Value Based Coder II

Dignity Health

Phoenix, AZ

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JOB DETAILS

SALARY

$26.76–$39.81 Per Hour

LOCATION

Phoenix, AZ

POSTED

30+ days ago

Responsibilities

*This position is hybrid in-office and work from home.

Position Summary:

Arizona Care Network (ACN) is a clinically integrated physician network and is a Dignity Health and Abrazo Health (Tenet) physician collaboration. The Value Based Coder is an employee of Inland Health Organization of Southern California, Inc., doing business as Dignity Health Managed Services Organization, a physician support organization owned by Dignity Health.

As a member of the Clinical Performance team, the Value Based Coder II works with providers and office staff across the network to identify opportunities for improved quality, risk adjustment coding performance. The Value Based Coder II is a valuable resource in process improvement and identifying clinically appropriate risk adjusting conditions to capture.

Responsibilities may include:

- Review patient medical record information via population health tools on both a retroactive and prospective basis to identify, assess, monitor and review coding opportunities.

- Ensure that the diagnosis codes for each chronic or major medical condition have been captured and work to educate providers on opportunities to improve documentation on medical conditions.

- Review clinical documentation across the network to identify patterns and trends in clinical documentation. Work with network providers to improve clinical documentation to better support CMS Risk Adjustment guidelines.

- Develop education materials and tools to help network providers improve clinical documentation.

- Participate network performance improvement initiatives.

- Safeguards medical records and preserves the confidentiality of personal health information through the observance of physician network policies pertinent to the release of medical record information, record retention, and HIPAA privacy and security.

Qualifications

Minimum Qualifications:

- Familiarity and understanding of CMS HCC Risk Adjustment coding and data validation requirements.

- Knowledge of federal and state guidelines on all coding systems and sponsored programs.

- Associates degree in healthcare or equivalent experience.

- Must possess the ability to work independently with strong organizational, communication and interpersonal skills to support the management of multiple priorities, at multiple practice locations, with significant attention to detail for completion of both verbal and written external communications.

- Computer literacy of medical information system, records management software, encoders. Proficiency in MS office (outlook, excel, word).

Preferred Qualifications:

- 2-3 years of experience in outpatient and/or HCC/risk adjustment coding preferred.

- Certified Risk Adjustment Coder (CRC) or Certified Professional Coder (CPC) strongly preferred.

Overview

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.

Arizona Care Network (ACN) is a clinically integrated physician network and is a Dignity Health and Abrazo Health (Tenet) physician collaboration. The Value Based Coder is an employee of Inland Health Organization of Southern California, Inc., doing business as Dignity Health Managed Services Organization, a physician support organization owned by Dignity Health.

Pay Range**

$26.76 - $39.81 /hour
We are an equal opportunity/affirmative action employer.

About the Company

Dignity Health

Hello. We welcome the chance to help you feel your best. Excellent, affordable health care, delivered with compassion, is what we stand for. Since our founding in 1986, we've made it our goal to create environments that meet each patient's physical, mental, and spiritual needs. We also believe this healing philosophy promotes the wellbeing of our staff and the places they serve.Dignity Health is made up of more than 60,000 caregivers and staff who deliver excellent care to diverse communities in 21 states. Headquartered in San Francisco, Dignity Health is the fifth largest health system in the nation and the largest hospital provider in California.Through teamwork and innovation, faith and compassion, advocacy and action, we endeavor every day to keep you happy, healthy, and whole.Dignity Health began as a single hospital founded on the belief that all people deserve medical care, regardless of their background, ethnicity, or circumstances.The Sisters of Mercy, originally founded by Catherine McAuley in Dublin, Ireland in 1831, vowed to serve people who suffer from poverty, sickness, and lack of education. In 1854, eight Sisters arrived in San Francisco, California and immediately began caring for residents of a city struck by cholera, then typhoid and influenza. They founded St. Mary's Hospital, now the oldest continuously operating hospital in the city.Eventually, one facility became many, expanding to serve a rapidly growing population while strengthening its commitment to keeping the human person at the forefront of modern medicine.In 1986, two congregations of the Sisters of Mercy joined their ten hospitals together, forming Catholic Healthcare West. In 2012, we changed our name to Dignity Health to better describe what we stand for. Dignity is something everyone is born with. To us, "Dignity" means showing respect for all people by providing excellent care and helping them lead healthy, meaningful lives.Today, Dignity Health is one of the largest health systems in the nation with 400 care sites across a 22-state network, including 39 hospitals -- 24 of which are Catholic and 15 are other-than-Catholic. The mission and values we were founded upon remain the same. Through teamwork and innovation, faith and compassion, advocacy and action, we endeavor every day to keep our patients happy, healthy, and whole. Hello humankindness.

COMPANY SIZE

2,000 to 2,499 employees

INDUSTRY

Healthcare Services

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