Clinical Operations Specialist

Reveleer India

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

• Experience

  2 - 8 Years

• No. of Openings

  20

• Education

  Any Bachelor Degree

• Role

  Clinical Operations Specialist

• Industry Type

  Call Centre / BPO / KPO / ITES / LPO

• Gender

  [ Male / Female ]

• Job Country

  India

• Type of Job

  Full Time

• Work Location Type

  Work from Office