Risk Adjustment Coding and Training Specialist

The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.

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.

***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.

Minimum Qualifications:

- 3-5 years of experience with risk adjustment coding and/or medical coding
- Advanced knowledge of ICD-10 coding and HCCs
- Bachelor’s degree or equivalent experience in related field
- Certified Professional Coder (CPC) certification
- 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