1

Radv Coding Jobs (NOW HIRING)

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 ...

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 ...

Medical Billing Coder

Wellesley, MA ยท 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 ...

Senior Medical Coder

Baltimore, MD ยท 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 ...

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 ...

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

Radv Coding information

See salary details

$29K

$57.4K

$80.5K

How much do radv coding jobs pay per year?

As of Jul 28, 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:
Infographic showing various Radv Coding job openings in the United States as of July 2026, with employment types broken down into 85% Full Time, 11% Part Time, 1% Temporary, and 3% Contract. Highlights an 78% Physical, 4% Hybrid, and 18% Remote job distribution, with an average salary of $57,391 per year, or $27.6 per hour.
Risk Adjustment Coding Auditor

Risk Adjustment Coding Auditor

ClinDCast LLC

Albany, NY โ€ข Remote

$30 - $35/hr

Full-time

Posted 15 days ago


Job description

Job Summary:
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 be CPC and CRC certified with strong risk adjustment coding expertise and proficiency in Microsoft Office Suite.
Required Skills:
8+ years of Risk Adjustment coding and auditing experience
Experience supporting CMS RADV first- and second-pass audits
Active CPC (Certified Professional Coder) certification
Active CRC (Certified Risk Adjustment Coder) certification
Proficiency in Microsoft Office Suite (Excel, Word, Outlook)

This is a remote position.


ClinDCast logo

About ClinDCast

Sourced by ZipRecruiter

ClinDCast is at the forefront of shaping the future of healthcare by partnering with globally recognized healthcare organizations and offering them innovative solutions and expert guidance. Our suite of services is designed to cater to a broad range of needs of healthcare organizations, including healthcare IT innovation, electronic health record (EHR) implementation & optimizations, data conversion, regulatory and quality reporting, enterprise data analytics, FHIR interoperability strategy, payer-to-payer data exchange, and application programming interface (API) strategy. With 15+ Years Of Healthcare IT Industry Experience, ClinDCast Is A Trusted Partner For Payers, Providers, And Lifesciences Organizations, Enabling Them To Deliver Exceptional Product And Solutions For Their Customers.

Industry

Health care and social assistance

Company size

11 - 50 Employees

Headquarters location

Wesley Chapel, FL, US

Social media