Supervisor - Coding Quality Assurance - Risk Adjustment Department - SWHR at Southwestern Health Resources CIN in Pittston, Pennsylvania

Job Description:

Supervisor - Coding Quality Assurance

Risk Adjustment Department is looking for top skilled Supervisor - Coding Quality Assurance. 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 Supervisor - Coding Quality Assurance 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, to be based in North Texas/Dallas-Fort Worth area.

• 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.

Organization Highlights

Southwestern Health Resources (SWHR) is a patient-centered, clinically integrated network of 29 hospital locations and more than 6,900 physicians and clinicians caring for more than 730,000 patients across 16 counties in North Texas. Blending the strengths of Texas Health Resources and the University of Texas Southwestern Medical Center, SWHR offers an unmatched ability to connect individuals with a full spectrum of nationally preeminent, clinical care. SWHR is the parent of Care N' Care Insurance Co., a leading regional Medicare Advantage health plan providing care to over 12,000 members.

At SWHR, we believe healthcare can be more integrated, accessible and affordable for all. Our purpose: to build a better way to care, together. Our promise: to simplify and empower care, for good.

EducationH.S. Diploma or Equivalent Req Or
Associate's Degree PrefExperience5 Years Coding Auditing or related experience. Experience must include one year of leading projects and/or management/supervisory experience. ReqLicenses and Certifications Professional coder certification with credentialing from AHIMA and/or AAPC (RHIT, RHIA, CAC, CPC, COC, CPC-P, CCS) Upon Hire Req And
CRC within twelve months of hire 12 Months ReqSkills Demonstrate high-level expertise in understanding and staying current in Medicare Advantage and Medicare coding and documentation policies and regulations.
Proficient skills in Microsoft Office (primarily Excel and PowerPoint).
Must possess solid analytical, problem-solving, planning, communication, documentation, and organizational skills with meticulous attention to detail.
Ability to manage multiple tasks and projects, and forge strong interpersonal relationships within the department, with other departments, and with external audiences
Ability to communicate clearly and effectively, both orally and in writing.SupervisionThis position manages people 5-9ADA RequirementsExtreme Heat 1-33%
Extreme Cold 1-33%
Extreme Swings in Temperature 1-33%
Extreme Noise 1-33%
Working Outdoors 1-33%
Working Indoors 67% or more
Mechanical Hazards 1-33%
Electrical Hazards 1-33%
Explosive Hazards 1-33%
Fume/Odor Hazards 1-33%
Dust/Mites Hazards 1-33%
Chemical Hazards 1-33%
Toxic Waste Hazards 1-33%
Radiation Hazards 1-33%
Wet Hazards 1-33%
Heights 1-33%
Other Conditions 1-33%Physical DemandsSedentaryTravel RequirementsLocal 5%