Hybrid Risk Adjustment Coder — CMS/HCC Expert (Remote/Onsite)

sentara; United States; Hybrid; USD 71,000 - 109,000; Full time

Benefits offered by this job

Medical benefits

Dental insurance

Vision plans

401k with employer match

Tuition assistance

Student debt payoff

Pet insurance

Job summary

Sentara Medical Group is hiring a full-time hybrid Risk Adjustment Coder in Virginia Beach, VA. The role involves reviewing medical records for CMS/HHS risk adjustment and performing RADV audits, with in-office presence 1–2 days per week or site visits as needed.

Qualifications include an Associate degree and 1 year of Medical Records Data experience, 2 years of coding experience, and certification requirements with CRC to be obtained within two years.

Qualifications

• Medical Records Data experience (1 year) required.
• Coding experience (2 years) required.
• Certifications in CPC/COC/CIC/CCS-P/CCS/RHIT/RHIA or CRC to be obtained within 2 years.

Responsibilities

• Perform CMS/HHS risk adjustment coding for professional and inpatient/outpatient services.
• Conduct prospective/retrospective medical record reviews and RADV audits.
• Provide subject matter expertise on risk adjustment coding guidelines and documentation gaps.
• Coordinate risk adjustment gap elimination with clinical and quality teams.

Education

Associate degree

Tools

ICD-10-CM coding

CMS/HHS RADV

Job description

Sentara Medical Group is hiring a full-time hybrid Risk Adjustment Coder in Virginia Beach, VA. The role involves reviewing medical records for CMS/HHS risk adjustment and performing RADV audits, with in-office presence 1–2 days per week or site visits as needed.

Qualifications include an Associate degree and 1 year of Medical Records Data experience, 2 years of coding experience, and certification requirements with CRC to be obtained within two years.