ZipRecruiter

Log In

1

Radv Coding Jobs (NOW HIRING)

Imh

Risk Adjustment Coding Manager

Broomfield, CO

$38.55 - $59.49/hr

Respond to and oversee CMS Risk Adjustment Data Validation (RADV) audit requests Responsible for ... Certified Coding certification through AHIIMA or AAPC * Demonstrated risk adjustment coding ...

Mercor

HCC Coding Leader - Risk Adjustment

New York, NY · Remote

$110/hr

Manage RADV audit preparation and response processes. * Collaborate with clinical, coding, and compliance teams to improve documentation and coding for risk adjustment purposes. Qualifications Must ...

New

Apply Early

Village Care

Risk Adjustment Coding Manager

Manhattan, NY · On-site

$102K - $115K/yr

A CPC, CPMA, CRC, CCS-P, CCS, RHIA, or RHIT certification is essential, along with at least five years of experience in Medicare Risk Adjustment coding and familiarity with RADV audits. Proficiency ...

Apply Early

RELI GROUP INC

Lead Senior Coder QA

Baltimore, MD · On-site

$80K/yr

This role performs intake, medical record abstraction, and coding validation in accordance with RADV contractual, and organizational guidelines, while applying expertise in CMS Part C risk adjustment ...

RELI Group Inc.

Lead Senior Coder QA

Baltimore, MD · On-site +1

$80K - $85K/yr

This role performs intake, medical record abstraction, and coding validation in accordance with RADV contractual, and organizational guidelines, while applying expertise in CMS Part C risk adjustment ...

Village Care

Risk Adjustment Coding Manager

Manhattan, NY · On-site

$102K - $115K/yr

A CPC, CPMA, CRC, CCS-P, CCS, RHIA, or RHIT certification is essential, along with at least five years of experience in Medicare Risk Adjustment coding and familiarity with RADV audits. Proficiency ...

US Tech Solutions

Medical Billing Coder

Wellesley, MA · Remote

$20.50 - $27.50/hr

... RADV support, and the auditing of Client's medical chart retrieval and coding vendors. * Collect and document chart and coding information as required for Commercial Risk Adjustment and Medicare ...

Intus, Inc

Coding Associate

$55/hr

... RADV audit expectations. • Flag documentation inconsistencies or incomplete provider documentation for clinical review. Workflow & Productivity • Complete assigned coding volumes within ...

Community Health Choice

Risk Adjustment Coder II

Houston, TX · On-site

$18 - $23.75/hr

... and internal coding policies for the following programs: including, but not limited to, Commercial Risk Adjustment, Medicare Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data ...

RELI Group Inc.

Senior Medical Coder

Baltimore, MD · On-site +1

$65K - $75K/yr

Provide Appeals support as RADV Subject Matter Expert at CMS request * Participate and contribute to QA Panel discussions for medical record review intake/coding and appeals, as needed. * Interact ...

RELI GROUP INC

Senior Medical Coder

Baltimore, MD · On-site

$65K/yr

Provide Appeals support as RADV Subject Matter Expert at CMS request * Participate and contribute to QA Panel discussions for medical record review intake/coding and appeals, as needed. * Interact ...

RELI GROUP INC

Senior Medical Coder

Baltimore, MD

$65K/yr

Provide Appeals support as RADV Subject Matter Expert at CMS request * Participate and contribute to QA Panel discussions for medical record review intake/coding and appeals, as needed. * Interact ...

eTeam

Medical Coder

Newark, NJ · On-site

$40 - $42/hr

... 10 CM coding guidelines and risk adjustment model regulations. This position supports Annual Commercial (ACA) and Medicare Advantage Risk Adjustment Data Validation Audits (RADV) along with the ...

RELI Group

Senior Medical Coder

Baltimore, MD · On-site +1

$65K - $75K/yr

Provide Appeals support as RADV Subject Matter Expert at CMS request * Participate and contribute to QA Panel discussions for medical record review intake/coding and appeals, as needed. * Interact ...

next page

Showing results 1-20

All JobsRadv Coding Jobs

Radv Coding information

See salary details

$29K

$57.4K

$80.5K

How much do radv coding jobs pay per year?

As of Jul 2, 2026, the average yearly pay for radv coding in the United States is $57,391.00, according to ZipRecruiter salary data. Most workers in this role earn between $46,000.00 and $66,500.00 per year, depending on experience, location, and employer.

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

To thrive as a RADV (Risk Adjustment Data Validation) Coder, you need expertise in medical coding, knowledge of risk adjustment models, and familiarity with ICD-10-CM guidelines, often backed by certifications like CPC or CRC. Experience with coding software, EHR systems, and risk adjustment tools is typically required. Attention to detail, analytical thinking, and strong communication skills are vital for ensuring coding accuracy and collaborating with healthcare teams. These skills and qualifications are crucial for maintaining compliance, optimizing reimbursement, and supporting accurate healthcare data reporting.

What is a RADV Coder?

