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Radv Coding Jobs (NOW HIRING)

TEKsystems

Risk Adjustment Coding Auditor

Phoenix, AZ · Remote

$32 - $37/hr

Risk Adjustment Data Validation (RADV) experience. * CPMA or additional coding credentials. * Experience with NLP (Natural Language Processing) software. * RHIT or RHIA certification combined with ...

Dahl Consulting

Risk Adjustment Coding Auditor

$35 - $38/hr

Prior RADV experience. * CPMA or other coding credentials. Benefits Dahl Consulting is proud to offer a comprehensive benefits package to eligible employees that will allow you to choose the best ...

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 ...

TEKsystems

Risk Adjustment Coding Auditor

Saint Louis, MO · Remote

$32 - $37/hr

Prior RADV experience * CPMA or other coding credentials * NLP Software experience Job Type & Location This is a Contract position based out of St. Louis, MO. Pay and Benefits The pay range for this ...

Harris Health System

Risk Adjustment Coder II

Houston, TX · On-site

$18 - $23.75/hr

Ensure coding compliance by following the Official Coding Guidelines, HHS-RADV Protocols, and attending REGTAP calls. Stay current with coding standards, risk adjustment methodologies, and CMS ...

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Radv Coding information

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$29K

$57.4K

$80.5K

How much do radv coding jobs pay per year?

As of Aug 19, 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 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 skills and qualifications are needed to thrive as a RADV coder?

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 are common challenges faced by a RADV coder, and how can they be 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.

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What cities are hiring for Radv Coding jobs?

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Radv Coding jobs near you
Infographic showing various Radv Coding job openings in the United States as of August 2026, with employment types broken down into 1% Internship, 1% As Needed, 82% Full Time, 11% Part Time, and 5% Contract. Highlights an 75% Physical, 5% Hybrid, and 20% Remote job distribution, with an average salary of $57,391 per year, or $27.6 per hour.

Coding Support Specialist - Summit Medical Group

SUMMIT MEDICAL GROUP OPERATIONS LLC

Knoxville, TN

Full-time

Posted 8 days ago

Job description

Summit Medical Group is seeking Risk Adjustment Coding Support Specialist to perform a comprehensive documentation review of the outpatient Progress Notes for assigning the appropriate ICD-10 diagnosis codes for accuracy of disease burden. This is a full time opportunity in the KNOXVILLE, TN area due to onsite requirements.

Examples of Duties (List does not include all duties assigned)

  • Review of clinical documentation in the progress note for accuracy of diagnosis coding to the highest level of specificity in a timely and efficient manner.
  • Through progress note and electronic health record reviews, accurately correct/assign diagnosis codes to ensure ICD diagnosis coding and clinical
    documentation criteria, rules and guidelines have been met in accordance with policy.
  • Through progress note reviews, identify, and report trends observed for educational opportunities in clinical documentation specificity, diagnosis coding to the highest specificity in addition to reporting any documentation trending, provider feedback and/or communications for improvements, training, and educational opportunities for staff and/or providers.
  • Maintain continuous, effective, positive, and appropriate communication as a way to prevent risk for the organization.
  • Desire to read clinical documentation to accurately assign diagnosis code specificity for severity of illness to report disease burden to CMS via diagnosis codes meeting all documentation requirements as part of risk mitigation and risk prevention.
  • Actively participate in all applicable meetings, webinars and or communications as a way to remain updated on any diagnosis coding rules and/or documentation changes from appropriate credible sources for accurate diagnosis coding and clinical documentation rules in addition to independently seeking CEU’s if needed to maintain credentials with the AAPC/AHIMA.
  • Actively participates in site-level Quality Improvement Activities. Each employee will contribute to the continual evaluation site performance as well as the implementation and measurement of improvement activities that increase the quality of care provided to patients.
  • Take accountability as a certified professional to review all clinical documentationethically and thoroughly within the progress note(s) using all applicable tools and
    communications for capture of full disease burden.

Education

Associates degree, bachelors preferred with completion of college/accreditation level coursework in ICD-9-CM, ICD-10-CM and CPT coding, anatomy and physiology, and medical terminology.

Experience

• Experience with CMS Medicare Advantage Risk Adjustment Data Validation and HCC coding desired
• ICD-10 diagnosis coding experience in chart/progress note review.
• Risk adjustment, clinical documentation review for accuracy of diagnosis code assignment from a single code to several codes
• Health plan Risk Adjustment processes and system experience for CMS RADV and risk score assignment and acceptance are helpful.
• Must have proficient computer skills.

Certification/License

• Must hold a current credential for one of the following: RHIA, RHIT CCS, CCS-P, CPC, CPC-H, and/or CRC. If not CRC certified, you must attain the certification within the first year of your employment date.
• AHIMA/AAPC Certified Professional: Certification must be maintained by fulfilling the continuing education requirements and submitting current proof.