Education Specialist – Risk Adjustment - Southwestern Health Resources

Education Specialist - Risk Adjustment

Risk Adjustment Department is looking for top skilled 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 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, requiring onsite workdays during the week, based on department business needs.

• Require travel, approximately 80%, to Provider locations, within the Greater Dallas/Fort Worth Metroplex and surrounding areas, based on department business needs.

• 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.

At Southwestern Health Resources (SWHR), we believe healthcare can be more integrated, accessible, and affordable for all.

Our purpose is simple yet powerful: to build a better way to care, together.

SWHR is a patient-centered, clinically integrated network that brings together academic and community clinicians, researchers, hospitals, and ambulatory facilities.

We partner with physicians to drive a new model of value-based, high-quality, data-driven healthcare—serving everyone in the communities we touch.

By combining the strengths of UT Southwestern Medical Center and Texas Health Resources, we've built the largest provider network in North Texas, giving our team members the opportunity to make a meaningful impact at scale.

Healthcare in the U.S.

is evolving rapidly, and SWHR is committed to leading that change—moving healthcare forward, together.

What You Will Do:

Responsible for providing Risk Adjustment education, chart review, and training to assigned practices must be willing to travel onsite.

Rely upon independent judgment and decision-making at provider sites, whether conducting chart review or providing training/education, both for historical and/or real time data .

20%
Responsible for the collection and analysis of qualitative and quantitative data as it relates to Risk Adjustment specifically around prevalence and suspects .

20%
Contributes to the design and development of ad hoc reports and presentations for Risk Adjustment initiatives .

15%
Acts as Risk Adjustment documentation and coding expert, monitoring and answering questions for assigned clinics.

Provides an instructional review of ICD-10-CM translations specific to Medicare Risk Adjustment coding.

Responsible for identifying and influencing adoption of resources and processes to reach risk adjustment and quality goals of assigned .

10%
Develop and maintain strong working relations...