Remote Risk Adjustment Coder Jobs in Orem, UT (NOW HIRING)

At Revere Health, we believe there is a better path to healing and healthcare maintenance, and we're working on this mission-one patient at a time. We're a national leader in a movement called value-base care which aims to improve treatment outcomes and keep costs down. Our internal culture is one that promotes respect and consistently recognizes the impact that individual employees have on the mission of the organization.

Position Summary:The Revenue Cycle Coding Liaison serves as the primary liaison between providers and revenue cycle operations, including external partners. This role builds trusted relationships with providers to improve coding accuracy, charge capture, accounts receivable performance, and overall revenue integrity. The Liaison conducts routine provider engagement, including quarterly performance reviews, and provides education, insights, and guidance on revenue cycle best practices. This individual develops subject matter expertise across coding, billing, and AR processes and acts as a communication bridge between clinical operations and revenue cycle teams. This position operates in a hybrid environment with both on-site provider interaction and remote analytical and coordination work.

Essential Job Functions:Provider Engagement and Relationship Management Serve as the primary point of contact for providers regarding revenue cycle matters Establish and maintain trusted, professional relationships with assigned providers Conduct quarterly meetings with each provider to review performance trends related to coding, billing, and AR Communicate actionable insights and improvement opportunities clearly and constructively Respond to provider questions or concerns and coordinate resolution through appropriate internal or partner channels Performance Review and Education Analyze coding patterns, denial trends, AR issues, and documentation opportunities Translate operational data into meaningful feedback for providers Deliver targeted education and direction on coding accuracy, documentation improvement, and revenue optimization Identify recurring issues and coordinate training or process adjustments as needed Reinforce organizational revenue cycle expectations and workflows Liaison and Coordination Act as the connection point between providers and revenue cycle partners (including IKS) Escalate operational concerns and track resolution Ensure provider feedback is communicated to internal leadership and partner teams Support alignment between clinical workflows and revenue cycle requirements Participate in cross-functional initiatives related to revenue cycle improvement Revenue Cycle Knowledge Development Develop expertise across coding, AR, charge capture, and billing workflows Stay current on regulatory, payer, and operational changes impacting providers Participate in ongoing training and professional development Serve as an internal resource for provider-facing revenue cycle guidance Reporting and Documentation Maintain documentation of provider meetings, follow-up actions, and outcomes Track engagement activities and improvement initiatives Contribute to leadership reporting on provider performance trends and risks Educate providers and clinic staff on coding requirements, documentation standards, modifier usage, diagnosis coding, CPT coding, and payer specific trends. Identify recurring coding or documentation issues and provide feedback, education, or escalation as appropriate. Support provider coding education related to E&M services, wellness visits, procedures, injections, diagnosis specificity, and other assigned service lines. Review audit findings and assist with communicating results to providers, clinic leaders, and internal teams in a clear and constructive manner. Partner with coding teams to ensure coding changes are supported by documentation and compliant with organizational policy. Assist with charge review, claim edits, coding denials, and documentation related work queues as needed. Monitor trends in coding accuracy, provider charge entry, lag days, denials, and documentation gaps. Help develop and maintain coding tools, cheat sheets, provider education materials, workflows, and reference guides. Escalate compliance concerns, unsupported coding patterns, documentation risks, or repeated workflow breakdowns to appropriate leadership. Participate in meetings with providers, clinic leadership, coding teams, billing teams, and external revenue cycle partners as needed. Support process improvement efforts that improve coding accuracy, reduce rework, improve charge capture, and strengthen revenue cycle performance. Maintain current knowledge of coding guidelines, payer requirements, CMS updates, organizational policies, and specialty specific coding rules.

Qualifications: Experience in healthcare revenue cycle, which may include: o Coding o Accounts receivable o Payment posting o Customer service or patient financial services Strong communication and relationship-building skills Ability to translate operational or financial data into understandable guidance Organizational and problem-solving skills Comfort working across clinical and operational teams

Hours:Monday- Friday 8am to 5pm Hybrid