Facilitate improvement in the overall quality and completeness of recapture and suspecting performance.
Perform reviews of patient records to identify and validate Hierarchical Condition Category (HCC) diagnoses.
Query providers to ensure accurate and complete documentation that supports HCC and condition-related diagnoses.
Apply comprehensive knowledge of medical terminology, disease processes, and diagnostic tests to identify documentation gaps.
Validate recapture and suspect conditions based on clinical evidence.
Formulate recommendations to improve clinical logic and workflows.
Showing 1 of 12 positions
About Reveleer
Reveleer pioneers value-based care technology, integrating AI and clinical intelligence to transform healthcare for over 70 health plans. You will join a company that processes 400 million patient records annually, improving care for 66 million covered lives. Our platform unifies critical functions like risk adjustment, quality improvement, and member management. We streamline fragmented workflows, supercharging productivity and enhancing care quality.
How We Work
You will thrive in a hybrid work environment with many remote opportunities, fostering both independence and collaboration. Our culture emphasizes making every moment count and putting customers first, ensuring a delightful experience. We build meaningful connections within our team and with our customers. You will contribute to a community that values growth and exceptional service.
Every Moment Counts: We act with urgency to ensure customer satisfaction.
Customers First: We prioritize understanding and delighting our customers.
We Foster Community: We build meaningful connections internally and externally.
Engineering at Reveleer
Our engineering teams solve complex challenges in healthcare data and AI. We build scalable, distributed systems using C#, .NET, and SQL Server, deployed within AWS. You will contribute to our robust test automation framework, utilizing JavaScript-based tools like Cypress and Playwright. We leverage AWS services like Amazon Textract and Amazon Comprehend Medical for AI-powered analysis of medical records. Our focus is on continuous improvement, ensuring high-quality, reliable software delivery.
Why Join Us
Shape the future of value-based care with pioneering AI-powered solutions.
Work in a hybrid remote environment that prioritizes flexibility and collaboration.
Contribute to a company with a 97% customer retention rate, serving over 70 health plans.
Join a team committed to continuous learning and professional development.