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.
Requirements: 1. Native Thai language speaker; 2. Very sensitive feel for language, non-tolerance for grammatical errors, strict skill in treating long sentences; 3. At least 2 years of experience in game localization and translation; 4. Passionate about video games...
...Would you like to work remotely from home, have a Hybrid type Schedule, or have a flexible schedule? Do you have experience as a Bookkeeper and QuickBooks Desktop? Are you a seasoned bookkeeper seeking extra hours, & additional income OR a recent accounting or finance...
...you! These employees will answer phones, make pizzas and spend time with our customers. We are looking for people with positive personalities... ...and a lot of energy. Candidates must be a minimum of 16 years old. Additional Information All your information will be...
...aim... for our guests to: EAT authentic Italian food at our restaurants, cafs and to-go counters SHOP a selection of high-quality... ...knowledge Job Description A Front End Sales Associate/Cashier handles payments and ensures accurate accounting of all...
...Position: Landscape Designer Location: Ft Myers, FL Are you highly motivated, hard-working, and seeking to join a growth-focused environmental consulting & engineering firm? Are you looking for a company that will invest in your development and grow your professional...