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On Call Risk Adjustment Provider Educator Jobs (NOW HIRING)

Viva Health

Risk Adjustment Specialist

Birmingham, AL · On-site

$60 - $80/hr

Birmingham, Alabama Job Summary The Risk Adjustment Specialist ensures all ICD-10 codes are ... providing quality, accessible health care. Our employees are a part of the communities they serve ...

Viva Health

Senior Risk Adjustment Specialist

Birmingham, AL · On-site

$92K/yr

Provide support and compliance through effective communication and training/education. * Train and mentor new Risk Adjustment Specialists. * Assist management with workflow improvements and process ...

VIVA Health

Senior Risk Adjustment Specialist

Birmingham, AL · On-site

$92K/yr

Provide support and compliance through effective communication and training/education. * Train and mentor new Risk Adjustment Specialists. * Assist management with workflow improvements and process ...

Alignment Health

$200 - $250/hr

Provides executive reporting and recommendations to senior leadership regarding Risk Adjustment ... Education/Licensure: Bachelor's degree in healthcare, business, finance, analytics, information ...

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How much do on call risk adjustment provider educator jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for on call risk adjustment provider educator in the United States is $43.95, according to ZipRecruiter salary data. Most workers in this role earn between $33.65 and $52.40 per hour, depending on experience, location, and employer.

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On Call Risk Adjustment Provider Educator jobs near you

Risk Adjustment Specialist

Birmingham, AL • On-site

Viva Health
Insurance Services • 201 - 500 employees
Learn more about Viva Healthexternal

$60 - $80/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

Viva Health rating

8.1

Company rating: 8.1 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

160th of 315 rated insurance

Job description

Location: Birmingham, Alabama

Job Summary

The Risk Adjustment Specialist ensures all ICD-10 codes are documented for the assignment of valid and accurate HCCs for each record reviewed for submission to the Centers for Medicare & Medicaid Services (CMS). Other responsibilities include working suspect reports to identify unreported diagnosis codes and conducting chart audits on in-house records from other departments. This position will assist the Manager of Risk Adjustment with other projects as needed.

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.

  • 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
  • Community Service Time Off
  • Life Insurance and Disability Coverage
  • Employee Wellness Program
  • Training and Development Programs to develop new skills and reach career goals
  • Maintain thorough understanding of the risk-adjusted payment methodology; what can be submitted by the plan and how/when submission impacts CMS payments.
  • Demonstrate knowledge of ICD10 coding guidelines, medical terminology, disease processes, and pharmacology.
  • Interpret and demonstrate analytical and problem-solving ability in reviewing medical record documentation to accurately assign ICD10 codes.
  • Conduct chart reviews to identify all appropriate diagnoses based on CMS-HCCs and specific HEDIS measures.
REQUIRED QUALIFICATIONS:
  • High School Diploma or GED
  • At least 3-5 years' experience with coding
  • Certified Coder (AHIMA or AAPC credentials)
  • Read and interpret handwritten and typewritten material
  • Excellent oral and written communications skills
  • Ability to work under pressure to meet deadlines with minimal supervision
  • Basic computer skills
PREFERRED QUALIFICATIONS:
  • 2 or more years of college
  • Experience with hospital coding

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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