Director Risk Adjustment and Clinical Documentation Improvement-SWHR

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

Experience
8 years progressive risk adjustment and Medicare revenue management experience to include people management required

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

Skills
People Management - Provides oversight and direction of department leaders in the areas of staffing, talent development, performance management, and resource planning to support strategic goals.
Strategy Execution - Translates organizational strategy into actionable department plans, aligning goals and operations to support long-term success and cross-functional coordination; ensures vision and strategy is clearly communicated to all staff.
Performance & Accountability - Owns department performance by setting clear expectations aligned to strategy, using data to measure and monitor results, identifying risks, generating solutions to improve outcomes and making decisions within departmental scope and escalating when appropriate.
Change Leadership & Operational Readiness - Design change initiatives by implementing new technologies and processes, lead teams through transition, ensuring resources are aligned for success and proactively communicating the purpose and benefit to build engagement.
Strategic Relationship Management - Builds and maintains strategic relationships across departments, with senior leadership, and with external partners, ensuring clear communication, alignment, situational transparency related to business priorities or emerging issues, and accountability for performance expectations.
Financial Resources & Stewardship - Oversees departmental budget and resource planning, ensuring effective use of funds, identifying opportunities for operational efficiency and continuous improvement and making informed decisions to balance competing initiatives and optimize department outcomes.



 

Why Southwestern Health Resources 

 

As a Southwestern Health Resources you’ll enjoy: comprehensive benefits, including a 401(k) with match; paid time off; competitive health insurance choices; healthcare and dependent care spending account options; wellness programs to keep you and your family healthy; tuition reimbursement; a student loan repayment program; and more.  

Explore Southwestern Health Resources Careers for more information and to search all career opportunities.

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