Coder

About the Job

Position Summary

The Value-Based Coder position at Dignity Health Managed Services Organization (DHMSO) is a remote role supporting providers and clinical networks in improving quality and risk adjustment coding performance.

As part of the Quality Management/Risk Team, the Value-Based Coder helps identify opportunities for improved documentation and accurate risk-adjusted condition capture. This role plays a key part in process improvement, provider education, and supporting the organization’s value-based care goals.

Key Responsibilities

• Review patient medical records using population health tools to identify and monitor risk adjustment coding opportunities.

• Ensure chronic and major medical conditions are accurately coded, while guiding providers on documentation improvement.

• Analyze clinical documentation patterns and trends to align with CMS Risk Adjustment guidelines.

• Develop and deliver education materials and tools to improve Hierarchical Condition Category (HCC) documentation accuracy.

• Participate in performance improvement initiatives across the network.

• Safeguard patient information in compliance with HIPAA and organizational confidentiality policies.

Minimum Qualifications

• Associate degree or equivalent work experience.

• Certification: CPC, CCS, CCS-P, or RHIT.

• Advanced knowledge of CPT and ICD-10 coding.

• Strong understanding of CMS HCC Risk Adjustment and data validation requirements.

• Excellent organizational, communication, and interpersonal skills.

• Ability to work independently and manage multiple priorities.

• Proficient in MS Office (Outlook, Excel, Word) and medical record management systems.

• Strong attention to detail and documentation accuracy.

Preferred Qualifications

• 2–3 years of experience in risk adjustment or HCC coding.

• CRC certification (Certified Risk Coder) preferred.

About Dignity Health MSO

Dignity Health Management Services Organization (MSO) is a physician support organization focused on building a system-wide, integrated, physician-centric structure. It offers a full range of management and business services to enhance coordination, reduce costs, and improve patient care quality.

With an emphasis on Medicaid population health management, Dignity Health MSO combines advanced technology and local expertise to deliver high-quality managed care solutions.

Compensation and Benefits

• Pay Range: $26.76 – $39.81 per hour.

• Total Rewards Package includes:

  • Competitive pay

  • Flexible Health & Welfare benefits (medical, dental, vision)

  • Health Spending Account (HSA)

  • Life Insurance and Long-Term Disability

  • 401(k) with employer match

  • Paid Time Off (PTO) and Sick Leave

Join a mission-driven organization that values collaboration, innovation, and excellence in patient care.

One Community. One Mission. One California.

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