Virginia Beach, VA · On-site
$16.50 - $22/hr
Must obtain Certified Risk Adjustment Coder (CRC) certification within two years of employment. Keywords: Risk Adjustment Coding & Documentation Specialist, Talroo-Allied Health, Medical Office #J ...
Virginia Beach, VA · On-site
$16.50 - $22/hr
Must obtain Certified Risk Adjustment Coder (CRC) certification within two years of employment. Keywords: Risk Adjustment Coding & Documentation Specialist, Talroo-Allied Health, Medical Office #J ...
Virginia Beach, VA · On-site
$10K/mo
Must obtain Certified Risk Adjustment Coder (CRC) certification within two years of employment. Prefer one-year experience with risk adjustment program in a Health Plan or Provider setting (i.e ...
Virginia Beach, VA · On-site
$10K/mo
Must obtain Certified Risk Adjustment Coder (CRC) certification within two years of employment. Prefer one-year experience with risk adjustment program in a Health Plan or Provider setting (i.e ...
Virginia Beach, VA · On-site
$10K/mo
Must obtain Certified Risk Adjustment Coder (CRC) certification within two years of employment. Prefer one-year experience with risk adjustment program in a Health Plan or Provider setting (i.e ...
Virginia Beach, VA · On-site
$10K/mo
Must obtain Certified Risk Adjustment Coder (CRC) certification within two years of employment. Prefer one-year experience with risk adjustment program in a Health Plan or Provider setting (i.e ...
Richmond, VA · On-site
$22.50 - $30/hr
Supports all risk adjustment projects to comply with CMS requirements by analyzing physician ... Certified Risk Coder (CRC) * Certified Coding Specialist (CCS) * Registered Health Information ...
Richmond, VA · On-site
$22.50 - $30/hr
Supports all risk adjustment projects to comply with CMS requirements by analyzing physician ... Certified Risk Coder (CRC) * Certified Coding Specialist (CCS) * Registered Health Information ...
The Risk Adjustment Manager plays a critical role in the development and execution of the corporate ... Coding Certificate program from an accredited organization (i.e., CPC, CRC,CPMA from AAPC, or CCS ...
New
The Risk Adjustment Manager plays a critical role in the development and execution of the corporate ... Coding Certificate program from an accredited organization (i.e., CPC, CRC,CPMA from AAPC, or CCS ...
New
Virginia Beach, VA · On-site
Required Qualifications: * 3+ years of risk adjustment Medical Coding or risk adjustment Provider ... CCS, CRC, or CPC * Must reside and be able to travel within the assigned MSO market or region.
Virginia Beach, VA · On-site
Required Qualifications: * 3+ years of risk adjustment Medical Coding or risk adjustment Provider ... CCS, CRC, or CPC * Must reside and be able to travel within the assigned MSO market or region.
Chesapeake, VA · On-site
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment Medical ... CCS, CRC, or CPC * Must reside and be able to travel within the assigned MSO market or region.
Chesapeake, VA · On-site
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment Medical ... CCS, CRC, or CPC * Must reside and be able to travel within the assigned MSO market or region.
Suffolk, VA · On-site
Required Qualifications: * 3+ years of risk adjustment Medical Coding or risk adjustment Provider ... CCS, CRC, or CPC * Must reside and be able to travel within the assigned MSO market or region.
Suffolk, VA · On-site
Required Qualifications: * 3+ years of risk adjustment Medical Coding or risk adjustment Provider ... CCS, CRC, or CPC * Must reside and be able to travel within the assigned MSO market or region.
Chesapeake, VA · On-site
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment Medical ... CCS, CRC, or CPC * Must reside and be able to travel within the assigned MSO market or region.
Chesapeake, VA · On-site
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment Medical ... CCS, CRC, or CPC * Must reside and be able to travel within the assigned MSO market or region.
Chesapeake, VA · On-site
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment ... CCS, CRC, or CPC * Must reside and be able to travel within the assigned MSO market or region.
Chesapeake, VA · On-site
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment ... CCS, CRC, or CPC * Must reside and be able to travel within the assigned MSO market or region.
Virginia Beach, VA · On-site
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment ... CCS, CRC, or CPC * Must reside and be able to travel within the assigned MSO market or region.
Virginia Beach, VA · On-site
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment ... CCS, CRC, or CPC * Must reside and be able to travel within the assigned MSO market or region.
Virginia Beach, VA · On-site
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment ... CCS, CRC, or CPC * Must reside and be able to travel within the assigned MSO market or region.
Virginia Beach, VA · On-site
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment ... CCS, CRC, or CPC * Must reside and be able to travel within the assigned MSO market or region.
Suffolk, VA · On-site +1
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment ... CCS, CRC, or CPC * Must resideand be able to travelwithin the assigned MSO market or region.
Suffolk, VA · On-site +1
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment ... CCS, CRC, or CPC * Must resideand be able to travelwithin the assigned MSO market or region.
Virginia Beach, VA · On-site +1
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment ... CCS, CRC, or CPC * Must resideand be able to travelwithin the assigned MSO market or region.
Virginia Beach, VA · On-site +1
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment ... CCS, CRC, or CPC * Must resideand be able to travelwithin the assigned MSO market or region.
Chesapeake, VA · On-site +1
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment ... CCS, CRC, or CPC * Must resideand be able to travelwithin the assigned MSO market or region.
