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Hcc Risk Adjustment Coding Jobs in Alabama (NOW HIRING)

Corvel

Capture Center Specialist

Birmingham, AL · On-site

$13.38 - $23.42/hr

Process information by compiling, coding, categorizing, and verifying information and data ... The level may impact the salary range and these adjustments would be clarified during the offer ...

CorVel

Capture Center Specialist

Birmingham, AL

$13.38 - $23.42/hr

Process information by compiling, coding, categorizing, and verifying information and data ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

Capture Center Specialist

Birmingham, AL · On-site

$13.38 - $23.42/hr

Process information by compiling, coding, categorizing, and verifying information and data ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Bryce Hospital

M H Dietitian

Tuscaloosa, AL · On-site

$43.35K - $72.50K/yr

EQUAL OPPORTUNITY EMPLOYER MH Dietitian Announcement Number 24-24 Job Code F1000 Employment Type ... risk. • Assess nutritional status using biochemical indices, physical assessment, etc. • ...

Asset Living

Community Manager

Mobile, AL

... risk management. As an on-site leader, you will supervise all aspects of the property and staff to ... Monitor the timely receipt, reconciliation, and coding of all vendor invoices * Ensure property ...

Saudi Basic Industries Corp.

Engineer, Inspection

AL · On-site

Lead in determination of inspection frequencies and methodologies, and adjustment of frequencies ... Possess knowledge of ASME Codes i.e. B31.1, B31.3, Section VIII, etc. Required to obtain API 510 ...

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$35

How much do hcc risk adjustment coding jobs pay per hour?

As of May 31, 2026, the average hourly pay for hcc risk adjustment coding in Alabama is $22.29, according to ZipRecruiter salary data. Most workers in this role earn between $16.78 and $27.36 per hour, depending on experience, location, and employer.

What is an HCC Risk Adjustment Coding job?

An HCC Risk Adjustment Coding job involves reviewing medical records to assign Hierarchical Condition Category (HCC) codes based on documented diagnoses. Coders ensure accurate risk adjustment by following ICD-10-CM coding guidelines, which impact reimbursement for healthcare providers and insurance plans. This role requires knowledge of medical terminology, compliance regulations, and risk adjustment models used in Medicare Advantage and other programs.

What are the key skills and qualifications needed to thrive in the Hcc Risk Adjustment Coding position, and why are they important?

To thrive as an HCC Risk Adjustment Coder, you need a strong understanding of medical coding guidelines, ICD-10-CM codes, and risk adjustment principles, typically supported by a certification such as CPC, CRC, or CCS-P. Familiarity with electronic health record systems and risk adjustment software is essential for accurate coding and data analysis. Attention to detail, critical thinking, and effective communication skills are important soft skills for ensuring documentation integrity and collaborating with healthcare providers. These competencies are crucial to accurately capture patient complexity, optimize reimbursement, and support compliance in healthcare organizations.

What are the typical challenges faced by HCC Risk Adjustment Coders, and how can they overcome them?

HCC Risk Adjustment Coders often face challenges such as interpreting complex medical records, staying up-to-date with evolving coding guidelines, and ensuring thorough documentation to support accurate risk scoring. To overcome these challenges, coders should engage in continuous education, collaborate closely with healthcare providers for clarification, and utilize available coding resources and team support. Staying organized and maintaining a detail-oriented approach will also help ensure that codes are assigned correctly and all relevant conditions are captured. Working as part of a supportive team can further ease the process, providing opportunities for knowledge sharing and professional development.
More about Hcc Risk Adjustment Coding jobs
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Hcc Risk Adjustment Coding jobs near you
Infographic showing various Hcc Risk Adjustment Coding job openings in Alabama as of May 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $46,358 per year, or $22.3 per hour.
Value-Based Care Provider Performance Analyst

Value-Based Care Provider Performance Analyst

Viva Health

Birmingham, AL • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago

Viva Health rating

8.1

Company rating: 8.1 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

131st of 259 rated insurance

Job description

Value-Based Care Provider Performance Analyst
Location: Birmingham, AL
Why VIVA HEALTH?
VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health System, is a health maintenance organization providing quality, accessible health care. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys.
VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.
Benefits
  • Comprehensive Health, Vision, and Dental Coverage
  • 401(k) Savings Plan with company match and immediate vesting
  • Paid Time Off (PTO)
  • 9 Paid Holidays annually plus a Floating Holiday to use as you choose
  • Tuition Assistance
  • Flexible Spending Accounts
  • Healthcare Reimbursement Account
  • Paid Parental Leave
  • Community Service Time Off
  • Life Insurance and Disability Coverage
  • Employee Wellness Program
  • Training and Development Programs to develop new skills and reach career goals
  • Employee Assistance Program

