• Support the review, investigation and management of clinical incidents, complaints, risks and patient safety concerns. • Analyse governance data, identify trends and provide recommendations to support service improvement and risk reduction. • Lead or contribute to clinical audits, quality assurance activities and governance reporting. • Work collaboratively with operational and clinical teams to ensure governance actions are implemented and monitored effectively.

• Evaluar solicitudes de créditos hipotecarios analizando el riesgo del cliente y del bien raíz ofrecido en garantía, asegurando el cumplimiento de las políticas internas, la normativa vigente y la sostenibilidad del portafolio hipotecario del Banco. • Entregar evaluaciones claras, trazables y oportunas que permitan una correcta toma de decisiones crediticias. • Analizar información financiera del cliente y calcular ratios de riesgo propios del producto hipotecario, tales como Loan to Value (LTV), Debt to Income (DTI) y relación dividendo/renta, de acuerdo con la política vigente. • Evaluar capacidad de pago, nivel de endeudamiento, comportamiento financiero y estabilidad laboral del cliente. • Incorporar mirada integral de comportamiento con productos del Banco. • Revisar y analizar tasaciones de propiedades, asegurando que los datos sean coherentes, estén completos y alineadas a la pauta de tasaciones del Banco. • Identificar inconsistencias, alertas financieras o riesgos asociados a la operación o bien raíz. • Revisar antecedentes legales básicos del inmueble y de la operación (tipo de propiedad, destino, gravámenes relevantes), alertando desviaciones. • Contribuir al cumplimiento de los niveles de servicio (SLA) del proceso hipotecario, identificando causas de reprocesos y proponiendo mejoras de eficiencia.

• Acts as a resource and role model to team members, which includes training/orienting, providing day-to-day work direction, and giving input on performance • Assigns, monitors, and reviews progress, quality and accuracy of work, monitors productivity, maintains appropriate staffing levels, directs efforts and provides guidance on more complex issues • Codes routine to complex procedures and diagnoses including hospital-based or surgery center surgical procedures using ICD, CPT, and HCPCS coding guidelines, procedures and protocols for government and commercial payers • Meets or exceeds department quality and production standards • Performs informal quality reviews on a monthly basis providing coding education to coding team members for accuracy • May assist with provider education/orientation regarding policy requirements of federal and state government agencies • Abstracts documentation to choose correct ICD, CPT, HCPCS codes according to standard coding guidelines, procedures and protocols • Detects, reports and acts as a resource to assist in resolving billing compliance issues • Serves as liaison between business office, medical records, patient care and/or coding department by providing feedback to caregivers and leaders • Responsible for processing denial management claims and addressing patient concerns • Serves as a resource to caregivers regarding pre-authorizations, referrals, and estimating charges prior to a patient's visit • Coordinates payer audit reviews and acts as a resource for coding-related audits • Participates in various department projects including but not limited to researching new services, claim scrubbing, quality checks/assessing errors, presenting demonstrations, etc. • Acts as the system/application administrator; ensures the integrity of the system and recognizes performance issues • Performs calibration and troubleshooting procedures and escalates unresolved issues as needed • Suggests modifications to current policies and procedures that are needed to coincide with requirements of insurance payers • Serves as subject matter expert in your assigned specialty and actively participate in the Coding meetings as a problem solver • Adhere to organizational and internal department policies and procedures to ensure efficient work processes • Expertise in query guidelines, and coding standards • Follow up and obtain clarification of inaccurate documentation as appropriate • Reviews complex medical documentation at a highly skilled and proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS • Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software • Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines • Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement • Maintains the confidentiality of patient records • Reports any perceived non -compliant practices to the coding leader or compliance officer • Achieves productivity expectations to support discharged not final billed (DNFB) • Assist in the production of annual edit review based on CPT, ICD and HCPCS changes as well as assist in development of edits based on publications and society updates

• Conduct Information Risk Assessments as assigned to the team • Request and analyze documentation necessary to perform appropriate assessment and conduct necessary interviews in order to collect and review relevant materials necessary to produce results of the assessment • Clearly and concisely document and communicate risk assessment results with requestor, security architects and management, as appropriate • Conduct and formulate appropriate risk scoring, as it relates to threat, vulnerability, likelihood, impact, security controls/counter-measures, etc. • Understand and contribute to inventory of risk register tracking, scoring and associated risk statements • Perform follow up activities related to exceptions, risk acceptance, corrective action plans and additional mitigation activities • Communicate risk treatment methodology; risk avoidance, risk acceptance, risk transference and risk mitigation to appropriate groups • Partner with multiple projects and initiatives to apply security architecture requirements, develop architecture solutions, integrate security into solution designs, access risks of security gaps, and develop architecture remediation