ZipRecruiter

Log In

1

Hcc Risk Adjustment Coder Jobs in Virginia Beach, VA

Sentara Health

Risk Adjustment Coder

Virginia Beach, VA · Hybrid

$10K/mo

... 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 ...

DaMar Staffing

Risk Adjustment Coder

Virginia Beach, VA · On-site

$90 - $110/hr

... 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 ...

CenterWell

IPA Consultative Coder

Chesapeake, VA · On-site

HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ... Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment ...

Centerwell

IPA Consultative Coder

Virginia Beach, VA · On-site

HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ... Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment ...

CenterWell

IPA Consultative Coder

Virginia Beach, VA · On-site

HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ... Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment ...

next page

Showing results 1-20

All JobsHcc Risk Adjustment Coder JobsHcc Risk Adjustment Coder Jobs in Virginia Beach, VA

Hcc Risk Adjustment Coder information

See Virginia Beach, VA salary details

$14

$24

$38

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

As of Sep 6, 2026, the average hourly pay for hcc risk adjustment coder in Virginia Beach, VA is $24.31, according to ZipRecruiter salary data. Most workers in this role earn between $16.78 and $30.62 per hour, depending on experience, location, and employer.

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.

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 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 the most commonly searched types of Hcc Risk Adjustment Coder jobs in Virginia Beach, VA?

The most popular types of Hcc Risk Adjustment Coder jobs in Virginia Beach, VA are:

What are popular job titles related to Hcc Risk Adjustment Coder jobs in Virginia Beach, VA?

For Hcc Risk Adjustment Coder jobs in Virginia Beach, VA, the most frequently searched job titles are:

What job categories do people searching Hcc Risk Adjustment Coder jobs in Virginia Beach, VA look for?

The top searched job categories for Hcc Risk Adjustment Coder jobs in Virginia Beach, VA are:

Hcc Risk Adjustment Coder jobs near you
Infographic showing various Hcc Risk Adjustment Coder job openings in Virginia Beach, VA as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 11% Part Time, and 3% Contract. Highlights an 84% Physical, 5% Hybrid, and 11% Remote job distribution, with an average salary of $50,555 per year, or $24.3 per hour.

Risk Adjustment Coder

Sentara Healthcare Inc

Virginia Beach, VA • On-site

$60 - $80/hr

Other

Posted 5 days ago

Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 417 frontline employees who took The Breakroom Quiz

498th of 898 rated healthcare providers

Job description

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.

Overview

Performs 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.

Education
  • Associate degree (Required)
Experience
  • Medical Records Data - 1 year (Required)
  • Coding - 2 years (Required)
Certifications:

One 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

#J-18808-Ljbffr

What Sentara Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply