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Hcc Risk Adjustment Coder Jobs in Virginia (NOW HIRING)

Ennoble Care

Actuary

Richmond, VA · Remote

$150/hr

Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models * Experience working with CMS and CMMI total cost of care (ACO) programs * Proven track record ...

Riverside

Compliance Analyst RMG

Newport, VA · Remote

$57K - $78K/yr

Overview Primary responsibility is to independently perform clinical chart reviews, risk adjustment audits, payor audits, coding analysis, charge/reimbursement analysis, medical records reviews, and ...

LMI

Senior Health Data Analyst

Tysons, VA · On-site

$92K - $158K/yr

... to risk adjustment. Ultimately, success in this role comes from a combination of a passion for ... of coding skills). * 1-3 years' experience in federal consulting. * 3 years analyzing healthcare ...

LMI

Senior Health Data Analyst

Tysons, VA

$92K - $158K/yr

... to risk adjustment. Ultimately, success in this role comes from a combination of a passion for ... of coding skills). * 1-3 years' experience in federal consulting. * 3 years analyzing healthcare ...

LMI

Senior Health Data Analyst

Tysons, VA

$92K - $158K/yr

... to risk adjustment. Ultimately, success in this role comes from a combination of a passion for ... of coding skills). * 1-3 years' experience in federal consulting. * 3 years analyzing healthcare ...

TalentRemedy

Quality Control Manager

Reston, VA

... Safety Codes, and Infection Control Risk Assessments (ICRA). Project Scheduling Schedule ... HCC) Certificate (highly preferred). Knowledge of EM 385-1-1 (U.S. Army Corps of Engineers Safety ...

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Hcc Risk Adjustment Coder information

See Virginia salary details

$15

$27

$43

How much do hcc risk adjustment coder jobs pay per hour?

As of Jul 22, 2026, the average hourly pay for hcc risk adjustment coder in Virginia is $27.26, according to ZipRecruiter salary data. Most workers in this role earn between $18.85 and $34.33 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Hcc Risk Adjustment Coder position, and why are they important?

To thrive as an HCC Risk Adjustment Coder, you need a solid understanding of medical coding, ICD-10-CM coding guidelines, and clinical documentation, often demonstrated by a certification such as CPC, CRC, or CCS-P. Familiarity with EHR systems, risk adjustment software, and coding databases is commonly required. Attention to detail, analytical thinking, and strong communication skills set top coders apart in this field. These skills are critical for accurately capturing patient risk, ensuring compliance, and supporting optimal reimbursement for healthcare organizations.

What are some common challenges faced by HCC Risk Adjustment Coders, and how can they overcome them?

HCC Risk Adjustment Coders often encounter challenges such as incomplete or ambiguous provider documentation, frequent code updates, and tight coding accuracy standards. Staying current on industry coding guidelines, maintaining open communication with providers, and participating in regular training programs are essential strategies for overcoming these hurdles. Coders who proactively seek clarification, double-check their work, and embrace ongoing learning typically excel in this role. Addressing these challenges effectively not only improves coding quality but also supports accurate reimbursement and risk adjustment reporting.

What is an HCC Risk Adjustment Coder job?

An HCC Risk Adjustment Coder reviews medical records to identify and assign accurate Hierarchical Condition Category (HCC) codes based on documented diagnoses. These codes help determine risk adjustment scores, which impact healthcare reimbursements for Medicare Advantage and other risk-adjusted plans. Coders ensure compliance with CMS guidelines, improve documentation accuracy, and support proper reimbursement for patient care. Strong knowledge of ICD-10-CM coding, medical terminology, and risk adjustment models is essential for this role.

What are the most commonly searched types of Hcc Risk Adjustment Coder jobs in Virginia? The most popular types of Hcc Risk Adjustment Coder jobs in Virginia are:
What are popular job titles related to Hcc Risk Adjustment Coder jobs in Virginia? For Hcc Risk Adjustment Coder jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Hcc Risk Adjustment Coder jobs in Virginia look for? The top searched job categories for Hcc Risk Adjustment Coder jobs in Virginia are:
What cities in Virginia are hiring for Hcc Risk Adjustment Coder jobs? Cities in Virginia with the most Hcc Risk Adjustment Coder job openings:
Hcc Risk Adjustment Coder jobs near you
Infographic showing various Hcc Risk Adjustment Coder job openings in Virginia as of July 2026, with employment types broken down into 100% Full Time. Highlights an 86% In-person, and 14% Remote job distribution, with an average salary of $56,691 per year, or $27.3 per hour.

Medical Director, Quality and Value-Based Performance

Wellness Health Careers

Newport News, VA • On-site

$250 - $300/hr

Other

Posted 11 days ago

Job description

Medical Director, Quality and Value-Based Performance

Medical Director, Quality and Value-Based Performance Riverside Medical Group – Newport News, Virginia

Riverside Medical Group is seeking a physician leader to serve as Medical Director of Quality and Value-Based Performance. This is a highly visible role focused on advancing value-based care across a growing, integrated health system.

This opportunity offers the ability to shape strategy, influence outcomes, and partner directly with clinical and executive leadership to drive performance across MSSP and commercial value-based arrangements.

About the Role

The Medical Director will provide physician leadership across all value-based initiatives, with a focus on improving quality, outcomes, utilization, and financial performance through data-driven strategies and strong collaboration.

This leader will play a key role in advancing Riverside’s participation in the Medicare Shared Savings Program and other payer programs, while helping standardize care delivery and elevate performance across the organization.

Key Responsibilities
  • Lead value-based performance initiatives across MSSP and commercial payer arrangements
  • Partner with physicians, advanced practice providers, and operational leaders to drive quality and utilization improvement
  • Analyze performance data and develop actionable strategies to improve outcomes and cost of care
  • Oversee development and implementation of population health dashboards and provider scorecards
  • Standardize clinical workflows and evidence-based protocols to enhance efficiency and care quality
  • Serve as Medical Director for ACO initiatives and participate in ACO governance and operations
  • Collaborate with payer partners and lead performance reviews, gap closure efforts, and improvement cycles
What Makes This Role Unique
  • Enterprise-level influence across a respected, physician-led organization
  • Direct impact on clinical quality, financial performance, and patient outcomes
  • Close collaboration with executive leadership and payer partners
  • Opportunity to help shape and scale a mature and evolving value-based care strategy
Qualifications
  • MD or DO, Board Certified in Internal Medicine, Family Medicine, Emergency Medicine, or Pediatrics
  • Eligible for or currently holding a Virginia medical license
  • 10+ years of experience, including meaningful involvement in value-based care models
  • Demonstrated experience with MSSP, ACOs, or other risk-based arrangements
  • Strong understanding of HCC risk adjustment, population health management, and utilization performance
  • Familiarity with payer performance, cost structures, and medical loss ratios
  • Experience working with data, dashboards, and performance reporting tools (Epic preferred)
  • Proven leadership, communication, and change management skills
About Riverside Medical Group

Riverside Medical Group is part of Riverside Health System, a mission-driven, physician-led organization committed to advancing care delivery across the region. With a strong foundation in quality and a growing focus on value-based care, Riverside offers an environment where physician leaders can make a meaningful and lasting impact.

Location

Newport News, Virginia, located in the Hampton Roads region, offers coastal living with access to a broad range of cultural, recreational, and professional amenities.

Interested candidates are encouraged to submit a CV directly to nicole.laroche@rivhs.com

or reach out for a confidential conversation (757) 224-4990.

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