Chesapeake, VA · On-site +1
Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment ... CCS, CRC, or CPC * Must resideand be able to travelwithin the assigned MSO market or region.
Richmond, VA · On-site
$41.85/hr
Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS ... Certified Risk Coder (CRC) * Certified Coding Specialist (CCS) * Registered Health Information ...
Richmond, VA · On-site
$41.85/hr
Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS ... Certified Risk Coder (CRC) * Certified Coding Specialist (CCS) * Registered Health Information ...
Virginia Beach, VA · On-site
$143K - $229K/yr
Strong understanding of diagnosis coding (ICD-10-CM) , provider documentation practices, and their impact on risk adjustment outcomes. * Advanced analytical skills to identify risk adjustment leakage ...
Virginia Beach, VA · On-site
$143K - $229K/yr
Strong understanding of diagnosis coding (ICD-10-CM) , provider documentation practices, and their impact on risk adjustment outcomes. * Advanced analytical skills to identify risk adjustment leakage ...
Arlington, VA · On-site
$21.50 - $28.75/hr
... Risk Adjustment guidance - Assign appropriate ICD-10-CM, CPT, and other relevant codes to office visits, procedures, and diagnoses in a production environment - Responsible for the review and ...
Arlington, VA · On-site
$21.50 - $28.75/hr
... Risk Adjustment guidance - Assign appropriate ICD-10-CM, CPT, and other relevant codes to office visits, procedures, and diagnoses in a production environment - Responsible for the review and ...
Arlington, VA · On-site
$21.50 - $28.75/hr
... Risk Adjustment guidance - Assign appropriate ICD-10-CM, CPT, and other relevant codes to office visits, procedures, and diagnoses in a production environment - Responsible for the review and ...
Arlington, VA · On-site
$21.50 - $28.75/hr
... Risk Adjustment guidance - Assign appropriate ICD-10-CM, CPT, and other relevant codes to office visits, procedures, and diagnoses in a production environment - Responsible for the review and ...
Arlington, VA · On-site
$21.50 - $28.75/hr
... Risk Adjustment guidance - Assign appropriate ICD-10-CM, CPT, and other relevant codes to office visits, procedures, and diagnoses in a production environment - Responsible for the review and ...
Arlington, VA · On-site
$21.50 - $28.75/hr
... Risk Adjustment guidance - Assign appropriate ICD-10-CM, CPT, and other relevant codes to office visits, procedures, and diagnoses in a production environment - Responsible for the review and ...
| Aspect | Crc Risk Adjustment Coder | Medical Coder |
|---|---|---|
| Certifications | CPMA, CPC, or RHIT/RHIA often preferred | CPC, CCS, or CPC-H |
| Work Environment | Healthcare facilities, insurance companies, risk adjustment teams | Hospitals, clinics, physician offices |
| Industry Usage | Risk adjustment, Medicare Advantage, health plans | Medical billing, coding, documentation |
The Crc Risk Adjustment Coder specializes in coding for risk adjustment programs, focusing on accurate documentation for insurance and Medicare plans. Medical Coders handle a broader range of medical records and billing tasks across various healthcare settings. While both roles require coding certifications, Crc Risk Adjustment Coders focus more on risk and reimbursement accuracy within insurance programs.
For Crc Risk Adjustment Coder jobs in Virginia, the most frequently searched job titles are:
The top searched job categories for Crc Risk Adjustment Coder jobs in Virginia are:
Cities in Virginia with the most Crc Risk Adjustment Coder job openings:
Virginia Beach, VA • On-site
$16.50 - $22/hr
Other
Posted 12 days ago
6.8
Based on 417 frontline employees who took The Breakroom Quiz
Sentara Medical Group is now hiring a full-time hybrid Risk Adjustment Coder in Virginia Beach, VA!
Hours: Monday - Friday, 8:00AM -5:00PM, dayshift.
This is a hybrid position that offers a combination of remote and onsite work, with a requirement to be in the office one to two days each week. The role also includes travel as needed to support business objectives and team collaboration.
OverviewPerforms compliance activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Health & Human Services (HHS). Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk Adjustment Data Validation (RADV) audits. Reviews provider coding for professional & inpatient/outpatient services to ensure capture of diagnostic conditions supported within the provider's documentation for CMS/HHS Hierarchical Condition Categories (HCC). Supports risk adjustment data validation (RADV), medical record retrieval, vendor coding audits, provider engagement, & all risk adjustment ICD-10-CM coding-related activities. Conducts annual risk assessments, training, monitoring, & auditing, control assessment, reporting, investigation, root cause analysis, and corrective action oversight. Performs vendor quality oversight audits; reviews and/or makes final coding determination for non-agreeable coding. Makes final decision on vendor-to-vendor diagnosis coding rebuttal concerns. Serves as subject matter expert on risk adjustment diagnosis coding guidelines. Coordinates risk adjustment gap elimination with clinical and quality gap elimination Maintains a reasonable fluency in workings & financial implications of applicable risk adjustment models.
EducationOne of the following certifications are 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), or Registered Health Information Administrator (RHIA).
Must obtain Certified Risk Adjustment Coder (CRC) certification within two years of employment.
Keywords:Risk Adjustment Coding & Documentation Specialist, Talroo-Allied Health, Medical Office
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Hospitals
10,000+ Employees
Norfolk, VA, US
1888
