1

Radv Jobs (NOW HIRING)

Plan, manage, and provide oversight for RADV audits, including data analysis to identify required medical records, vendor oversight, project management, and submission of medical records, supporting ...

We are seeking a Risk Adjustment Coding Auditor with 8+ years of experience to support first- and second-pass audits for CMS RADV (Risk Adjustment Data Validation) projects. The ideal candidate must ...

Risk Adjustment Coding Auditor

Prosper, TX ยท On-site

$25 - $28.50/hr

This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required skillset: MS Suite CPC certified CRC certified 5+ years of risk ...

Drawing on deep expertise in Medicare Advantage risk adjustment, RADV compliance, and encounter data integrity, this role drives continuous improvement of internal controls, proactively surfaces ...

Drawing on deep expertise in Medicare Advantage risk adjustment, RADV compliance, and encounter data integrity, this role drives continuous improvement of internal controls, proactively surfaces ...

next page

Showing results 1-20

Radv information

What is the difference between Radv vs Radiologic Technologist?

AspectRadvRadiologic Technologist
CredentialsCertification in radiography, often specific to radiologyCertification in radiography or radiologic technology
Work EnvironmentHospitals, clinics, imaging centersHospitals, outpatient clinics, diagnostic labs
Employer & Industry UsagePrimarily in radiology departmentsBroader healthcare settings including radiology

Radv and Radiologic Technologist roles share similar credentials and work environments, often overlapping in hospitals and clinics. However, Radv may focus more specifically on radiology procedures, while Radiologic Technologists have a broader scope including various imaging techniques. Both are essential in diagnostic healthcare, with Radv often specializing in radiography.

What are the key skills and qualifications needed to thrive as a Radiologic Technologist, and why are they important?

To thrive as a Radiologic Technologist, you need a solid background in anatomy, patient care, and radiographic techniques, typically supported by an associate's degree in radiologic technology and ARRT certification. Familiarity with imaging equipment, PACS, and radiation safety protocols is essential. Attention to detail, strong communication, and compassion help provide quality patient experiences and ensure accurate imaging. These competencies are crucial for producing reliable diagnostic images, maintaining patient safety, and supporting effective healthcare delivery.

What are Radv?

Radv does not appear to be a recognized job title or profession. It is possible that 'Radv' is a typo, abbreviation, or a specific term used within a particular company or industry. If you have more context or details about the role or responsibilities associated with 'Radv', please provide them so I can assist you further.

What are some common challenges faced by Radiologic Technologists (Rad Techs) and how can they be managed on the job?

Radiologic Technologists often encounter challenges such as managing patient anxiety, adapting to rapidly changing technology, and maintaining high safety standards to minimize radiation exposure. Building strong communication skills can help ease patient concerns, while ongoing professional development ensures you stay current with advancements in imaging equipment. Additionally, collaborating closely with radiologists and other healthcare professionals is essential for accurate imaging and patient care. Emphasizing teamwork and continuous learning will help you navigate these challenges effectively.
More about Radv jobs
What cities are hiring for Radv jobs? Cities with the most Radv job openings:
What states have the most Radv jobs? States with the most job openings for Radv jobs include:
Infographic showing various Radv job openings in the United States as of July 2026, with employment types broken down into 95% Full Time, 2% Part Time, and 3% Contract. Highlights an 74% Physical, 6% Hybrid, and 20% Remote job distribution.

RADV (Risk Adjustment Validation) Nurse- Quality Management

University Health - San Antonio

San Antonio, TX โ€ข On-site

Full-time

Posted 15 days ago


Job description

POSITION SUMMARY/RESPONSIBILITIES

Manages, supervises, and assists Sr. Manager Clinical Process Improvement of Quality Management and Accreditation with oversight assigned staff to facilitate high-quality, cost-effective care for Community First membership. The RADV Nurse will enhance consistency and efficiency by collaborating with Providers to meet goals for Hierarchical Condition Categories (HCC) Ratio. Spearhead initiatives for Risk Adjustment improvement, develop recommendations for Risk Adjustment plans, and design tools and databases to gather relevant data for assigned provider groups. Works closely with various departmental teams and their leaders in a matrix structure. Additionally, the RADV Nurse will provide direction and support to provider Medical Coding Analysts and Community First cross-functional team members regarding Risk Adjustment issues. Creates customized reports based on analysis of data for dissemination and makes recommendations to improve the quality of operational/clinical performance and health outcomes. Provides ongoing management of data collection systems and the development of procedures for monitoring, validating, and reconciling data for accuracy. May serve as a leader/facilitator of process improvement efforts. Provides oversight of and performs functions of review, investigation and analysis of member level clinical care data and provider performance as it compares to standards of care.

EDUCATION/EXPERIENCE

Graduation from an accredited school of professional nursing is required.ย  Bachelor's degree in nursing, clinical informatics, or other health care related field is preferred. Over five years of experience in the healthcare industry, including at least one year of ICD-10 coding. Familiarity with CMS HCC Model and Guidelines, as well as ICD-10 Guidelines, is essential. Experience in data analysis and preparation of QI or related reports is preferred. Excellent communication and interpersonal skills required.ย  Quality Management certification such as CPHQ or CHCQM is preferred.ย  Working knowledge of continuous process improvement principles and standard coding products is preferred.ย  Proficiency in health information systems, electronic health records (EHRs), HEDIS, RADV, and claims data analysis is a plus.

LICENSURE/CERTIFICATION

  • Current licensure as a Registered Nurse in the State of Texas is required.
  • Coding certification within 2 years of employment (e.g., Certified Professional Coder - CPC, Certified Coding Specialist - CCS)