... Risk Adjustment Clinical Compliance & Policy Development This includes representing Oak Street to ... Participating in documentation and coding activities, including provider education and review ...
... Risk Adjustment Clinical Compliance & Policy Development This includes representing Oak Street to ... Participating in documentation and coding activities, including provider education and review ...
Undertake risk assessments, develop safeguarding and support plans in collaboration with ... Reasonable Adjustments: If you consider yourself to have a disability or require any reasonable ...
Undertake risk assessments, develop safeguarding and support plans in collaboration with ... Reasonable Adjustments: If you consider yourself to have a disability or require any reasonable ...
Lead or contribute to safeguarding enquiries and risk assessments. * Work closely with ... Reasonable Adjustments: If you consider yourself to have a disability or require any reasonable ...
Lead or contribute to safeguarding enquiries and risk assessments. * Work closely with ... Reasonable Adjustments: If you consider yourself to have a disability or require any reasonable ...
... 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 ...
... 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 ...
Risk Adjustment Coding information
See Mobile, AL salary details
$17.94 is the 25th percentile. Wages below this are outliers.
$13.98 - $17.99
25% of jobs
The median wage is $20.68 / hr.
$17.99 - $21.99
37% of jobs
$24.04 is the 75th percentile. Wages above this are outliers.
$21.99 - $26
25% of jobs
$26 - $30.01
4% of jobs
$30.01 - $34.02
4% of jobs
$34.02 - $38.03
2% of jobs
$38.03 - $42.04
2% of jobs
$42.04 - $46.05
0% of jobs
$46.05 - $50.05
0% of jobs
$50.05 - $54.06
0% of jobs
$54.06 - $58.07
0% of jobs
$13
$23
$58
How much do risk adjustment coding jobs pay per hour?
As of Aug 9, 2026, the average hourly pay for risk adjustment coding in Mobile, AL is $23.98, according to ZipRecruiter salary data. Most workers in this role earn between $17.93 and $23.80 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?
| Aspect | Risk Adjustment Coding | Medical Coding |
|---|---|---|
| Credentials | CPR, CPC, or CCS certifications often preferred | CPR, CPC, or CCS certifications |
| Work Environment | Healthcare facilities, insurance companies, remote | Hospitals, clinics, physician offices |
| Industry Usage | Health plans, risk adjustment programs | General 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 Mobile, AL? For Risk Adjustment Coding jobs in Mobile, AL, the most frequently searched job titles are:
What job categories do people searching Risk Adjustment Coding jobs in Mobile, AL look for? The top searched job categories for Risk Adjustment Coding jobs in Mobile, AL are:
What cities near Mobile, AL are hiring for Risk Adjustment Coding jobs? Cities near Mobile, AL with the most Risk Adjustment Coding job openings:
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 15 days ago
CVS Health rating
5.8
Based on 4,331 frontline employees who took The Breakroom Quiz
89th of 112 rated pharmacies
Job description
We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.
The Senior Medical Director will join Oak Street Health at a critical time in the history of our company and of primary care. The opportunity for impact is large and growing, with Oak Street Health leading the transition from fee-for-service to value-based care.
The Senior Medical Director will be responsible for leading our provider teams in the local market. The Senior Medical Director will partner with the Regional Vice President to achieve operational and clinical excellence and world class performance in hospital admissions, quality, patient satisfaction, clinician satisfaction, and medical cost. To offer context for the practice and to remain close to our patients, the Senior Medical Director will practice primary care in our clinics 2 1/2 days per week alongside his/her provider colleagues. The Senior Medical Director will report to the Executive Medical Director for the region. Additionally, we see this leader as a key thought partner in providing feedback on our clinical model.
Core Responsibilities:
Medical Director Management & Coaching: The Senior Medical Director will lead and mentor the health center Medical Directors in his/her region.This includes: Supervising center medical directors and ensuring their priorities are in line with those of the organization. This includes but is not limited to supporting the medical directors as they manage their teams, being the "go-to" for all questions, and communicating updates and business priorities, including:
Assisting in offering constructive feedback to providers to improve performance.
Helping medical directors master data-driven tools and practices required to keep patients well and out of the hospital.
Reviewing quality dashboards with medical directors, and implementing initiatives to improve quality outcomes.
Providing managed care perspective to medical directors as they lead their teams.
Understanding and communicating provider performance/compensation plans.
The Senior Medical Director will be responsible for interviewing, hiring, and retaining providers throughout the region.
Physician Leadership Development: The Senior Medical Director will develop physician leadership in providers throughout the market, with support from Provider Services. This includes:
Developing a pipeline of internal clinical leaders who are skilled in problem solving, communication, conflict resolution, value-based care delivery, and collaboration with clinicians and executives.
Support Organizational Strategy: The Senior Medical Director's duties are primarily focused on the management of his/her market, but in addition, the Senior Medical Director will have input into a variety of organizational-wide projects, and will join committees for clinical programs to support the enhancement of the care model, including:
Medical Management
Care Management
Quality Improvement
Utilization Management
Network Management
Health Plan Management
Documentation/Risk Adjustment
Clinical Compliance & Policy Development
This includes representing Oak Street to external partners (e.g., payers, providers) and creating relationships and partnerships that support our mission and our economics.
Population Health: As a part of the Population Health program at Oak Street Health, the Senior Medical Director is responsible for:
Supervising the interdisciplinary Complex Care Teams focused on our highest need patients in the market.
Supervising the Transitions Nurses, who track all hospitalized patients and coordinate post-discharge care.
Partnering with the population health and quality teams to advance our care model.
Participating in documentation and coding activities, including provider education and review sessions.
Other duties, as assigned.
What are we looking for?
M.D. / D.O. / DNP graduates with license in good standing with no restrictions, Physicians will be board certified in Internal Medicine or Family Medicine. DNPs should be certified in a primary care domain. Board certified in Internal Medicine or Family Medicine. Fellowship training in Geriatrics and/or other professional degrees (e.g., M.B.A., J.D., M.P.H.) welcome but certainly not required.
Typically 10+ years experience; Minimum of 5 years of experience in outpatient practice. Minimum of 3 years of experience in a physician management role or role as medical director, managing a medical group of 20 or more providers.
Extensive experience in clinical leadership roles, leading and coaching physicians to be the best they can be for their patients and their colleagues.
Experience with managed care and/or value-based practice and familiarity with payer-provider collaboration.
Experience using a metrics-driven approach to analyze cost, quality, and satisfaction data to drive clinical strategy and program redesign.
Excited by developing and implementing new processes.
Self aware and confident in their leadership skills and eager to share those with a fast growing, passionate team on the leading edge of healthcare innovation.
Understand the basics of managed care and recognize that population health and a focus on smart allocation of scarce resources can lead to high value care (better care, lower cost).
Ability to remain calm in stressful situations.
Commitment to our patient population.
Comfort with ambiguity and a strong desire for problem solving.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$184,112.00 - $396,550.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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About CVS Health
Sourced by ZipRecruiter
Industry
Health care and social assistance and retail
Company size
10,000+ Employees
Headquarters location
Woonsocket, RI, US