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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 ...

She Recruits LLC

Nurse Practitioner

Portsmouth, VA · On-site

$90K - $190K/yr

Perform annual wellness visits, health risk assessments, and thorough documentation using HCC and ICD-10 coding standards. * Coordinate care with specialists, hospitals, and other community resources.

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 · 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 ...

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All JobsHcc Risk Adjustment Coder JobsHcc Risk Adjustment Coder Jobs in Virginia

Hcc Risk Adjustment Coder information

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$15

$27

$43

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

As of Aug 12, 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?

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.

Is Hcc Risk Adjustment Coder coding a good career?

Hcc Risk Adjustment Coder is a specialized healthcare role focused on accurate coding for risk adjustment purposes, often requiring knowledge of medical terminology and coding systems like ICD-10. It offers steady employment opportunities, especially in healthcare organizations and insurance companies, with potential for certification and career advancement. The role typically involves working in an office environment and may require ongoing education to stay current with coding updates.

How much do Hcc Risk Adjustment Coders make in the US?

Hcc Risk Adjustment Coders in the US typically earn between $50,000 and $80,000 annually, depending on experience, certification, and location. Experienced coders with certifications like CPC or CCS may earn higher salaries, especially in healthcare hubs or with specialized skills in coding and documentation. Salaries can also vary based on whether the role is remote or onsite and the complexity of the coding tasks involved.
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 August 2026, with employment types broken down into 1% As Needed, 89% Full Time, 8% Part Time, and 2% Contract. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution, with an average salary of $56,691 per year, or $27.3 per hour.

Quality and Value Based Performance Medical Director

Stryker Corporation

Newport News, VA • On-site

$233 - $302/hr

Other

Posted 6 days ago

Job description

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 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 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.

LocationDiscover the lifestyle of the Virginia Peninsula: Choose from York County, Williamsburg, Newport News, Poquoson or Hampton:
  • Experience an excellent quality of life, four seasons with mild winters in a region that offers a diversity of activities year-round
  • Offers a selection of diverse restaurants, cultural events and the beauty of nature abounds! Rated #2 place in the United States to raise a family by Parenthood Magazine with impressive amenities
  • Fish, sail, kayak or paddle board regularly on the James River, Chesapeake Bay, or 200 miles or coastline with numerous access points throughout
  • Travel easily to other locations using one of three airports or simply drive to hiking destinations such as Appalachian Trail and many other dog friendly trails in the region
  • Unique assortment of cultural and historical amenities plus shopping, entertainment and touring opportunities from Busch Gardens, Outlet Malls to wineries
  • Multitude of outstanding educational options both public and private school options

Hiring Range: $233,000 - 302,000 Actual pay depends on specialty, experience and performance

MD or DO

Completion of an ACGME accredited residency (family medicine, internal medicine, cardiology for example)

BE/BC

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