Hybrid Risk Adjustment Education & Training Specialist

Southwestern Health Resources; Dallas (TX); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Southwestern Health Resources is seeking a Risk Adjustment Education Specialist to provide education, chart review, and training to assigned practices. Travel to provider sites is required as needed, with a hybrid work arrangement allowed at manager's discretion.

You will analyze data related to Risk Adjustment, support reporting initiatives, and act as a coding and education expert for Medicare Risk Adjustment documentation. Strong collaboration with clinics and leadership is essential.

Qualifications

• Strong knowledge of Microsoft Office products (Word, Excel, PowerPoint, etc.).
• Excellent analytical, organizational, and time management with the ability to present information to groups.
• 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.

Responsibilities

• Provide Risk Adjustment education, chart review, and training to assigned practices; travel onsite as needed.
• Analyze qualitative and quantitative data related to Risk Adjustment, including prevalence and suspects.
• Assist in design and development of ad hoc reports and presentations for Risk Adjustment initiatives.
• Serve as Risk Adjustment documentation and coding expert; address questions for clinics and review ICD-10-CM translations.
• Develop and maintain relationships with clinic partners; collaborate with leadership on strategy.
• Coordinate education services, onboarding activities, and learner progress tracking.

Skills

MS Office

Analytical skills

Time management

ICD-10-CM coding

Communication

Relationship building

Education

HS Diploma

Associate's Degree

Job description

Southwestern Health Resources is seeking a Risk Adjustment Education Specialist to provide education, chart review, and training to assigned practices. Travel to provider sites is required as needed, with a hybrid work arrangement allowed at manager's discretion.

You will analyze data related to Risk Adjustment, support reporting initiatives, and act as a coding and education expert for Medicare Risk Adjustment documentation. Strong collaboration with clinics and leadership is essential.