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Risk Adjustment Coding Manager Jobs in Alabama (NOW HIRING)

Director of Billing

Daphne, AL · On-site

$46K - $61K/yr

Ensure accurate billing, payment posting, contractual adjustments, and account reconciliation ... Medical billing, coding, collections, and revenue cycle management. * Commercial insurance ...

Participate in monthly risk, issues, and opportunities (RIO) board reviews. * Attend Technical ... Review weekly labor reports to validate charging accuracy and adjustments needed to the EAC. * Work ...

New

As our newest property manager, you will be a hub for personnel, financial, and risk management and ... Recommend appropriate strategies and adjustments for rent/pricing * Implement and monitor effective ...

Assists with scheduling, payroll management, timecard reviews, and staffing adjustments to support ... Maintains compliance with all safety, security, loss prevention, risk management, and agency ...

... 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 ...

The Program Manager drives modernization initiatives, including migration to low code/no code environments, while managing cost, schedule, performance, and risk in support of mission-critical ...

Participate in monthly risk, issues, and opportunities (RIO) board reviews. * Attend Technical ... Review weekly labor reports to validate charging accuracy and adjustments needed to the EAC. * Work ...

New

Showing results 41-60

Risk Adjustment Coding Manager information

What is a risk adjustment coding manager?

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 key skills and qualifications needed to thrive as a risk adjustment coding manager?

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 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 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 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:

Infographic showing various Risk Adjustment Coding Manager job openings in Alabama as of August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution.

Nurse Practitioner - Montgomery, AL

Sage Health

Montgomery, AL • On-site

Other

Re-posted 17 days ago


Job description

Nurse Practitioner

About Sage Health

We believe all seniors regardless of means deserve concierge primary care & wellness, without the concierge fees. They've earned it.

Sage Health builds enriching neighborhood health centers that are easy to access, provide or arrange for all of our patients' healthcare needs, and partner with Medicare Advantage plans that fully cover primary care.

Unlike other physician practices, a Sage Health physician has a patient smaller panel size, and we collaborate with the best outcomes-oriented specialists and hospitals in each market. Because we are not a fee-for-service provider and manage patients within a global capitation budget provided by Medicare Advantage plans, our only concern and motivation is to keep our seniors healthy.

Sage Health is a destination for the best risk provider talent in the country who are building the new standard-bearing senior model for the United States.

All applicants are considered for all positions without regard to race, religion, color, sex, gender, sexual orientation, pregnancy, age, national origin, ancestry, physical/mental disability, medical condition, military/veteran status, genetic information, marital status, ethnicity, citizenship or immigration status, or any other protected classification, in accordance with applicable federal, state, and local laws. By completing this application, you are seeking to join a team of hardworking professionals dedicated to consistently delivering outstanding service to our customers and contributing to the financial success of the organization, its clients, and its employees. Equal access to programs, services, and employment is available to all qualified persons. Those applicants requiring an accommodation to complete the application and/or interview process should contact team@sage.health.

Position Summary

Our Care Teams include a Physician, Nurse Practitioner, Care Coordinator, Medical Assistant, and support from a Nurse Care Manager. Nurse Practitioners are integral members of our Care Teams as they provide longitudinal care and build meaningful patient relationships; this creates trust and helps our patients understand and feel connected to their care plan.

Together this team is responsible for providing and coordinating care for an intimate panel of patients in our neighborhoods. As a key member of Sage Health care team, you will perform annual health assessments, complete post discharge visits and deliver cost-effective, quality care to assigned patients both in our centers and patients' homes.

Primary Responsibilities
  • Evaluate and treat center patients in accordance with standards of care
  • Care coordination with other providers, specialists, and care facilities
  • Perform comprehensive in-home assessments for identified patients of the practice and assisting the primary care team in better managing chronic diseases
  • Complete physical examinations, medication reviews, vital checks, lab draws, wound care and depression screenings
  • Communicate assessment findings that will be used to inform the PCP of potential gaps in care
  • Will have support of Medical Assistants while seeing patients to allow more time for direct patient care
  • Highly relationship oriented and ability to passionately serve the aging and elderly population
  • Educate patients on topics such as disease process, medication, and compliance
  • Comply with all HIPAA regulations and maintain security of protected health information
Qualifications
  • Must have or be eligible to have a current and unrestricted NP license
  • Experience with risk adjustments and/or home assessments
  • Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs)
  • Embrace teamwork and the opportunity to collaborate with talented colleagues
  • Certificate of completion from an accredited Nurse Practitioner Program or Physician Assistant Program
  • Current DEA certificate required prior to start date
  • BLS certification
  • At least two-year experience practicing as an N.P. or P.A.
  • Two years of experience in Outpatient Primary Care or Adult/Geriatrics