Risk Adjustment Coding and Training Specialist

Dignity Health; Bakersfield (CA); Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare organization is seeking a Risk Adjustment Coding Training Specialist to develop and deliver training programs focused on value-based risk adjustment coding. This remote position requires expertise in coding practices and compliance to enhance financial stability.

Qualifications

• 3-5 years of experience with risk adjustment coding and/or medical coding.
• Advanced knowledge of ICD-10 coding and Hierarchical Condition Categories (HCCs).

Responsibilities

• Develops and executes training programs for value-based risk adjustment coding.
• Ensures accurate documentation of patient diagnoses and coding practices.

Skills

risk adjustment coding

medical coding

ICD-10 coding

Microsoft Office

Google applications

Education

Bachelor’s degree

Certified Professional Coder (CPC)

Job description

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. Travel to provider offices may be necessary.

The Risk Adjustment Coding and Training Specialist is responsible for developing and delivering a curriculum that keeps value-based coders current with industry and regulatory guidelines, and for ensuring continuous improvement to maximize reimbursement from health plan payors.

This role reports directly to the Risk Adjustment Population Health Director and plays a critical role in optimizing coding accuracy, enhancing compliance, and ensuring the financial stability and profitability of the PHSO's value-based operations and programs.

Qualifications

Minimum Qualifications:

• 3-5 years of experience with risk adjustment coding and/or medical coding
• Bachelor’s degree or equivalent experience in a related field
• Certified Professional Coder (CPC) certification
• Advanced knowledge of ICD-10 coding and Hierarchical Condition Categories (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 developing and delivering training programs in a healthcare setting