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Risk Adjustment Coding Jobs in Tennessee (NOW HIRING)

OneOncology

Manager, Coding

Nashville, TN · On-site

Identify and communicate documentation deficiencies to providers to improve documentation to accurate risk adjustment coding and compliance * Evaluate and optimize end to tend practice clinical ...

OneOncology

Manager, Coding

Nashville, TN · On-site

Identify and communicate documentation deficiencies to providers to improve documentation to accurate risk adjustment coding and compliance * Evaluate and optimize end to tend practice clinical ...

Elevance Health

Coding Auditor Sr. (CareBridge)

Nashville, TN · On-site

$26.25 - $30/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Coding Auditor Sr. (CareBridge) Coding Auditor Sr. CareBridge Health is a proud member of the ... Assists with National and Targeted Risk Adjustment Data Validation audits. * Participates and ...

Elevance Health

Clinical Quality Consultant NP

Nashville, TN · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Prefer AAPC Certified Risk Adjustment Coder Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed Nurse Please be advised that Elevance Health ...

Elevance Health

Clinical Quality Consultant NP

Nashville, TN · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Prefer AAPC Certified Risk Adjustment Coder Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed Nurse Please be advised that Elevance Health ...

Urrly

Telehealth Nurse Practitioner

Nashville, TN · Remote

$600 - $720/day

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

Lifepoint Health

Advisor, Population Health

Brentwood, TN · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Provide supervision for the development and on-going management of improving ACO/CIN providers documentation and coding accuracy for the purposes of risk adjustment (HCC or other risk adjustment ...

Lifepoint Health

Advisor, Population Health

Brentwood, TN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Provide supervision for the development and on-going management of improving ACO/CIN providers documentation and coding accuracy for the purposes of risk adjustment (HCC or other risk adjustment ...

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All JobsRisk Adjustment Coding JobsRisk Adjustment Coding Jobs in Tennessee

Risk Adjustment Coding information

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$26

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How much do risk adjustment coding jobs pay per hour?

As of Aug 13, 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.

How long does it take to become a risk adjustment coder?

Becoming a risk adjustment coder typically requires completing a specialized training program or certification, which can take from a few months up to a year. Many professionals also pursue coding certifications such as CPC or CCS to enhance their skills and job prospects, with some gaining experience through on-the-job training during this period.

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 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.

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.

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.

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 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 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $55,292 per year, or $26.6 per hour.

Manager-Clinical Documentation Senior

Baptist Memorial Health Care Corporation

Memphis, TN • On-site

Full-time

Re-posted 2 days ago

Baptist Memorial Health Care rating

7.3

Company rating: 7.3 out of 10

Based on 113 frontline employees who took The Breakroom Quiz

305th of 887 rated healthcare providers

Job description

Clinical Documentation Manager

Summary:

The Clinical Documentation Manager assists in the development of operational framework focused on scalable and repeatable best practices as it relates to Risk Adjustment. This position supports and aligns planning to ensure the key strategic activities aimed at HCC/RAF management for Value-Based Care is delivered and executed at the clinic level. Expert in reviewing, assigning and validating ICD-10-CM codes for diagnoses performed by physicians and other qualified healthcare providers. Ensures diagnostic coding accuracy and compliance for each Plan's member. The Clinical Documentation Manager will coordinate work in clinics to provide support and education to all market leaders, Providers and clinic staff. This position identifies, develops and implements simplification and automation to improve HCC/RAF initiatives. The Clinical Documentation Manager will also act as a facilitator, leader, mentor and change agent. Travel is required throughout the region. 

Duties: 

  • Review clinical documentation and assign accurate diagnosis codes according to guidelines and project
  • Review medical documents such as surgical reports, medical visits, and diagnostic reports in order to create educational strategies to ensure correct diagnosis code assignment by the provider.
  • Perform Clinical Chart Audits for proper HCC documentation on an ongoing basis. 
  • Extracts data from practice EMR or network database to identify HCC documentation and care gap opportunities to assess positive and negative changes in quality scores month over month.
  • Reviews registries with PCPs and/or key office staff to identify care gaps and opportunities for outreach, HCC documentation and/or care gap closure.
  • Be able to identify opportunities in diagnosis coding, clinical documentation and billing within the provider's day-to-day operations.
  • Collaborate with and support primary care providers and practice support staff to improve population health performance and achieve quality incentives related to managed care contracts by managing and organizing data, engaging patients, and optimizing workflow, with the goal of optimizing our patients' health and wellbeing.
  • Facilitates and assists with outreach to patients via phone calls, mail or electronic messaging, to schedule appointments, screenings, and preventive tests.
  • Educate practitioners/clinical staff and provide ongoing clinical guidance related to the Risk Adjustment process.
  • Maintains a log of audits and education performed of diagnosis/HCC gaps.
  • Prepares and submits a monthly report of activities performed during payer meetings.


 

Core Competencies: 

  • Understands the CMS-HCC (Hierarchical Condition Category) Risk Adjustment Model and ICD-9/10 guidelines. 
  • Extensive background in supporting risk adjustment management activities and clinical informatics 
  • Experience with Risk Adjustment Data Validation 
  • Demonstrate the ability to teach and evaluate clinical staff as it relates to HCC/RAF management at the clinic level. 
  • Maintain compliance with AAPC coding standards and CMS Risk Adjustment guidelines. 
  • Remains current on CMS rules and guidelines.
  Minimum Required   Preferred / Desired Experience

5 years of general healthcare experience

3 years of clinical coding experience with strong attention to detail and a high level of accuracy. 

            Education Registered Nurse and/or AAPC Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC)   Bachelor's Degree in Nursing (8 or more years of additional experience beyond the required years of experience may be substituted in lieu of a bachelor's degree.         Training Certified Risk Adjustment Coder (CRC) certification or proof that certification has been obtained within 6 months of start date from the American Academy of Professional Coders.             Special Skills MS Office Suite, moderate to advanced EXCEL and PowerPoint skills.    Knowledge of audiovisual equipment set up.         Licensure AAPC Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC)       or if current RN license in good standing, must be a Certified Risk Adjustment Coder (CRC)      

Ability to work a flexible work schedule and travel to all assigned BMG clinics. 

   

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About Baptist Memorial

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Baptist Memorial, based in Memphis, TN, US, is a leading health care organization renowned in the healthcare industry. The company's official website is baptistonline.org which provides a comprehensive view of their services and operations. Baptist Memorial operates a myriad of hospitals, health clinics, and medical facilities providing expert and compassionate care. Founded in 1912, it has a rich legacy of over a hundred years of dedication to its community, offering services which include acute care, diagnostic services, and a broad range of speciality health services fulfilling various patient needs.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Memphis, TN, US

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