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 by hiring, onboarding, and developing talent, assigning and managing work, providing coaching and feedback and evaluating results to recognize achievement and address gaps.
Operational/Tactical Execution - Designs, documents and implements operational processes to ensure alignment with business goals, optimize productivity and maintain operational stability during challenges or emergencies.
Measurement, Reporting and Accountability - Develops and drives team performance metrics and ensures outcomes meet defined requirements while effectively managing time, budget, and resource constraints, holding self and team accountable for commitments and results.
Change Management and Process Improvement - Leads and monitors the execution of business plans, quality, and process improvement through implementation and delivery of change management practices.
Relationship Building - Collaborates with internal and external stakeholders to coordinate operations and ensures appropriate development and integration of world-class service.
Stewardship and Operational Planning - Collaborates in the development of the business operating plan and department/team budget; makes day-to-day decisions on execution, staffing and workflow.
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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