Apply📍 United States
🧭 Full-Time
💸 100000.0 - 120000.0 USD per year
🔍 Clinical Operations
🏢 Company: Reveleer👥 101-250💰 $65,000,000 Debt Financing over 1 year agoArtificial Intelligence (AI)SaaSMachine LearningInformation TechnologyHealth Care
- RN or LPN degree required
- Coding certification required (e.g., CPC, CRC, CCS-P, or equivalent)
- Minimum of 5 years of experience in HEDIS abstraction and Risk Adjustment coding
- Minimum of 3 years of experience managing HEDIS abstraction in a health plan or medical record review vendor setting
- In-depth knowledge of medical coding systems including ICD-10 and HCC risk adjustment models, and their application to accurate clinical documentation and abstraction
- Strong understanding of MRCS tools and documentation workflows
- Experience preparing for and participating in HEDIS Medical Record Review Validation audits
- Proficiency in Microsoft Office (Word, Excel, PowerPoint, Outlook)
- Demonstrated expertise in adult learning principles, including knowledge acquisition, motivation theory, cognitive load, and behavior change strategies
- Deep knowledge of instructional design methodologies (e.g., ADDIE, SAM), with the ability to develop training that drives knowledge transfer and performance improvement
- Proven ability to mentor and evaluate trainers in facilitation, instructional quality, and learner engagement
- Hands-on experience creating blended learning solutions including facilitator guides, eLearning modules, job aids, assessments, and simulations
- Experience applying learning evaluation models (e.g., Kirkpatrick Levels 1–4) to assess and improve training effectiveness
- Proficiency with instructional tools such as Articulate Rise/Storyline, Camtasia, and LMS platforms
- Ability to lead and manage the full training lifecycle—from needs analysis through design, delivery, and continuous improvement
- Excellent written, verbal, and presentation skills, with the ability to communicate complex clinical and instructional concepts clearly
- Strong project and stakeholder management skills; able to juggle multiple priorities and deliver results in a fast-paced, evolving environment
- Provide strategic leadership and day-to-day management of training specialists supporting onboarding, customer education, and internal clinical training; responsible for performance management, coaching, and professional development.
- Develop and document training programs tailored to meet the unique needs of individual customers, specific projects, and contractual obligations.
- Build and maintain comprehensive training for HEDIS measure abstraction, risk adjustment coding, and MRCS platform tools.
- Apply adult learning theory and instructional design best practices (e.g., ADDIE, Bloom’s Taxonomy) to create scalable, high-impact training across multiple modalities.
- Mentor training specialists in content development, delivery techniques, learner engagement, and evaluation strategies.
- Establish clear standards for training content, delivery, assessment, and feedback across the training team to ensure consistency and instructional quality.
- Design and oversee the development of continuing education resources for internal coders, including AAPC CEU-eligible material.
- Identify coder error trends from audits or performance metrics and lead development of focused retraining initiatives.
- Review and approve training materials, ensuring alignment with current business processes, platform updates, and compliance expectations.
- Personally lead or oversee key training sessions with a focus on engagement, application, and knowledge retention.
- Ensure all coder and abstractor-facing materials —including job aids, facilitator guides, and reference tools—are accurate, current, and instructionally sound.
- Conduct training needs analyses and use learner feedback, audit results, and performance data to evaluate effectiveness and continuously improve programs.
- Support HEDIS Medical Record Review Validation audits through preparation and training of abstraction staff.
- Provide structured professional development and learning pathways for Reveleer coders, including skills growth, CEU opportunities, and re-education initiatives.
- Partner with Product, QA, and Clinical Operations to align training with evolving tools, workflows, and business strategies.
- Work closely with the Instructional Designer to convert training needs into scalable, instructionally sound content.
- Manage multiple concurrent projects while flexing to meet shifting priorities, operational deadlines, and customer requirements.
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