Hybrid Risk Adjustment Coder (Remote/Onsite)

Sentara-9; Virginia Beach (VA); Hybrid; USD 71,000 - 109,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

401k/403B with Employer Match

Tuition Assistance – Guild Education

Job summary

Sentara Medical Group in Virginia Beach, VA is hiring a full-time hybrid Risk Adjustment Coder. The role involves in-office presence 1–2 days per week with remote work options, and occasional travel to support collaboration and business objectives.

Responsibilities include risk adjustment coding per CMS/HHS guidelines, RADV audits, and reviews of professional and inpatient/outpatient services to ensure accurate HCC capture. Certification in CRC within two years is required.

Qualifications

• Associate degree required.
• 1 year Medical Records Data experience required.
• 2 years Coding experience required.
• CRC certification within 2 years of employment required.

Responsibilities

• Perform compliance activities focused on risk adjustment per CMS/HHS.
• Conduct prospective/retrospective medical record reviews and RADV audits.
• Review provider coding for professional and inpatient/outpatient services to capture diagnostic conditions.
• Coordinate risk adjustment gap elimination with clinical and quality teams.

Skills

Risk adjustment coding

Documentation review

HCC coding

CMS/HHS guidelines

Education

Associate degree

Job description

Sentara Medical Group in Virginia Beach, VA is hiring a full-time hybrid Risk Adjustment Coder. The role involves in-office presence 1–2 days per week with remote work options, and occasional travel to support collaboration and business objectives.

Responsibilities include risk adjustment coding per CMS/HHS guidelines, RADV audits, and reviews of professional and inpatient/outpatient services to ensure accurate HCC capture. Certification in CRC within two years is required.