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Risk Adjustment Coding Manager Jobs in Alabama (NOW HIRING)

VIVA Health

RN-Clinical Quality Liaison

Birmingham, AL · On-site

$61K - $82K/yr

Ability to work under pressure and manage multiple priorities with limited supervision * Valid driver's license in good standing PREFERRED: * Experience supporting risk adjustment, coding, or data ...

VIVA Health

RN-Clinical Quality Liaison

Birmingham, AL · On-site

$61K - $82K/yr

Ability to work under pressure and manage multiple priorities with limited supervision * Valid driver's license in good standing PREFERRED: * Experience supporting risk adjustment, coding, or data ...

Viva Health

RN-Clinical Quality Liaison

Birmingham, AL · On-site

$61K - $82K/yr

Ability to work under pressure and manage multiple priorities with limited supervision * Valid driver's license in good standing PREFERRED: * Experience supporting risk adjustment, coding, or data ...

Urrly

Telehealth Nurse Practitioner

Huntsville, AL · Remote

$600 - $720/day

Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits * Review medical history, medications, preventive needs * Document visits using ICD-10 and CPT II ...

Nationwide

Works with the ambiguity of limited code enforcement and regulation. Determines if the risk ... Reports to manager or director. Does not have direct reports. Will serve as mentor for other RMC ...

Veterinary Pet Insurance

Works with the ambiguity of limited code enforcement and regulation. Determines if the risk ... Reports to manager or director. Does not have direct reports. Will serve as mentor for other RMC ...

Varsity Tutors

Finance Tutor

Montgomery, AL · Remote

$18 - $40/hr

... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...

Varsity Tutors

Finance Tutor

Huntsville, AL · Remote

$18 - $40/hr

... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...

Varsity Tutors

Finance Tutor

Tuscaloosa, AL · Remote

$18 - $40/hr

... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...

CVS Health

Senior Medical Director

Mobile, AL

... Plan Management Documentation/Risk Adjustment Clinical Compliance & Policy Development This ... Participating in documentation and coding activities, including provider education and review ...

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Risk Adjustment Coding Manager information

What are some common challenges faced by Risk Adjustment Coding Managers, and how can they effectively address them?

Risk Adjustment Coding Managers often encounter challenges such as ensuring coding accuracy, keeping up with regulatory changes, and coordinating across multidisciplinary teams. To address these, effective managers implement rigorous quality assurance processes, provide ongoing coder education, and maintain open communication with clinical, compliance, and data analytics teams. Staying updated on CMS guidelines and fostering a culture of continuous improvement are also key strategies for success in this role.

What are the key skills and qualifications needed to thrive as a Risk Adjustment Coding Manager, and why are they important?

To thrive as a Risk Adjustment Coding Manager, you need expertise in medical coding (CPT, ICD-10), risk adjustment methodologies, and a background in healthcare management, often supported by a coding certification such as CPC, CRC, or CCS. Familiarity with coding software, EHR systems, and data analytics tools is typically required. Strong leadership, attention to detail, and the ability to communicate compliance standards effectively are crucial soft skills. These skills ensure accurate risk adjustment coding, regulatory compliance, and improved financial outcomes for healthcare organizations.

What is the difference between Risk Adjustment Coding Manager vs Risk Adjustment Coder?

AspectRisk Adjustment Coding ManagerRisk Adjustment Coder
CertificationsAHIMA or AAPC credentials, management experienceAHIMA or AAPC credentials, coding certification
Work EnvironmentSupervisory role, overseeing coding teamsPerforming coding tasks directly on patient records
Employer & IndustryHealth plans, healthcare providers, insurance companiesHospitals, clinics, health plans

The Risk Adjustment Coding Manager oversees coding teams and ensures compliance, while the Risk Adjustment Coder focuses on accurately coding patient records. Both roles require similar certifications but differ in responsibilities and work environment, with managers handling supervision and coders performing detailed coding tasks.

What are Risk Adjustment Coding Managers?

Risk Adjustment Coding Managers are professionals responsible for overseeing the medical coding process related to risk adjustment in healthcare organizations. They ensure accurate coding of diagnoses and procedures to reflect the health status of patients, which is essential for proper reimbursement from Medicare Advantage and other insurance plans. These managers lead teams of coders, maintain compliance with regulations, and implement quality assurance processes to optimize coding accuracy and organizational performance.
What are the most commonly searched types of Risk Adjustment Coding jobs in Alabama? The most popular types of Risk Adjustment Coding jobs in Alabama are:
What are popular job titles related to Risk Adjustment Coding Manager jobs in Alabama? For Risk Adjustment Coding Manager jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Risk Adjustment Coding Manager jobs in Alabama look for? The top searched job categories for Risk Adjustment Coding Manager jobs in Alabama are:
What cities in Alabama are hiring for Risk Adjustment Coding Manager jobs? Cities in Alabama with the most Risk Adjustment Coding Manager job openings:
Risk Adjustment Coding Manager jobs near you
Infographic showing various Risk Adjustment Coding Manager job openings in Alabama as of July 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution.

RN-Clinical Quality Liaison

Triton Health Systems

Birmingham, AL

$61K - $82K/yr

Full-time

Re-posted 21 days ago

Job description

RN, Clinical Quality Liaison

Location: Birmingham, AL

The RN, Clinical Quality Liaison plays a critical role in improving quality outcomes and risk adjustment performance within the University of Alabama (UAB) health system and large clinical practice. This practice‑dedicated role serves as the primary clinical liaison for Primary Care Physicians (PCPs) and practice staff, driving performance improvement related to Star Ratings, HEDIS measures, risk adjustment and coding completeness. This position requires advanced clinical knowledge, analytical skills and the ability to influence change at the practice level through deep engagement, workflow redesign, clinical education and data‑driven targeting. This role translates organizational goals into sustainable, scalable solutions within the assigned practice that supports both quality outcomes and financial performance drivers. This position may travel to locations within the Viva HEALTH service area through a reliable means of transportation insured in accordance with Company policy.

REQUIRED:

  • Graduate of an accredited program of professional nursing, ADN/BSN
  • Minimum of 5 years’ experience in quality improvement, population health or practice performance support
  • Current RN License in good standing with the state of Alabama Board of Nursing
  • Willing to submit to vaccine testing and screening
  • Strong clinical assessment and judgment
  • Working knowledge of Stars, HEDIS and risk adjustment methodologies
  • Ability to interpret data and translate metrics into targeted clinical action
  • Ability to engage, educate and influence physicians and practice staff
  • Experience with workflow redesign and performance improvement initiatives
  • Organized, detail oriented and skilled at multi-tasking
  • Strong written and verbal communication skills
  • Proficient in Microsoft Office suite of products and EHR systems
  • Ability to work under pressure and manage multiple priorities with limited supervision
  • Valid driver's license in good standing

PREFERRED:

  • Experience supporting risk adjustment, coding, or data-driven performance initiatives
  • Experience supporting coding completeness or chronic condition documentation
  • Familiarity with attribution management and population-level analytics