A RADV Coder, or Risk Adjustment Data Validation Coder, is a professional who reviews and validates medical records to ensure accurate diagnosis coding for risk adjustment in healthcare plans, particularly for Medicare Advantage and ACA programs. Their primary role is to confirm that submitted diagnosis codes accurately reflect patients' health conditions, supporting compliance with federal regulations. RADV Coders help healthcare organizations avoid errors in risk adjustment submissions, which can impact reimbursement and regulatory standing. They must be knowledgeable in ICD-10 coding, risk adjustment guidelines, and medical record documentation.

What are some common challenges faced by a RADV Coding professional, and how can they be effectively managed?

RADV Coding professionals often encounter challenges such as keeping up with evolving regulatory requirements, ensuring high levels of coding accuracy, and managing tight deadlines during audit cycles. Effective management of these challenges involves regular training on updated guidelines, leveraging coding tools or software to enhance efficiency, and collaborating closely with compliance and clinical teams to clarify documentation. Building strong organizational and communication skills is also key to thriving in this fast-paced environment.

What is the difference between Radv Coding vs Medical Billing Specialist?

AspectRadv CodingMedical Billing Specialist
CredentialsCertification (e.g., AAPC, AHIMA), coding credentialsBilling and coding certifications, but often less specialized
Work EnvironmentHospitals, clinics, outpatient facilitiesMedical offices, billing companies, healthcare providers
Industry UsageUsed for accurate coding for reimbursement and recordsHandles billing, claims submission, and payment processing
Search & Comparison IntentFocuses on coding accuracy and complianceFocuses on billing processes and claims management

Radv Coding primarily involves assigning accurate medical codes for radiology procedures, ensuring compliance and reimbursement. Medical Billing Specialists handle the billing process, submitting claims and managing payments. While both roles work closely within healthcare revenue cycle management, Radv Coders focus on coding accuracy, whereas Billing Specialists focus on financial transactions.

More about Radv Coding jobs
What cities are hiring for Radv Coding jobs? Cities with the most Radv Coding job openings:
What states have the most Radv Coding jobs? States with the most job openings for Radv Coding jobs include:
What job categories do people searching Radv Coding jobs look for? The top searched job categories for Radv Coding jobs are:
Radv Coding jobs near you
Infographic showing various Radv Coding job openings in the United States as of June 2026, with employment types broken down into 88% Full Time, 9% Part Time, and 3% Contract. Highlights an 81% Physical, 3% Hybrid, and 16% Remote job distribution, with an average salary of $57,391 per year, or $27.6 per hour.

Risk Adjustment Coding Manager

Imh

Broomfield, CO

$38.55 - $59.49/hr

Full-time

Posted 14 days ago

Job description

Job Description:

The Manager of Risk Adjustment Coding is responsible for the oversight of the HCC Coding Analyst team. The manager plays a critical role in development and execution of coding policies and compliance with government regulations.

This position is required to work in a matrixed environment and is responsible for HCC coding activities to support accurate and complete coding within our network provider community. Additional responsibilities including goal setting, business planning and contributing participation in strategic initiatives

Responsibilities to include:

  • Sets team direction, resolves problems and provides guidance to members of team
  • Provides key input to other departments responsible for coding education
  • Works with risk adjustment leadership to develop strategies and processes for all risk adjustment models.
  • Monitor productivity and implement solutions to optimization coding department
  • Quantify ROI on coding products and projects
  • Develops, deploys & monitors coding policies and procedures, standards, best practice models for complete, accurate, consistent and timely coding that results in
  • Conduct HCC coding roundtable discussion as needed
  • Hire, oversight all coding caregivers within team

Manages all aspects of retrospective review process including oversight of third party contracted vendor, chart abstraction projects and compliance oversight

Primary accountable contact for vendor contracts supporting HCC coding including contract negotiation, setting goals, and tracking performance, and analyzing ROI

Develop team metrics that align with organization strategic initiatives and drive performance

Engage staff in problem solving and process improvement activities to ensure use of resources, and optimal, accurate diagnosis HCC capture

Improve monitoring and auditing protocols to ensure internal and vendor compliance with all applicable regulations and risk adjustment data validation audits (RADV). Respond to and oversee CMS Risk Adjustment Data Validation (RADV) audit requests

Responsible for development of competencies for measuring staff performance and implements action plans based on findings of education/reviews

Cultivates and maintains partnerships and collaborations with internal and external business partners

Minimum Qualifications

  • Certified Coding certification through AHIIMA or AAPC
  • Demonstrated risk adjustment coding experience
  • Demonstrated experience in HCC coding

Preferred Qualifications

  • Previous managerial experience
  • Bachelor's degree
  • Demonstrated experience in a Leadership role

Physical Requirements

To see the physical requirements needed to perform the essential functions of this job, please click here.

Location:

Broomfield Clinic

Work City:

Broomfield

Work State:

Colorado

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$38.55 - $59.49

We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

At Intermountain Health, we usethe artificial intelligence ("AI") platform, HiredScore to improve your job application experience.HiredScore helps match your skills and experiences to the best jobs for you. WhileHiredScore assists in reviewing applications, all final decisions are made byIntermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.

Apply