Senior ICD-10 Risk Adjustment Specialist | HCC/RADV Expert

Viva Health; Birmingham (AL); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health insurance

401(k) with company match

Paid Time Off (PTO)

9 Paid Holidays annually + Floating

Job summary

Viva Health in Birmingham, AL seeks a Senior Risk Adjustment Specialist to review medical records and ensure accurate ICD-10-CM coding with CMS submission compliance. This role supports Risk Adjustment Specialists and provides subject matter expertise.

Join Viva Health, a CMS-recognized high-performing plan, and contribute to coding accuracy, provider education, and audit-ready documentation across the organization.

Qualifications

• Minimum 5–7 years of coding experience.
• Certified coder (AHIMA or AAPC).
• Read and interpret medical documentation with accuracy.
• Demonstrate ability to meet deadlines with minimal supervision.

Responsibilities

• Review medical records to assign ICD-10 codes accurately and compliantly.
• Ensure submissions align with CMS guidelines and risk adjustment requirements.
• Identify HCC improvement opportunities and educate providers on documentation.
• Query providers when documentation is unclear to maximize coding accuracy.

Skills

ICD-10 coding

CMS guidelines

Analytical skills

Medical terminology

Education

Certification: AHIMA

Certification: AAPC

Tools

Epic

MS Excel

Job description

Viva Health in Birmingham, AL seeks a Senior Risk Adjustment Specialist to review medical records and ensure accurate ICD-10-CM coding with CMS submission compliance. This role supports Risk Adjustment Specialists and provides subject matter expertise.

Join Viva Health, a CMS-recognized high-performing plan, and contribute to coding accuracy, provider education, and audit-ready documentation across the organization.