Risk Adjustment Coding and Training Specialist
Risk Adjustment Coding and Training Specialist
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Salary Not Disclosed
1 Vacancy
Job Description
Overview
Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options including medical dental and vision plans for the employee and their dependents Health Spending Account (HSA) Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.
Responsibilities
***This position is remote.
Position Summary:
The Risk Adjustment Coding Training Specialist develops and executes comprehensive training programs focused on value-based risk adjustment coding. This role ensures that clinicians and value- based coders within the Population Health Services Organization (PHSO) are proficient in accurate documentation of patient diagnoses and coding practices aligning with local and regional regulatory requirements and organizational standards. Travels to provider offices when necessary.
The Risk Adjustment Coding and Training Specialist is responsible for developing and delivering a robust curriculum focused on keeping value-based coder(s) abreast of the latest industry and regulatory guidelines as well as ensuring continuous improvement to ensure maximum reimbursement from health plan payors.
The role reports directly to the Risk Adjustment Population Health Director and plays a critical role in optimizing coding accuracy enhancing compliance ensuring financial stability and profitability of the PHSO value-based operations and programs.
Qualifications
Minimum Qualifications:
- 3-5 years of experience with risk adjustment coding and/or medical coding
- Bachelors degree or equivalent experience in related field
- Certified Professional Coder (CPC) certification
- Advanced knowledge of ICD-10 coding and HCCs
- Extensive knowledge of Microsoft Office applications; Excel Word Outlook PowerPoint and Google applications
Preferred Qualifications:
- Experience working in a value-based care program
- Experience in developing and delivering training programs in a healthcare setting
Required Experience:
Unclear Seniority
Employment Type
Unclear
