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Risk Adjustment Coding Jobs in Tennessee (NOW HIRING)

Centerwell

Risk Adjustment Coding Analyst

Nashville, TN · On-site

Become a part of our caring community The Risk Adjustment Coding Analyst provides operational, analytical, and administrative support to business leaders and teams. You will analyze data to support ...

Mercor

Risk Adjustment Expert - AI Trainer

Nashville, TN · Remote

$110/hr

Risk-adjustment / HCC coding leader Type: Contract Compensation: $110/hour Location: Remote Role Responsibilities * Lead risk adjustment and HCC coding operations across Medicare Advantage , Medicaid ...

Altegra Health

Remote Certified Coders

Memphis, TN · Remote

$21.75 - $29.75/hr

Extensive knowledge of ICD-9-CM outpatient diagnosis coding guidelines (with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred)

Altegra Health

Remote Certified Coders

Memphis, TN · On-site +1

$21.75 - $29.75/hr

... Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: • Abstract pertinent information from patient medical records. Assign appropriate ICD-9-CM codes, creating HCC and/or RxHCC ...

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All JobsRisk Adjustment Coding JobsRisk Adjustment Coding Jobs in Tennessee

Risk Adjustment Coding information

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$15

$26

$64

How much do risk adjustment coding jobs pay per hour?

As of Aug 29, 2026, the average hourly pay for risk adjustment coding in Tennessee is $26.58, according to ZipRecruiter salary data. Most workers in this role earn between $19.86 and $26.39 per hour, depending on experience, location, and employer.

What is risk adjustment coding?

Risk adjustment coding is the process of assigning standardized diagnosis codes to patient records to accurately reflect their health status and predict future healthcare costs. These codes are used by health plans and government programs to adjust payments based on the complexity and severity of patient conditions. Proper risk adjustment coding ensures fair reimbursement and supports quality care management by identifying high-risk patients who may require additional resources.

What are the key skills and qualifications needed to thrive as a risk adjustment coder?

To thrive as a Risk Adjustment Coder, you need a solid understanding of medical coding, healthcare regulations, and anatomy, typically supported by certification such as CPC or CRC. Familiarity with coding software, EHR systems, and risk adjustment models like HCC or CMS-HCC is crucial. Attention to detail, analytical thinking, and effective communication are standout soft skills for this role. These skills ensure accurate coding, compliance, and optimized reimbursement, which are vital for healthcare organizations' financial and regulatory success.

What are some common challenges faced by professionals in risk adjustment coding, and how can they be managed?

Risk adjustment coders often encounter challenges such as keeping up with frequent updates to coding guidelines, ensuring complete and accurate documentation, and managing high volumes of medical records. To address these challenges, effective time management, continuous education on coding standards (like ICD-10-CM), and regular communication with healthcare providers are essential. Many coders also rely on auditing tools and ongoing feedback from team leads to improve accuracy and compliance, fostering a collaborative and supportive work environment.

What is the difference between Risk Adjustment Coding vs Medical Coding?

AspectRisk Adjustment CodingMedical Coding
CredentialsCPR, CPC, or CCS certifications often preferredCPR, CPC, or CCS certifications
Work EnvironmentHealthcare facilities, insurance companies, remoteHospitals, clinics, physician offices
Industry UsageHealth plans, risk adjustment programsGeneral healthcare billing and documentation

Risk Adjustment Coding focuses on assigning codes that predict healthcare costs and risk for insurance purposes, often requiring understanding of patient risk factors. Medical Coding covers a broader range of diagnoses and procedures for billing and documentation. While both roles require similar certifications, their work environments and industry applications differ significantly.

How much do risk adjustment coders make in the US?

Risk adjustment coders in the US typically earn between $50,000 and $75,000 annually, depending on experience, certifications, and location. Entry-level positions may start around $45,000, while experienced coders with certifications like CPC or CCS can earn over $80,000. The role often requires knowledge of medical coding systems and familiarity with healthcare data analysis.

How to get into risk adjustment coding?

To enter risk adjustment coding, individuals typically need a medical coding certification such as CPC or CCS, along with knowledge of medical records and coding guidelines. Experience in healthcare or medical billing can be beneficial, and familiarity with electronic health records (EHR) systems is often required. Ongoing education and staying current with coding updates are important for success in this field.

What do risk adjustment coders do?

Risk adjustment coders review and assign medical codes to patient records to accurately reflect diagnoses and health conditions, which are used to calculate risk scores for insurance reimbursement and quality measurement. They ensure coding accuracy and compliance with industry standards, often using coding tools and guidelines such as ICD-10 and CPT. Attention to detail and knowledge of medical documentation are essential for this role.

What are popular job titles related to Risk Adjustment Coding jobs in Tennessee?

For Risk Adjustment Coding jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Risk Adjustment Coding jobs in Tennessee look for?

The top searched job categories for Risk Adjustment Coding jobs in Tennessee are:

What cities in Tennessee are hiring for Risk Adjustment Coding jobs?

