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Risk Adjustment Coder Jobs in Virginia (NOW HIRING)

Senior Professional Coder

Broadway, VA · Remote

$64K - $97K/yr

Act as an expert for the HCC/Risk adjustment coding. This position is remote but does require onsite education to providers as needed. Essential Duties and Responsibilities * Review, analyze, and ...

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Risk Adjustment Coder information

See Virginia salary details

$15

$27

$43

How much do risk adjustment coder jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for risk adjustment coder in Virginia is $27.26, according to ZipRecruiter salary data. Most workers in this role earn between $18.85 and $34.33 per hour, depending on experience, location, and employer.

What is the difference between Risk Adjustment Coder vs Medical Coder?

AspectRisk Adjustment CoderMedical Coder
CertificationsCPR, RHIT, CCS, or CPC often preferredCCS, CPC, or CPC-H
Work EnvironmentHealthcare facilities, insurance companies, remoteHospitals, clinics, physician offices
Industry UsageHealth plans, risk adjustment programsGeneral medical billing and coding

Both Risk Adjustment Coders and Medical Coders require similar certifications and work in healthcare settings. However, Risk Adjustment Coders focus on coding for risk adjustment models used by insurance companies, while Medical Coders handle broader medical billing and coding tasks. Understanding these differences helps professionals choose the right career path and employers.

What is a risk adjustment coder?

Risk Adjustment Coders are healthcare professionals who review and analyze patient medical records to ensure accurate coding of diagnoses and procedures for risk adjustment purposes. Their work is crucial for health plans and providers, as it affects reimbursement rates and compliance with government programs like Medicare Advantage and the Affordable Care Act. These coders use specialized knowledge of coding systems, such as ICD-10, to assign appropriate codes that reflect patients’ health status and help organizations receive proper funding for patient care.

What are the key skills and qualifications needed to thrive as a risk adjustment coder, and why are they important?

To thrive as a Risk Adjustment Coder, you need a solid understanding of medical coding (especially ICD-10-CM), healthcare regulations, and risk adjustment methodologies, typically supported by certifications like CRC or CPC. Proficiency with coding software, electronic health records (EHR) systems, and auditing tools is essential. Attention to detail, analytical thinking, and strong organizational skills set top performers apart in this role. These competencies ensure accurate coding, compliance, and optimal reimbursement for healthcare organizations.

What are some common challenges faced by risk adjustment coders, and how can they be overcome?

Risk Adjustment Coders often encounter challenges such as interpreting complex medical documentation and ensuring accurate code assignment to reflect patient risk profiles. Keeping up with frequent updates to coding guidelines and payer requirements can also be demanding. To overcome these challenges, coders should engage in continuous education, actively participate in team discussions to clarify ambiguities, and utilize available coding resources or auditing tools. Strong communication with providers and attention to detail are key to maintaining compliance and high-quality coding standards.
What are the most commonly searched types of Risk Adjustment Coder jobs in Virginia? The most popular types of Risk Adjustment Coder jobs in Virginia are:
What cities in Virginia are hiring for Risk Adjustment Coder jobs? Cities in Virginia with the most Risk Adjustment Coder job openings:
Infographic showing various Risk Adjustment Coder job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, and 4% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $56,691 per year, or $27.3 per hour.

Senior Medical Coder & Team Lead - Remote

100 Albany Med Health System

Broadway, VA • Remote

$18.25 - $23.25/hr

Full-time

Posted 3 days ago

New


Job description

The Senior Professional Coder position at Albany Med Health System oversees professional fee coding and serves as a team lead in the service line. The role requires advanced coding skills and collaboration to ensure timely completion of coding workflows. While the job is remote, onsite education to providers is required as needed. Strong knowledge of CPT/ICD-10, CMS rules, and risk adjustment coding is essential, with leadership duties in daily operations and audits. #J-18808-Ljbffr