Manager Risk Adjustment Clinical Documentation Improvement-SWHR

Manager Risk Adjustment Clinical Documentation Improvement -Southwestern Health Resources-Clinically Integrated Network (SWHR-CIN)

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.

Position Summary

The Manager of Risk Adjustment and Clinical Documentation Improvement oversees operational execution of risk adjustment education, CDI workflows, and documentation performance improvement initiatives.

This role manages staff, tools, and processes to support accurate risk capture and provider performance.

· · Work location: Hybrid-Expectation is onsite Tuesday thru Thursday in Farmers Branch, TX .

Position Duties

Manage daily operations of risk adjustment and CDI education programs.

Analyze documentation trends and identify targeted education opportunities.

Develop and deliver provider, coder, and staff education on HCC documentation requirements.

Monitor program effectiveness using performance metrics and provider-level reporting.

Deploy educators and coders to provider practices based on performance needs and priorities.

Oversee external coding tools, licenses, and vendor relationships.

Develop and maintain workflows, SOPs, and operational documentation.

Create and manage trackers, dashboards, and project plans.

Partner with analytics teams to evaluate provider improvement and training ROI.

Ensure education services meet internal quality and compliance standards.

Support audit preparation and documentation validation activities.

Cross-train education and coding staff to support operational flexibility.

Coach, develop, and performance-manage team members.

Other duties as assigned.

Education
Associate's Degree in Healthcare Administration, Health Information Management, or related field required.
Bachelor's Degree in Healthcare Administration, Health Information Management, or related field preferred

Experience
5 years of risk adjustment or coding experience to include people management experience required

Licenses and Certifications
CPC - Certified Professional Coder CPC or CRC certification from AHIMA and/or AAPC required upon hire
Approved AAPC Instructor preferred upon hire

Skills
People Management - Leads team performance b...