Hybrid Risk Adjustment Coder—CMS/HCC Expert

Sentara Healthcare Inc; Virginia Beach (VA); Hybrid; USD 60,000 - 80,000; Full time

Job summary

Sentara Medical Group in Virginia Beach, VA is seeking a full-time hybrid Risk Adjustment Coder to ensure accurate CMS/HHS risk adjustment documentation. The role blends remote and in-office work, with 1-2 days on site weekly and travel as needed to support team objectives.

The position requires 1 year Medical Records Data experience and 2 years Coding experience, plus certification options including CPC/COC/CIC etc.

Qualifications

• Associate degree is required.
• 1 year Medical Records Data experience is required.
• 2 years Coding experience is required.
• Certifications CPC/COC/CIC/CCS-P/CCS/RHIT/RHIA are accepted; CRC certification within 2 years is required.

Responsibilities

• Performs compliance activities focused on CMS/HHS risk adjustment.
• Reviews provider coding for professional and inpatient/outpatient services to ensure CMS/HCC capture.
• Supports RADV audits, data validation, and vendor coding quality.
• Coordinates risk adjustment gap elimination with clinical and quality teams.

Skills

Medical Records Data

Coding

Risk Adjustment Coding

Education

Associate degree (Required)

Certified Professional Coder (CPC)

Certified Outpatient Coder (COC)

Certified Inpatient Coder (CIC)

Certified Coding Specialist-Physician-based (CCS-P)

Certified Coding Specialist (CCS)

Registered Health Information Technician (RHIT)

Registered Health Information Administrator (RHIA)

Certified Risk Adjustment Coder (CRC)

Job description

Sentara Medical Group in Virginia Beach, VA is seeking a full-time hybrid Risk Adjustment Coder to ensure accurate CMS/HHS risk adjustment documentation. The role blends remote and in-office work, with 1-2 days on site weekly and travel as needed to support team objectives.

The position requires 1 year Medical Records Data experience and 2 years Coding experience, plus certification options including CPC/COC/CIC etc.