Mission Statement:
We, St Joseph’s Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.
Vision:
To be world-renowned for passionate patient care and outstanding clinical outcomes.
Core Values:
In the spirit of good Stewardship, we heal by practicing Justice in fostering right relationships to promote common good, Reverence in honoring the dignity of every person, Excellence in expecting the best of ourselves and others; Integrity in being faithful to who we say we are.
Details:
POSITION PURPOSE:
The Risk Adjustment Coding Specialist works in a team environment and is responsible for reviewing clinical documentation and coding using HCC (Hierarchical Condition Category) and M.E.A.T (Monitored, Evaluated/Assessed/Addressed, Treated) standards while adhering to coding guidelines established by the Centers for Medicare and Medicaid Services (CMS).
SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:
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-CM) to the most appropriate level of specificity. Follows current industry standards of ethical coding. Recognizes and reports opportunities for documentation improvement to the Supervisor of Risk Adjustment Coding & Audit to develop and implement provider documentation improvement plans. Ensures medical documentation and coding compliance with Federal, State and Private payer regulations. Participates in continuing education activities to maintain their certification(s) and pertinent to areas of job responsibility. Performs additional duties as assigned. Adheres to St. Joseph’s Health’s confidentiality requirements as they relate to patient information.
What a Certified Risk Adjustment Coding Specialist will do:
Core Values:
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS
that may be stressful with individuals having diverse personalities and work styles.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
Note:
Bargaining unit employees are governed by the terms and conditions of their respective collective bargaining agreements, which supersede the Employment-At-Will Statement.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
St. Joseph's Hospital
Syracuse, NY