Hybrid Risk Adjustment Coder (Remote/Onsite)

126 Sentara Medical Group; United States; Hybrid; USD 71,000 - 109,000; Full time

Job summary

Sentara Medical Group in Virginia Beach, VA is seeking a full-time Hybrid Risk Adjustment Coder. Work hours are 8:00 AM–5:00 PM, Monday through Friday, with a required in-office presence 1–2 days per week.

The role involves CMS/HHS risk adjustment coding, RADV audits, and depth reviews of medical records to ensure accurate HCC capture and documentation alignment. The ideal candidate will have an Associate degree, 1 year of Medical Records Data experience, and 2 years of coding experience, plus

Qualifications

• Associate degree required.
• 1 year Medical Records Data experience required.
• 2 years Coding experience required.

Responsibilities

• Review provider coding for professional and inpatient/outpatient services to ensure capture of diagnostic conditions for CMS/HHS HCC.
• Perform risk adjustment data validation (RADV) audits and medical record reviews.
• Coordinate risk adjustment activities with clinical and quality teams; support vendor coding audits and engagement.

Skills

CMS/HHS risk adjustment

Education

Associate degree

Job description

Sentara Medical Group in Virginia Beach, VA is seeking a full-time Hybrid Risk Adjustment Coder. Work hours are 8:00 AM–5:00 PM, Monday through Friday, with a required in-office presence 1–2 days per week.

The role involves CMS/HHS risk adjustment coding, RADV audits, and depth reviews of medical records to ensure accurate HCC capture and documentation alignment. The ideal candidate will have an Associate degree, 1 year of Medical Records Data experience, and 2 years of coding experience, plus