Risk Adjustment Program Manager Trinsic

UCHealth•Aurora, CO

3d•Hybrid

About The Position

The Risk Adjustment Program Manager oversees risk adjustment, HCC documentation, coding audits, payer performance, and compliance activities across the Trinsic network. The role works to improve coding accuracy, documentation integrity, and value-based care outcomes. This is a hybrid position, approximately 50% remote and 50% onsite as work dictates, based at UCHealth Aurora, Colorado, in CIN Co JV Administration. The schedule is full time, 80 hours per two-week pay period, on day shift. Pay is $27.61–$41.41 per hour, depending on relevant experience. The position partners with payers to turn risk adjustment requirements, performance results, and strategic priorities into network-wide action plans and operational expectations. It monitors HCC documentation, coding performance, audit outcomes, and compliance requirements for participating providers, TINs, and funded organizations; leads coding audits and corrective actions; and maintains reporting and governance resources for operational and leadership decision-making. The role requires critical thinking, decisive judgment, minimal supervision, and the ability to take appropriate action in a fast-paced environment.

Requirements

High school diploma or GED.
At least one year of experience in HCC/risk adjustment coding, documentation review, coding audits, payer partnerships, and performance analysis.
One or more of the listed credentials: Certified Coding Specialist (CCS); Certified Professional Coder (CPC); Registered Health Information Technician (RHIT); Certified Hospital Outpatient Coder; Registered Health Information Administrator (RHIA); Certified Professional Coder Apprentice; Certified Medical Coder; Certified Coding Associate; or Certified Risk Coder.

Nice To Haves

Bachelor's degree in Health Information Management, Healthcare Administration, Nursing, Business Administration, Public Health, or a related field.
Certified Risk Adjustment Coder (CRC) certification from AAPC or an equivalent risk adjustment credential.
Coding credential such as CPC, CCS, RHIT, RHIA, or equivalent.
Auditing credential such as Certified Professional Medical Auditor (CPMA).

Responsibilities

Partner with payers to translate risk adjustment requirements, performance results, and strategic priorities into network-wide action plans and operational expectations.
Monitor HCC documentation, coding performance, audit outcomes, and compliance requirements for participating providers, TINs, and funded organizations.
Lead coding audits, validate supporting documentation, identify performance gaps, and drive corrective action to ensure regulatory and contractual compliance.
Develop and maintain performance reporting, scorecards, executive summaries, and governance processes to support operational and leadership decision-making.
Use critical thinking and decisive judgment, work with minimal supervision, and take appropriate action in a fast-paced environment.

Benefits

Performance bonus through a 3-Year Incentive Bonus program.
Performance-based annual merit pay increases.
Annual market reviews of positions and base pay.
Medical, dental, and vision coverage.
24/7 mental health and well-being support for employees and dependents.
Discounted gym memberships and fitness resources.
Free Care.com membership.
Voluntary benefits including accident insurance, critical illness insurance, group legal plan, identity theft protection, pet insurance, auto and home insurance, and employee discount programs.
Paid time off (PTO), paid family and medical leave, and leaves of absence.
Employer-provided basic life and accidental death and dismemberment coverage, with buy-up options.
Employer-provided short-term and long-term disability coverage, with a buy-up option.
403(b) plan with employer matching contribution.
An additional 457(b) plan may be available.
Flexible spending accounts for health care and dependent day care; a health savings account is available with enrollment in a high-deductible medical plan.
Access to academic degrees and certificate programs.
For specific educational degrees, up to 100% of tuition, books, and fees paid by UCHealth; other programs may qualify for up to $10,000 per year prepaid or up to $5,250 per year in tuition reimbursement.
Access to LinkedIn Learning and internal professional development opportunities.
Free assistance navigating the Public Service Loan Forgiveness program and submitting federal student loans for forgiveness.