ZipRecruiter

Log In

2

Remote Risk Adjustment Provider Educator Jobs in Tennessee

Vertek Staffing

HCC Risk Adjustment Coder

Franklin, TN · Remote

$18 - $24/hr

HCC / Risk Adjustment Coder - Remote Risk Adjustment / HCC Coding Experience Required Required ... Support provider education initiatives regarding Risk Adjustment documentation requirements.

Altegra Health

Remote Certified Coders

Memphis, TN · Remote

$21.75 - $29.75/hr

Altegra provides end-to-end solutions to help improve payment integrity data, to support ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...

Altegra Health

Remote Certified Coders

Memphis, TN · On-site +1

$21.75 - $29.75/hr

Altegra provides end-to-end solutions to help improve payment integrity data, to support ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...

Urrly

Telehealth Nurse Practitioner

Nashville, TN · Remote

$600 - $720/day

Familiar with HEDIS and risk adjustment workflows * Medicare and Medicaid provider enrollment ... Fully remote work - no commute * Consistent visit flow and structured workflows * Clear ...

Lifepoint Health

Ambulatory CDI Specialist

Brentwood, TN · Remote

$33 - $44.25/hr

Remote Your experience matters At Lifepoint Health, we are committed to empowering and supporting a ... provider documentation and how it translates into coding accu-racy, risk adjustment best practices ...

Monogram Health

Market Physician Executive

Memphis, TN · Remote

... provider satisfaction, and lowering costs. * Remote position within the designated market with ... risk adjustment. * Current state medical license without restrictions to practice and free of ...

Wood Plc

Senior Risk Assessor

Nashville, TN · On-site +1

... fully remote work for a highly qualified individual. The ideal candidate will have 7 to 10 years of experience preparing human health risk assessments projects and providing senior technical ...

Wood Plc

Senior Risk Assessor

Knoxville, TN · On-site +1

... fully remote work for a highly qualified individual. The ideal candidate will have 7 to 10 years of experience preparing human health risk assessments projects and providing senior technical ...

next page

Showing results 1-20

All JobsRisk Adjustment Provider Educator JobsRemote Risk Adjustment Provider Educator JobsRemote Risk Adjustment Provider Educator Jobs in Tennessee

Remote Risk Adjustment Provider Educator information

What is the difference between Remote Risk Adjustment Provider Educator vs Remote Risk Adjustment Analyst?

AspectRemote Risk Adjustment Provider EducatorRemote Risk Adjustment Analyst
CredentialsCertifications in risk adjustment, healthcare coding, or related fieldsCertifications in data analysis, healthcare analytics, or coding
Work EnvironmentRemote, educational, training-focusedRemote, data analysis, reporting
Employer & IndustryHealth plans, healthcare providers, education companiesHealth plans, analytics firms, healthcare organizations

The Remote Risk Adjustment Provider Educator primarily focuses on training healthcare providers and staff on risk adjustment processes, requiring educational skills and certifications. In contrast, the Remote Risk Adjustment Analyst analyzes data to identify trends and improve risk scores. Both roles are remote and industry-specific but differ in their core functions and skill sets.

What are popular job titles related to Remote Risk Adjustment Provider Educator jobs in Tennessee? For Remote Risk Adjustment Provider Educator jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Provider Educator jobs in Tennessee look for? The top searched job categories for Remote Risk Adjustment Provider Educator jobs in Tennessee are:
What cities in Tennessee are hiring for Remote Risk Adjustment Provider Educator jobs? Cities in Tennessee with the most Remote Risk Adjustment Provider Educator job openings:
Remote Risk Adjustment Provider Educator jobs near you
Infographic showing various Remote Risk Adjustment Provider Educator job openings in Tennessee as of July 2026, with employment types broken down into 1% As Needed, 76% Full Time, 16% Part Time, and 7% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution.
HCC Risk Adjustment Coder

HCC Risk Adjustment Coder

Vertek Staffing

Franklin, TN • Remote

$18 - $24/hr

Contractor

Posted 4 days ago

Job description

HCC / Risk Adjustment Coder - Remote

Risk Adjustment / HCC Coding Experience Required

Required Education
  • High School Diploma required with submission
Required Certifications

Online certification verification required with submission.

Candidates must possess one of the following certifications:

  • Certified Professional Coder (CPC) - AAPC
  • Certified Risk Adjustment Coder (CRC) - AAPC
  • Certified Coding Specialist (CCS) - AHIMA
  • Registered Health Information Technician (RHIT) - AHIMA
  • Registered Health Information Administrator (RHIA) - AHIMA

CRC Certification is highly preferred.

Schedule
  • Monday - Friday
  • Occasional weekend coverage may be required based on client needs
Position Summary

The HCC / Risk Adjustment Coder is responsible for reviewing medical records and clinical documentation to accurately identify, validate, and code chronic and acute conditions impacting patient risk scores and reimbursement.

The coder will ensure accurate assignment of ICD-10-CM diagnosis codes in accordance with CMS Risk Adjustment guidelines, Official ICD-10-CM Coding Guidelines, and client-specific requirements. This role supports Risk Adjustment initiatives through retrospective chart reviews, prospective reviews, coding validation, provider education support, and quality assurance activities.

The HCC Coder will collaborate with providers, CDI professionals, quality teams, population health departments, and coding leadership to ensure complete and accurate capture of chronic conditions and disease burden.

Key Responsibilities
  • Review medical records to identify and code HCC-eligible diagnoses.
  • Assign ICD-10-CM diagnosis codes in accordance with CMS and Risk Adjustment guidelines.
  • Validate chronic conditions and ensure documentation supports code assignment.
  • Perform retrospective and prospective chart reviews.
  • Identify missed HCC opportunities and documentation gaps.
  • Assist with coding validation and quality assurance audits.
  • Support provider education initiatives regarding Risk Adjustment documentation requirements.
  • Maintain productivity and quality standards established by the client.
  • Participate in internal and external audit activities.
  • Stay current on CMS Risk Adjustment regulations, coding updates, and industry best practices.
  • Assist leadership with special projects and additional duties as assigned.
Required Experience
  • Risk Adjustment / HCC coding experience required
  • Strong understanding of ICD-10-CM coding guidelines
  • Experience reviewing outpatient and provider documentation
  • Knowledge of CMS-HCC Risk Adjustment methodologies
  • Experience validating chronic conditions and disease burden
  • Strong attention to detail and coding accuracy
Preferred Experience
  • CRC certification
  • Experience with Medicare Advantage populations
  • Experience with value-based care programs
  • Experience performing coding audits and quality reviews
  • Experience with Epic, Cerner, Athena, eClinicalWorks, NextGen, or other EMR systems
  • Experience educating providers on Risk Adjustment documentation
 
Vertek Solutions logo

About Vertek Solutions

Sourced by ZipRecruiter

Vertek Solutions is a boutique staffing firm that specializes in recruiting top level IT talent who can enhance our clients’ teams. Our team works every day to foster relationships with both our consultants and clients to understand their needs and ensure that we are providing a solution that is mutually beneficial.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Franklin, TN, US

Year founded

2006

Social media

FacebookInstagram

View All Vertek Solutions Jobs

Apply