Cities in Tennessee with the most Risk Adjustment Coding job openings:

Risk Adjustment Coding jobs near you
Infographic showing various Risk Adjustment Coding job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 10% Part Time, and 3% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution, with an average salary of $55,292 per year, or $26.6 per hour.

RISK ADJUSTMENT CODING ASSOCIATE II

Hixson, TN • On-site

GALEN MEDICAL GROUP PC
See more jobs at GALEN MEDICAL GROUP PCexternal

Full-time

Life, Retirement

Posted 13 days ago

Job description

Risk Adjustment Coding Associate II
Galen Medical Group offers several medical specialties throughout the Chattanooga region. We provide quality care and patient-friendly services to adults and children of all ages.
Our mission is to elevate the health of our community through multiple medical specialties providing excellent care delivered with wisdom, compassion, integrity, and a commitment to technology, education, and scientific inquiry. Galen is CHATTANOOGA'S Doctor!
Ideal candidate would have HCC/risk adjustment coding experience
Summary/Objective:
The EMR Coding Auditor II (ECA II) facilitates improvement in the overall quality, completeness, and accuracy of medical record documentation. The individual will perform medical record reviews based on CMS Quality Standards and validating active chronic problems for each patient and communicating with the physician to ensure Hierarchical Condition Coding is met, as well as accurate and up-to-date patient problem lists are documented in the EMR. This position will interact with physicians, coding staff and other members of the health care team to ensure the accuracy and completeness of clinical documentation to support resource utilization and patient outcomes.
The ECA II will be the designated trainer for new team members and provide training and support to others in the team as needed and under the direction of the Population Health Manager.
Essential Functions:
Coordinate Patient Services
  • Train new EMR Coding Auditors on processes and procedures of the role.
  • Provide support for the EMR Coding Auditor team.
  • Attend Payer based coding training available and share resources to the EMR Coding Auditor team.
  • Perform medical chart reviews to confirm adherence to AAPC clinical coding guidelines.
  • Complete audits daily to validate compliance with quality standards and HCC documentation.
  • Queries the provider to educate and improve individual patient documentation in the EMR.
  • Protects self and other team members by following all compliance, HIPAA and infection prevention guidelines and regulations.
  • Respects patients by recognizing their rights; maintaining confidentiality.
  • Assist patient's primary care provider with coordination of care/services to ensure the smooth transfer of member information across the continuum of care.
  • Maximize the use of resources to improve quality outcomes with reduction of unnecessary tests/procedures maintaining accurate and complete documentation in the medical record.
  • Proactively engage with patients, family and/or caregivers to educate and coordinate completion of necessary procedures or tests.

Establish and Maintain Quality Care Population Health Coordination
  • Independently monitors and reviews an assigned patient population.
  • May provide telephonic outreach to patients identified as high risk, with chronic condition(s) to assist with medical record requests, as needed.
  • Thorough understanding of ICD-10, CPT and complex co-morbidity coding.
  • Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, benchmarking state-of-the-art practices and participating in professional organizations regarding clinical quality measures and governmental regulations.

Other Duties/Responsibilities:
  • Promote the mission, vision, and values of Galen Medical Group.
  • Report to work on time and as scheduled.
  • Represent the organization in a positive & professional manner.
  • Must adhere to HIPAA guidelines at all times in order to maintain the highest level of patient confidentiality.
  • Comply with all organization policies and procedures.
  • Participate in performance improvement and continuous quality improvement activities.
  • Attend regular staff meetings and in-services as directed.
  • Consistently demonstrate the value of the team concept.
  • Other duties as assigned.

Knowledge/Skills/Abilities:
  • Excellent customer service skills.
  • Exceptional skills of independence, organization, verbal and written communication, problem-solving, professional interaction, and human relation skills, as well as analytical skills and problem-solving ability.
  • Must be PC literate with strong computer navigational skills, as well as extensive knowledge of Windows and Microsoft Office.
  • Knowledge of basic medical terminology.
  • Proficient with processes to build teams and participate in cross-functional teams.
  • Ability to work within specified timeframe requirements, including timeframes for goal achievement.

Qualifications:
Education:
  • Must be certified as procedural coder and maintain certification throughout employment.
  • Must have strong analytical, oral and written communication skills.
  • Associates Degree in related field preferred.

Experience:
  • Minimum of two years of healthcare experience required with one-year clinical experience preferred.
  • Minimum of two years of customer service experience required.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time, with or without notice.
As part of the Galen Medical Group, the applicant must be a team player and provide excellent customer service while assessing our patients needs efficiently. Perform all duties in compliance with Galen Medical policies, HIPAA, and OSHA standards.
Galen Medical Group is a member of the TN Drug-Free Workplace and it is a requirement that we conduct a pre-employment drug screen, as part of the hiring process.
Why should you apply?
  • 401(k) benefits.
  • Education reimbursement.
  • Holiday Pay.
  • Great earned time-off policy.
  • Company-paid Life Insurance & Long Term Disability.

Apply