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Risk Adjustment Specialist

Location: Birmingham, Alabama
Work Setting: Non Provider Setting
Job Function:
Job Type:


At VIVA HEALTH, we’re known for providing our members with the care and excellent service they deserve. That is why we are rated Alabama’s 5 Star Medicare Advantage (MA) Plan and a nationally ranked Best Place to Work! This is the perfect time to join our team! We offer a competitive benefits package including Medical/Dental/Vision, 401(k), Tuition Reimbursement for employees and dependents, Paid Time Off, Community Service Paid Day Off, Paid Parental Leave, and Continuing Education just to name a few! All of this while improving the quality of healthcare for Alabamians!

Job Description

We are currently seeking a Risk Adjustment Specialist. The Risk Adjustment Specialist ensures all ICD-10 codes are documented for the assignment of valid and accurate HCCs for each record reviewed for submission to the Centers for Medicare & Medicaid Services (CMS). Other responsibilities include working on suspect reports to identify unreported diagnosis codes and conducting chart audits on in-house records from other departments. This position will assist the Manager of Risk Adjustment with other projects as needed. This is a remote position and requires occasional on-site work.

Required Qualifications

  • High School Diploma or GED
  • 3 – 5 years’ experience with coding
  • Certified Coder (AHIMA or AAPC credentials)
  • Read and interpret handwritten and typewritten material
  • Excellent oral and written communications skills
  • Ability to work under pressure to meet deadlines with minimal supervision
  • Basic computer skills

Preferred Qualifications

  • Two or more years of College
  • Experience with hospital coding

Apply Online:

Posted: May 12, 2023 at 10:39 AM
Post ID: 78750

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