POSITION PURPOSE:

The Risk Adjustment Coding Specialist works in a team environment and is responsible for reviewing clinical documentation and for coding to support Hierarchical Condition Categories and risk adjustment.

SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:

• Certified Risk Adjustment Coder (CRC) required
• Excellent verbal and written communication skills.
• Customer service-oriented attitude/behavior.
• Detail oriented with the ability to complete tasks in a timely manner.
• Ability to work well as a team member.
• Intermediate computer skills with an emphasis on typing, 10-key, Word, Excel, and Outlook.
• High School Diploma or GED

ESSENTIAL FUNCTIONS:

Meets Health System's Guiding Behaviors and Caring Standards including interpersonal communication and professional conduct expectations with all coworkers, other departments, and with patients and visitors. Accurately codes (ICD-10) to the most appropriate level of specificity. Follows current industry standards of ethical coding. Recognizes opportunities for documentation improvement and works collaboratively with providers and staff, in coordination with the Manager of HCC Coding and Compliance, to develop documentation improvement plans. Ensures medical documentation and coding compliance with Federal, State and Private payer regulations. Participates in continuing education activities pertinent to areas of job responsibility. Performs additional duties as assigned. Adheres to St. Peter's Health Partners' confidentiality requirements as they relate to patient information.

Core Values:

• Reverence: We honor the sacredness and dignity of every person.
• Commitment to Those who are Poor: We stand with and serve those who are poor, especially those most vulnerable.
• Justice: We foster right relationships to promote the common good, including sustainability of Earth.
• Stewardship: We honor our heritage and hold ourselves accountable for the human, financial and natural resources entrusted to our care.
• Integrity We are faithful to those we say we are.
• Safety: We embrace a culture that prevents harm and nurtures a healing, safe environment for all.

PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS

• Must be able to set and organize own work priorities and adapt to them as they change frequently.
• Must be able to work concurrently on a variety of tasks/projects in physical or virtual environments

that may be stressful with individuals having diverse personalities and work styles.

• Must possess the ability to comply with CHE Trinity Health policies and procedures.
• Must be able to spend majority of work time utilizing a computer, monitor, and keyboard.
• Must be able to perform some lifting and/or pushing/pulling up to 20 pounds if applicable.
• Must be able to work with interruptions and perform detailed tasks.
• If applicable, involves a wide array of physical activities, primarily walking, standing, balancing, sitting,

squatting, and reading. Must be able to sit for long periods of time.

• 100% remote but if local may include some travel to sites.
• Must be able to travel to various CHE Trinity Health sites (10%) as applicable.
• If applicable, telecommuting (working remotely), must be able to comply with CHE Trinity Health’s

and the Region/RHM Working Remote Policy.

Please be aware for the safety and security of our colleagues and patients all new employees are required to undergo and pass all applicable state and federally mandated pre-employment screening requirements including:

• Relevant Background Checks
• Drug Screen
• PPD / Tuberculosis Test
• Reference Check
• COVID Vaccination

Job Type: Full-time

Benefits:

• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Experience:

• ICD-10: 1 year (Preferred)

Work Location: Remote

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