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Radv Jobs (NOW HIRING)

Supports risk adjustment data validation (RADV), medical record retrieval, vendor coding audits, provider engagement, & all risk adjustment ICD-10-CM coding-related activities. Conducts annual risk ...

Support HEDIS Hybrid Reviews, CMS Cost Audits, RADV, Data Validation, and other clinical or audit reviews * Follow established retrieval timelines, protocols, and escalation processes * Identify and ...

Risk Adjustment Coder II

Houston, TX · On-site

$27.69 - $34.61/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 ...

Support HEDIS Hybrid Reviews, CMS Cost Audits, RADV, Data Validation, and other clinical or audit reviews * Follow established retrieval timelines, protocols, and escalation processes * Identify and ...

Showing results 41-60

Radv information

What is a 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 the key skills and qualifications needed to thrive as a radiologic technologist?

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 some common challenges faced by radiologic technologists 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.

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.

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 August 2026, with employment types broken down into 2% As Needed, 92% Full Time, and 6% Contract. Highlights an 60% In-person, 2% Hybrid, and 38% Remote job distribution.

Senior Risk Adjustment Specialist

Viva Health

Birmingham, AL • On-site

$92K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago


Viva Health rating

8.1

Company rating: 8.1 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

159th of 315 rated insurance


Job description

Job Summary
The Senior Risk Adjustment Specialist reviews medical records to ensure all ICD-10-CM codes are accurate and compliant with supportive documentation for submission to the Centers for Medicare and Medicaid Services (CMS). This role is a resource for the Risk Adjustment Specialists and provides subject matter expertise.
Why VIVA HEALTH?
VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health System, is a health maintenance organization providing quality, accessible health care. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys.
VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.
Benefits
  • Comprehensive Health, Vision, and Dental Coverage
  • 401(k) Savings Plan with company match and immediate vesting
  • Paid Time Off (PTO)
  • 9 Paid Holidays annually plus a Floating Holiday to use as you choose
  • Tuition Assistance
  • Flexible Spending Accounts
  • Healthcare Reimbursement Account
  • Paid Parental Leave
  • Community Service Time Off
  • Life Insurance and Disability Coverage
  • Employee Wellness Program
  • Training and Development Programs to develop new skills and reach career goals
  • Employee Assistance Program

See more about the benefits of working at Viva Health - https://www.vivahealth.com/careers/benefits
Key Responsibilities
  • Maintain thorough understanding of the risk-adjusted payment methodology; what can be submitted by the plan and how/when submission impacts CMS payments.
  • Demonstrate knowledge of ICD10 coding guidelines, medical terminology, disease processes, and pharmacology.
  • Interpret and demonstrate analytical and problem-solving ability to accurately assign ICD10 codes that are clinically identified and supported in the medical record.
  • Work with department management to communicate provider coding accuracy concerns and challenges.
  • Ability to identify HCC improvement opportunities and educate clinical providers on proper clinical documentation, compliance, and coding guidelines.
  • Report findings of chart audits and Clinical Documentation Improvement (CDI) opportunities to providers to maximize the coding of ongoing risk adjusted conditions.
  • Query providers when necessary to obtain clarification for unclear documentation.
  • Collaborate with providers regarding coding changes, questions concerning documentation, diagnosis coding, and level of service.
  • Conduct chart reviews to identify clinically supported diagnoses based on CMS-HCCs and specific HEDIS measures.
  • Support any ongoing program that minimizes any organizational risk in the event of a Risk Adjustment Data Validation (RADV) audit.
  • Communicate with Department Management to keep abreast of potential risk exposure related to coding and/or documentation practices by providers and/or coding personnel.
  • Provide support and compliance through effective communication and training/education.
  • Train and mentor new Risk Adjustment Specialists.
  • Assist management with workflow improvements and process optimization.
  • Serve as an escalation point for complex coding questions and issues.
  • Monitor provider coding performance and trends.
  • Evaluate coding practices for regulatory and compliance risk.
  • Support RADV audits, validations, and related projects.

REQUIRED QUALIFICATIONS:
  • High School Diploma or GED
  • At least 5-7 years' experience with coding
  • Certified Coder (AHIMA or AAPC credentials)
  • Read and interpret handwritten and typewritten medical documentation
  • Ability to work under pressure to meet deadlines with minimal supervision
  • Basic computer skills
  • Ability to maintain flexible work schedule to meet department needs required
  • Demonstrate excellent customer service sills through written and verbal communication
  • Demonstrate leadership among coding team

PREFERRED QUALIFICATIONS:
  • 2 or more years of college
  • Experience with hospital coding

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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