Risk Adjustment Education Specialist

Risk Adjustment Department is looking for top skilled Risk Adjustment Education Specialist. Is that you?

Work location: Southwestern Health Resources Headquarters, 1601/1603 Lyndon B. Johnson Freeway, Farmers Branch, TX 75234.

Work environment: Risk Adjustment Department.

Please note: The Risk Adjustment Education Specialist will be an employee of Southwestern Health Resources (SWHR). SWHR is a clinically integrated network formed by Texas Health Resources (THR) and University of Texas Southwestern Medical Center (UTSW).

Work hours:

• Full-time, 40 hours per week.

• Monday - Friday, Day shift.

• This is a Hybrid position, to be based in North Texas/Dallas-Fort Worth area.

• In-person attendance required at department meetings, trainings and/or other department authorized activities, at the above-mentioned address or other locations as directed by the department management.

Organization Highlights

Southwestern Health Resources (SWHR) is a patient-centered, clinically integrated network of 31 hospital locations and more than 7000 physicians and clinicians caring for more than 790,000 patients across 16 counties in North Texas. Blending the strengths of Texas Health Resources and the University of Texas Southwestern Medical Center, SWHR offers an unmatched ability to connect individuals with a full spectrum of nationally preeminent, clinical care. SWHR is the parent of Care N' Care Insurance Co., a leading regional Medicare Advantage health plan that serves North Texas seniors.

At SWHR, we believe healthcare can be more integrated, accessible and affordable for all. Our purpose: to build a better way to care, together. Our promise: to simplify and empower care, for good.

EducationH.S. Diploma or Equivalent Req Or
Associate's Degree PrefExperience3 Years Risk Adjustment Coding and Auditing or related experience Req and
1 Year Prior Coding Education PrefLicenses and CertificationsCPC - Certified Professional Coder with credentialing from AHIMA and/or AAPC (RHIT, RHIA, CAC, CPC, CPC-A, COC, CPC-P, CCS) Upon Hire Req Or
Other CRC-Certified Risk Coder from AAPC Upon Hire ReqSkills Strong knowledge of Microsoft Office products (Word, Excel, PowerPoint, etc.)
Excellent analytical, organizational, and time management with the added ability to present information in front of groups of people.
Thorough knowledge of CMS Medicare Advantage documentation/submission policies and ICD-10-CM coding guidelines.
Ability to manage multiple tasks and projects and forge strong working relationships.
Ability to communicate clearly and effectively, both orally and in writing.SupervisionIndividual ContributorADA RequirementsExtreme Heat 1-33%
Extreme Cold 1-33%
Extreme Swings in Temperature 1-33%
Extreme Noise 1-33%
Working Outdoors 1-33%
Working Indoors 67% or more
Mechanical Hazards 1-33%
Electrical Hazards 1-33%
Explosive Hazards 1-33%
Fume/Odor Hazards 1-33%
Dust/Mites Hazards 1-33%
Chemical Hazards 1-33%
Toxic Waste Hazards 1-33%
Radiation Hazards 1-33%
Wet Hazards 1-33%
Heights 1-33%
Other Conditions 1-33%Physical DemandsSedentary