What You'll Do:
- Oversee and/or perform an accurate medical record review for all RISK
- Support and participate in process and quality improvement initiatives
- Conduct training related to ,RISK, platform usage, up date any training materials, and function as RISK SME
Clinical Documentation Review:
- Analyze medical records and NLP results and validate that the clinical evidence meets the necessary requirements for submission and documentation
- This includes making sure the documentation accurately reflects the patient’s conditions, treatment and services provided
- Identify gaps, inconsistencies, and discrepancies in documentation that could impact patient care, quality reporting and reimbursement
Reveleer
Reveleer delivers a unified platform spanning risk adjustment, quality improvement, clinical intelligence, and member management for health plans and provider organizations navigating the complexity of value-based care. They are trusted by 80+ customer organizations nationwide and work to advance care quality, strengthen documentation integrity, and sustain operational readiness.