Risk Adjustment Coder

      Here are some tips to help you prepare for and ace your job interview:

      Before the Interview:
      • Research: Learn about the Reveleer's mission, values, products, and the specific job requirements and get further information about
      • Other Openings
      • Practice: Prepare answers to common interview questions and rehearse using the STAR method (Situation, Task, Action, Result) to showcase your skills and experiences.
      • Dress Professionally: Choose attire appropriate for the company culture.
      • Prepare Questions: Show your interest by having thoughtful questions for the interviewer.
      • Plan Your Commute: Allow ample time to arrive on time and avoid feeling rushed.
      During the Interview:
      • Be Punctual: Arrive on time to demonstrate professionalism and respect.
      • Make a Great First Impression: Greet the interviewer with a handshake, smile, and eye contact.
      • Confidence and Enthusiasm: Project a positive attitude and show your genuine interest in the opportunity.
      • Answer Thoughtfully: Listen carefully, take a moment to formulate clear and concise responses. Highlight relevant skills and experiences using the STAR method.
      • Ask Prepared Questions: Demonstrate curiosity and engagement with the role and company.
      • Follow Up: Send a thank-you email to the interviewer within 24 hours.
      Additional Tips:
      • Be Yourself: Let your personality shine through while maintaining professionalism.
      • Be Honest: Don't exaggerate your skills or experience.
      • Be Positive: Focus on your strengths and accomplishments.
      • Body Language: Maintain good posture, avoid fidgeting, and make eye contact.
      • Turn Off Phone: Avoid distractions during the interview.
      Final Thought:

      To prepare for your HCC Risk Adjustment Coder interview at Reveleer, research the company, understand the job requirements, and practice common interview questions.

      Highlight your leadership skills, achievements, and strategic thinking abilities. Be prepared to discuss your experience with HR, including your approach to meeting targets as a team player. Additionally, review the Reveleer's products or services and be prepared to discuss how you can contribute to their success.

      By following these tips, you can increase your chances of making a positive impression and landing the job!

    • How to Set Up Job Alerts for HCC Risk Adjustment Coder Positions

      Setting up job alerts for HCC Risk Adjustment Coder is easy with United States Jobs Expertini. Simply visit our job alerts page here, enter your preferred job title and location, and choose how often you want to receive notifications. You'll get the latest job openings sent directly to your email for FREE!