Monitor clinical resources to meet quality scores based on established QA standards.
Collaborate with QA and Training teams to address coding error trends and action plans.
Perform quality checks, track QA scores, and analyze reports to improve outcomes.
Reveleer provides a unified platform for risk adjustment, quality improvement, clinical intelligence, and member management in value-based care. Trusted by 80+ customer organizations, the company emphasizes regulatory expertise, transparent AI, and collaborative, detail-oriented teams.
Conduct thorough patient chart reviews to identify and validate reportable diagnoses.
Assign accurate ICD-10-CM diagnosis codes and apply MEAT criteria to support risk adjustment.
Collaborate with providers and quality teams to improve HCC documentation accuracy.
Bluestone provides coordinated, proactive care for patients with complex chronic conditions and disabilities. Its culture of Dedication, Excellence, Collaboration, and Caring has earned Top Workplace honors for 14 years.
Lead and manage the coding team, setting productivity and quality standards for documentation and coding operations.
Oversee pre-encounter review workflows, query auditing, and vendor performance to drive compliance and risk adjustment outcomes.
Collaborate with clinical, operations, compliance, and finance stakeholders on program objectives and process improvements.
WellBe Senior Medical provides healthcare services focused on seniors, with an emphasis on documentation accuracy, coding compliance, and risk adjustment. The company operates in a remote, cross-functional environment and values compliance, quality, and continuous improvement.