See more about the benefits of working at Viva Health - https://www.vivahealth.com/careers/benefits
Job Description
The Value-Based Care Provider Performance Analyst applies advanced analytical and technical skills to support the organization's value-based care initiatives, provider performance measurement, and fee-for-service contracting strategies. This role leverages diverse data sources to develop dashboards, financial models, and analytical outputs that drive performance improvement across value-based contracts, network adequacy, and reimbursement optimization.
This individual collaborates with provider strategy leadership to identify insights, model contract scenarios, and communicate findings to internal and external stakeholders. This position supports analytics for corporate initiatives including value-based care program performance, provider incentive programs, Star/HEDIS quality measures, population health management, and FFS contracting analysis.
Key Responsibilities
  • Design, develop. and maintain dashboards and performance reports that track value-based care program metrics including quality, utilization, cost, and risk-adjusted outcomes across Medicare Advantage and commercial lines of business.
  • Build and maintain financial models to support fee-for-service contract negotiations including rate analysis, trend modeling, case mix adjustments, stop-loss thresholds, and reimbursement scenario comparisons.
  • Analyze provider performance data against contract benchmarks and quality targets. Identify opportunities for improvement and present actionable findings to provider strategy leadership and external provider partners.
  • Support development of value-based contract structures including shared savings, pay-for-performance, and bundled payment arrangements through quantitative modeling and historical utilization analysis.
  • Monitor and report on Star Rating and HEDIS measure performance at the provider and network level. Integrate quality metrics into provider scorecards and incentive calculations.
  • Develop and apply predictive analytics and risk stratification models to identify high-risk member populations, support proactive care management, and prioritize provider-level interventions.
  • Incorporate social determinants of health (SDOH) data into population health analyses to inform health equity initiatives, network gap assessments. and targeted intervention strategies.
  • Execute data retrieval, transformation, and analysis using tools including SQL, SAS, Tableau, Power BI, Excel, and other data platforms to support provider contracting and population health analytics.
  • Ensure data integrity and accuracy across analytical outputs. Define and implement automated queries, reports, and validation checks to maintain consistency and scalability.
  • Maintain and document data sources, technical specifications, and analytical methodologies pertaining to value-based care and contracting analytics within the department data infrastructure.
  • Prepare presentation materials and written analyses for internal leadership and external provider meetings, translating complex data findings into clear, decision-ready insights.

REQUIRED:
  • Bachelor's Degree in Health Informatics, Business Analytics, Mathematics, Healthcare Management, Health Services Research, Public Health, or other related field
  • 4+ years' experience conducting data analytics using tools such as SQL, SAS, Tableau, or equivalent
  • Highly proficient in Microsoft Excel including complex formulas, conditional formatting, and Pivot Tables
  • Working knowledge of SQL, SAS, Crystal, or similar query and data manipulation tools
  • Proficient in Tableau and/or Power BI for dashboard development and data visualization
  • Experience working with healthcare claims and encounter data, including familiarity with ICD-10, CPT, and revenue code structures
  • Understanding of HIPAA data privacy and security requirements as they apply to member and provider analytics
  • Demonstrated ability to build and interpret financial models related to healthcare reimbursement, cost trends, or contract performance
  • Ability to manage multiple projects simultaneously within defined timelines with minimal supervision
  • Strong diagnostic and analytical skills to identify data quality issues, validate findings, and troubleshoot reporting problems
  • Experience presenting data-driven findings to leadership and stakeholders in clear, actionable formats
  • Ability to interpret technical specifications and apply them to business operations and analytic workflows
  • Strong oral, written, and interpersonal communication skills
  • High level of integrity and quality in all performed work
  • Valid driver's license in good standing

PREFERRED:
  • Master's degree in a related field (MBA, MHA, MPH, or MS in Analytics)
  • Experience in managed care or health plan analytics, particularly value-based care, provider contracting. or Medicare Advantage
  • Experience with FFS reimbursement methodologies, rate modeling, and contract financial analysis
  • Experience with advanced statistical or actuarial methodologies
  • Knowledge of national healthcare quality metrics including CMS Star Ratings, HEDIS, Risk Adjustment, HCC coding, and medical coding (ICD-10, CPT, LOINC)
  • Familiarity with value-based care contract structures: shared savings, pay-for-performance, episode-based payments, and ACO/CIN frameworks
  • Knowledge of fee-for-service reimbursement methodologies including DRG-based, per diem, percent-of-charges, and APC structures
  • Experience in Medicare Advantage plan operations, HMO/PPO managed care environments, or health insurance analytics
  • Experience with predictive analytics, risk stratification modeling, or machine learning applications in a healthcare setting
  • Familiarity with social determinants of health (SDOH) data integration and health equity analytics
  • Knowledge of healthcare interoperability standards (HL7, FHIR, C-CDA) and experience working with EHR-sourced or claims-based data
  • Experience with R or Python for statistical analysis or advanced data manipulation
  • Capability to independently identify and evaluate performance improvement opportunities related to provider KPIs
  • Highly proficient in both Tableau and Power BI, with experience building executive-level interactive dashboards
  • Intermediate to advanced SQL proficiency; experience with data warehouse environments (Snowflake, Azure, Databricks)
  • Knowledge of data governance principles, data dictionary maintenance, and data quality management frameworks

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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