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Radv Coding Jobs in Flossmoor, IL (NOW HIRING)

Radv Coding information

See Flossmoor, IL salary details

$27.9K

$55.2K

$77.4K

How much do radv coding jobs pay per year?

As of Jul 31, 2026, the average yearly pay for radv coding in Flossmoor, IL is $55,193.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,200.00 and $64,000.00 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.

What cities near Flossmoor, IL are hiring for Radv Coding jobs? Cities near Flossmoor, IL with the most Radv Coding job openings:
Infographic showing various Radv Coding job openings in Flossmoor, IL as of June 2026, with employment types broken down into 1% As Needed, 86% Full Time, 10% Part Time, and 3% Contract. Highlights an 81% Physical, 4% Hybrid, and 15% Remote job distribution, with an average salary of $55,193 per year, or $26.5 per hour.

Attorney - FCA/Healthcare Fraud Enforcement

Jobot

Chicago, IL

$150K - $400K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago


Job description

This Jobot Job is hosted by: Forrest Mack
Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume.
Salary: $150,000 - $400,000 per year
A bit about us:
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A nationally recognized law firm with deep roots in the healthcare industry, the firm has built a reputation for advising clients on some of the most complex regulatory, litigation, transactional, and compliance matters in the market. Its attorneys represent healthcare providers, health plans, life sciences companies, private equity sponsors, and other industry leaders across a broad range of legal disciplines. Known for its collaborative culture and industry-focused approach, the firm combines sophisticated legal counsel with practical business insight to help clients navigate evolving regulatory environments and high-stakes business challenges. The firm has earned national recognition for its strength in healthcare, government investigations, litigation, corporate transactions, and regulatory counseling, making it a trusted advisor to organizations operating in highly regulated industries.
Why join us?
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Employment Benefits
  • Competitive partner compensation structure based on experience, practice contributions, and portable business.
  • Origination credit and business development incentives.
  • Comprehensive medical, dental, and vision insurance.
  • Health Savings Account (HSA) and Flexible Spending Account (FSA) options.
  • 401(k) retirement plan with firm contributions.
  • Life and disability insurance.
  • Generous paid time off and firm-recognized holidays.
  • Paid parental leave and family support benefits.
  • Employee assistance and wellness programs.
  • Professional development, CLE, and bar membership reimbursement.
  • Business development and marketing support.
  • Access to a nationally recognized healthcare, litigation, and regulatory platform.
  • Cross-selling opportunities across healthcare, private equity, litigation, compliance, and corporate practices.
  • Administrative, paralegal, and practice support resources.
  • Opportunities for leadership, mentorship, and practice growth.
  • Hybrid work flexibility, subject to client and business needs.
  • Collaborative, entrepreneurial culture with significant opportunities for advancement.

Job Details
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Qualifications
  • Juris Doctor (J.D.) from an accredited law school.
  • Active membership in good standing with at least one U.S. state bar, Illinois admission preferred or ability to obtain admission.
  • 8+ years of experience representing healthcare organizations, health plans, managed care organizations, healthcare providers, life sciences companies, or other regulated entities in government investigations, enforcement actions, and complex litigation matters.
  • Significant experience handling False Claims Act (FCA) investigations, qui tam litigation, Civil Investigative Demands (CIDs), healthcare fraud matters, and government enforcement proceedings.
  • Demonstrated experience representing clients before the U.S. Department of Justice (DOJ), U.S. Attorney's Offices, Department of Health and Human Services Office of Inspector General (HHS-OIG), Centers for Medicare & Medicaid Services (CMS), state Medicaid agencies, and other federal or state enforcement authorities.
  • Experience conducting internal investigations involving fraud and abuse allegations, reimbursement disputes, billing and coding issues, Anti-Kickback Statute matters, Stark Law compliance, and other healthcare regulatory concerns.
  • Strong litigation background with experience managing all phases of complex commercial, regulatory, or healthcare litigation, including discovery, motion practice, witness preparation, settlement negotiations, and trial strategy.
  • Demonstrated ability to independently manage sophisticated client matters while serving as a trusted advisor to executive leadership teams, boards, and healthcare stakeholders.
  • Proven business development skills and a track record of cultivating and expanding client relationships within the healthcare industry.
  • Portable book of business preferred for partner-level candidates.
  • Excellent written advocacy, oral advocacy, negotiation, and client counseling skills.
  • Ability to collaborate across multidisciplinary legal teams in a fast-paced, client-focused environment.

Preferred Qualifications
  • Former Assistant United States Attorney (AUSA), Department of Justice attorney, HHS-OIG attorney, CMS attorney, or other government enforcement experience.
  • Experience representing hospitals, health systems, physician groups, Medicare Advantage organizations, managed care organizations, pharmacy benefit managers (PBMs), healthcare technology companies, or private equity-backed healthcare platforms.
  • Experience litigating Administrative Procedure Act (APA) challenges involving federal healthcare agencies.
  • Experience handling Medicare Advantage Star Ratings litigation, CMS reimbursement disputes, risk adjustment matters, RADV audits, Medicare payment disputes, or other healthcare regulatory litigation.
  • Experience defending healthcare clients in high-profile government investigations involving alleged fraud, waste, abuse, reimbursement, or compliance issues.
  • Established relationships within the healthcare, managed care, government enforcement, or healthcare regulatory sectors.

Demonstrated leadership experience mentoring attorneys and contributing to practice growth initiatives.
  • Existing network of referral sources, industry contacts, and healthcare executives.

Interested in hearing more? Easy Apply now by clicking the "Apply Now" button.
Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions.
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About Jobot

Sourced by ZipRecruiter

Jobot is a revolutionary Recruiting Rirm that combines the latest in AI technology with our custom software, Jax, and partners it with Jobot Pros experienced recruiters to fill jobs and provide incredible service to our clients and candidates in the process. We are disrupting the Recruiting space and have grown from 0 to over 750 folks in 5 years. Jobot is committed to workplace flexibility. Come join us at the beautiful Jobot House in Newport Beach, CA or work from anywhere in the United States with strong WiFi. We have recruiters in New York, Hawaii and all over the US. We typically fly top performers to California a few times a year to enjoy the weather and celebrate in style.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Irvine, CA, US

Year founded

2018