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Risk management Jobs in Birmingham, AL

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Risk management • birmingham al

Last updated: 11 hours ago

Risk Adjustment Specialist

Viva HealthBirmingham, AL, United States
Full-time

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 S... Show more

Risk Management Specialist - Compliance

AmFirstBirmingham, AL, United States
Full-time

Key Defender Of Financial Integrity.Role: Key defender of our institution's financial integrity.Identifying and analyzing threats, mitigating risk, and protecting our members from fraudulent activi... Show more

IT Risk Director, Technology Risk Management Resiliency & Business Continuity

HuntingtonBirmingham, AL, United States
Full-time

IT Risk Director, Resiliency & Business Continuity.The IT Risk Director, Resiliency and Business Continuity is responsible for leading the First Line Resiliency and Business Continuity Program acro... Show more

Director, Program Management

Advastar, IncBirmingham, AL, United States
Full-time

DIRECT PLACEMENT | DIRECTOR, PROGRAM MANAGEMENT | Birmingham, AL.This role sits at the top of the Program Management function and owns an entire category of the company's project portfolio — ... Show more

Business Insurance Sr. Risk Control Consultant

Oliver Wyman, LLCBirmingham, AL, United States
Full-time

Award-winning, inclusive, Top Workplace culture doesn't happen overnight.It's a result of hard work by extraordinary people.More than 11,000 of the industry's brightest talent drive our efforts to ... Show more

Senior Consultant, Consulting Services Risk Management

DeloitteBirmingham, AL, United States
Full-time

Deloitte is committed to providing reasonable accommodations for people with disabilities.If you require a reasonable accommodation to participate in the recruiting process, please direct your inqu... Show more

Management Training Program

Express Oil Change & Tire EngineersCahaba Heights, AL, us
Full-time

At Express Oil Change & Tire Engineers, we are actively seeking top level, hands-on management candidates with a desire to grow into .As a Manager in Training, candidates will complete all levels o... Show more

High-Risk Team Lead

Synovus FinancialBirmingham, AL, United States
Full-time

The BSA Advisor is responsible for providing expert guidance and oversight on the organization's Bank Secrecy Act (BSA) and Anti-Money Laundering (AML) compliance program.This role ensures that the... Show more

Inventory Management Specialist

American Management Group, LLC (AMG)Birmingham, AL, USA
Full-time

Inventory Management Specialist.The Inventory Specialist is responsible for daily inventory operations, maintaining accurate stock records, and ensuring timely supply distribution.This role updates... Show more

Risk & Controls Analyst

System One Holdings, LLCBirmingham, AL, United States
Full-time +1

Duration: Full-Time Hire / Permanent Role Location: Lafayette, LA, Knoxville, TN, Columbia, SC or Birmingham, AL.Work Mode: Hybrid - 3days onsite 2 days remote.Systemone is seeking a Risk Analyst ... Show more

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Treasury Management Specialist

ServisFirst BankBirmingham, AL, United States
Full-time

Treasury Management Specialist.At ServisFirst, Our Name is Our Mission.The Treasury Management Specialist is responsible for providing support and assistance to clients and personnel for all Electr... Show more

Formulary Management Pharmacist

Pharmacy CareersBirmingham, AL, USA
Full-time

Formulary Management Pharmacist – Influence Therapy Access at Scale | Hybrid/Remote Friendly.Shape which medications patients can access by evaluating new drugs, analyzing clinical and economic dat... Show more

Governance Risk Compliance Wealth Management Analyst

Regions FinancialBirmingham, AL, United States
$62,990.95 yearly
Full-time

Business Unit Operational Risk Analyst.At Regions, the Business Unit Operational Risk Analyst works within a given line of business to help ensure the line of business operations are conducted in c... Show more

LOB Risk Expert - Corporate & Institutional Banking (C&IB) Risk Oversight & Strategy

PNCBirmingham, AL, United States
$112,000.00 yearly
Full-time +1

At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve.We are all united in delivering the best experience for our customers.We work together each day ... Show more

Restaurant Operations Management

Waffle House, Inc.Vestavia Hills, AL, US
$65,000.00–$85,000.00 yearly
Full-time

Since 1955, Waffle House has provided outstanding careers and opportunities for professional achievement unmatched in the restaurant industry.We only promote from within, which leads to significant... Show more

Business Insurance Sr. Risk Control Consultant

Mercer FranceBirmingham, AL, United States
Full-time

Award-winning, inclusive, Top Workplace culture doesn't happen overnight.It's a result of hard work by extraordinary people.More than 11,000 of the industry's brightest talent drive our efforts to ... Show more

Director of Facilities Management

CraneWorksBirmingham, AL, United States
Full-time

Director Of Facilities Management.The Director of Facilities Management will be responsible for managing the maintenance and improvement of all owned properties leased by CraneWorks/RentalWorks.Thi... Show more

Risk Analyst

Aya HealthcareBirmingham, AL, United States
Full-time

This position is responsible for providing strategic leadership and operational oversight of the company's risk-based compliance monitoring program and broader Ethics & Compliance Framework.This po... Show more

Risk & Controls Analyst

CGIBirmingham, AL, United States
Full-time

CGI is seeking a Risk Analyst to support governance, risk, and controls initiatives within a highly regulated financial services environment.This role serves as a bridge between business and techno... Show more

Senior Manager, Compliance - Risk Monitoring

Encompass HealthBirmingham, AL, United States
Full-time

This position is responsible for providing strategic leadership and operational oversight of the company's risk-based compliance monitoring program and broader Ethics & Compliance Framework.This po... Show more

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Risk Adjustment Specialist

Risk Adjustment Specialist

Viva HealthBirmingham, AL, United States
3 days ago
Job type
  • Full-time
Job description

Risk Adjustment Specialist

Location: Birmingham, Alabama

Job Summary

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 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.

Why VIVA HEALTH?

VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health System, is a health maintenance organization providing quality, accessible health care. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys.

VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.

Benefits

  • Comprehensive Health, Vision, and Dental Coverage
  • 401(k) Savings Plan with company match and immediate vesting
  • Paid Time Off (PTO)
  • 9 Paid Holidays annually plus a Floating Holiday to use as you choose
  • Tuition Assistance
  • Flexible Spending Accounts
  • Healthcare Reimbursement Account
  • Paid Parental Leave
  • Community Service Time Off
  • Life Insurance and Disability Coverage
  • Employee Wellness Program
  • Training and Development Programs to develop new skills and reach career goals
  • Employee Assistance Program

Key Responsibilities

  • Maintain thorough understanding of the risk-adjusted payment methodology; what can be submitted by the plan and how/when submission impacts CMS payments.
  • Demonstrate knowledge of ICD10 coding guidelines, medical terminology, disease processes, and pharmacology.
  • Interpret and demonstrate analytical and problem-solving ability in reviewing medical record documentation to accurately assign ICD10 codes.
  • Conduct chart reviews to identify all appropriate diagnoses based on CMS-HCCs and specific HEDIS measures.

Required Qualifications

  • High School Diploma or GED
  • At least 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

  • 2 or more years of college
  • Experience with hospital coding

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.