Clinical Coding Manager

Clinical Coding Manager
Remote

About 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. Trusted by 80+ customer organizations nationwide, the platform integrates data, analytics, and intelligent workflow automation into one governed system designed to support traceable documentation across diagnoses, quality measures, and submissions. With regulatory expertise and transparent, human-in-the-loop AI at its core, Reveleer supports organizations working to advance care quality, strengthen documentation integrity, and sustain the operational readiness needed to navigate audits with confidence.

We are seeking a full time Clinical Coding Manager to oversee duties of Risk Adjustment and reporting.

What Youll 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, update any training materials, and function as RISK SME

Monitor project status

Work on flexible projects with variable client/project specific guidelines

Review all Negative / Positive hits

Manage RISK coding projects when needed - including project status and completing chart reviews for coding projects as needed.

Job Requirements

Must have a professional coding certificate through AHIMA/AAPC

Minimum of 5 years of hands‑on medical records experience

5 years of RISK and IVA experience

3+ years of management experience

Background in UR, QA and/or QI experience preferred

Strong computer skills and high‑speed internet access at home

Commitment to confidentiality of patient health information

Professional, articulate and able to work independently

Ability to manage teams and meet deadlines

Be able to conduct trainings in nonstandard time frames to meet abstractor needs and training

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 patients conditions, treatment and services provided. Identify gaps, inconsistencies, and discrepancies in documentation that could impact patient care, quality reporting and reimbursement.

Coding Support: Ensure documentation aligns with accurate code assignment and follow CMSs coding guidelines for HCC risk adjustment coding.

Clinical Knowledge: Maintain a deep understanding of medical terminology, disease processes, treatments, and procedures to accurately interpret and validate clinical documentation.

Documentation Integrity: Safeguard the integrity and confidentiality of patient health information while handling medical records and sensitive data in accordance with HIPAA and other relevant regulations.

Interdisciplinary Communication: Foster clear communication and collaboration between different healthcare departments, ensuring that accurate patient information is shared across the continuum.

Benefits

Competitive salary

Medical, Dental and Vision benefits

401k match

Generous PTO plan

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.

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