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Physician Risk Adjustment Jobs (NOW HIRING)

Prefer one-year experience with risk adjustment program in a Health Plan or Provider setting (i.e. physician office or hospital). Prefer previous experience with CMS, HHS and/or CDPS+RX Hierarchical ...

... Physician-based ( CCS-P ), Certified Coding Specialist ( CCS ), Registered Health Information ... Risk Adjustment Coding & Documentation Specialist, Talroo-Allied Health, Medical Office Benefits:

Risk Adjustment Work Shift: Day Job Category: Risk, Quality and Safety A rewarding career that fits ... physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of ...

$56K - $101K/yr

... physician setting or a Managed Care Organization as a medical coder. * 2+ years of experience in ... risk adjustment (HCC Coding) required. * Other experience in teaching, training or an educator ...

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How much do physician risk adjustment jobs pay per year?

As of Sep 10, 2026, the average yearly pay for physician risk adjustment in the United States is $217,445.00, according to ZipRecruiter salary data. Most workers in this role earn between $190,000.00 and $244,500.00 per year, depending on experience, location, and employer.

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Infographic showing various Physician Risk Adjustment job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 87% Full Time, 9% Part Time, and 3% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $217,445 per year, or $104.5 per hour.

Risk Adjustment Coder

Virginia Beach, VA • On-site

Sentara Healthcare Inc
Hospitals • 10K+ employees

$16.50 - $22/hr

Other

Posted 8 days ago


Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 417 frontline employees who took The Breakroom Quiz

495th 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

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