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Risk Adjustment Coder Jobs in Virginia (NOW HIRING)

Inpatient Coder

Richmond, VA · On-site +1

$20 - $24.25/hr

The primary responsibility of the DRG Coder is to analyze third party coding audits of paid claims, draft detailed appeal letters, evaluate clinical level of care and review denial trends. Key ...

Inpatient Coder

Richmond, VA · On-site

$24.80 - $37.20/hr

The primary responsibility of the DRG Coder is to analyze third party coding audits of paid claims, draft detailed appeal letters, evaluate clinical level of care and review denial trends. Key ...

Inpatient Coder

Richmond, VA · On-site

$60 - $90/hr

Utilizes 3M Encoder to code and classify inpatient and/or outpatient records according to ICD-10. Responsible and accountable for maintaining performance skills. Key Responsibilities include:

New

Coder II (Remote)

Fishersville, VA · On-site

$48 - $73/hr

Generates coding queries to physicians to clarify patient condition(s) when conflicting or ambiguous information is reflected in the patient record. Understands their role in quality performance ...

The Coder Reviewer position is responsible for supporting and conducting reviews and determinations for independent dispute resolutions at both the Federal and State levels. Subject matter expert in ...

Certified Coder RMG

Newport, VA · Remote

$23 - $29.90/hr

Assigns diagnostic and procedure codes to simple record types up to highly complex record types. Contributes to the proper management of health information through consistent and accurate code ...

Coder II (Remote)

Fishersville, VA · On-site +1

$19 - $25.25/hr

Job Summary The Coder II, under the direction of the Health Information Management Director and the Coding Manager, follows all regulatory guidelines in the reporting and sequencing of ICD-10-CM ...

Coder II (Remote)

Fishersville, VA · On-site +1

$23.02 - $35.22/hr

Job Summary The Coder II, under the direction of the Health Information Management Director and the Coding Manager, follows all regulatory guidelines in the reporting and sequencing of ICD-10-CM ...

Certified Medical Coder

Mclean, VA · On-site

$55 - $75/hr

Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-9-CM and CPT-4 coding conventions. * Sequence the diagnoses and procedures using ...

New

Showing results 41-60

Risk Adjustment Coder information

See Virginia salary details

$15

$27

$43

How much do risk adjustment coder jobs pay per hour?

As of Sep 3, 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 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 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.

How much do risk adjustment coders make in the US?

Risk adjustment coders in the US typically earn between $50,000 and $75,000 annually, depending on experience, certification, and location. Experienced coders with certifications like CPC or CCS may earn higher salaries, especially in healthcare hubs or with specialized skills in coding software and compliance.

How to become a risk adjustment coder?

To become a risk adjustment coder, individuals typically need a high school diploma or equivalent, followed by specialized training in medical coding and risk adjustment principles. Certification through organizations like the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA) is often required or preferred, and proficiency with coding tools and medical record review is essential.

Is risk adjustment coding a good career?

Risk adjustment coding is a growing field within healthcare that involves reviewing medical records and assigning codes to accurately reflect patient health status for insurance purposes. It requires knowledge of medical terminology, coding systems like ICD-10, and often certification such as CPC, making it a stable career with opportunities for advancement and specialization.

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 74% Full Time, 15% Part Time, and 11% Contract. Highlights an 77% In-person, and 23% Remote job distribution, with an average salary of $56,691 per year, or $27.3 per hour.

Inpatient Coder

UHS

Richmond, VA • On-site, Remote

$20 - $24.25/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 2 days ago


Universal Health Services rating

6.9

Company rating: 6.9 out of 10

Based on 254 frontline employees who took The Breakroom Quiz

454th of 898 rated healthcare providers


Job description

Responsibilities

Atlantic Region CBO:

The Atlantic Region Central Billing Office (“ARCBO”) or (“CBO”) provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals.

https://jobs.uhs.com/atlantic-region-cbo

The Atlantic Region CBO is seeking a dynamic and talented Inpatient Coder for our Appeals department.

The primary responsibility of the DRG Coder is to analyze third party coding audits of paid claims, draft detailed appeal letters, evaluate clinical level of care and review denial trends.

Key Responsibilities include:

  • Perform DRG (Diagnosis Related Group) validation reviews in response to audits from third party payers.
  • Review audit findings letters from third party payers to obtain a clear understanding of audited diagnosis codes and underlying payer clinical / coding rationale.
  • Analyze medical records to obtain supporting clinical documentation for billed diagnosis codes.
  • Write detailed appeal letters based on clinical findings to third party payers to prevent downgrade payment recoveries. 
  • Make decision to update DRGs or remote or add to billed diagnose codes based on clinical reviews
  • Assign DRG audits to nurse auditors when coding audit is based on clinical criteria.
  • Provide analysis and assistance as needed to the appeals department.
  • Assist customer service with patient complaints related to coding issues on their medical bills.
  • Provide a detailed charge/coding breakdown to assist with medical claims that need to be split billed based on various clinical scenarios.
  • Manage multiple spreadsheets including DRG inventory and inventory returned from vendors.
  • Maintain educational guidebooks for multiple department workflows. 
  • Assist with drafting and maintaining appeal letter templates.
  • Identify audit trends and provide feedback to management and to UHS acute care facilities. 
  • Adherence to all applicable laws, regulations and guidelines.
  • Other duties as assigned.

Benefit & Rewards Highlights:

  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • SoFi Student Loan Refinancing Program
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • Pet Insurance
  • More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services:

Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation’s largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom. www.uhs.com. 

From Fortune, ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license. 


Qualifications

Position Requirements:

  • High school diploma or equivalent
  • Professional coding certification (CCA, CCS, CCS-P, CPC, RHIT, RHIA (One required))
  • IP DRG experience
  • 1-3 years coding experience, 3-5 years (preferred)
  • Strong Microsoft Office skills (Excel, Word, Outlook)
  • An understanding of anatomy, physiology, pharmacology, microbiology and medical terminology is required.
  • Familiarity with appeals and 1-3 years of healthcare business office experience preferred

EEO Statement:

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Avoid and Report Recruitment Scams:

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

  •  
Qualifications:

Position Requirements:

  • High school diploma or equivalent
  • Professional coding certification (CCA, CCS, CCS-P, CPC, RHIT, RHIA (One required))
  • IP DRG experience
  • 1-3 years coding experience, 3-5 years (preferred)
  • Strong Microsoft Office skills (Excel, Word, Outlook)
  • An understanding of anatomy, physiology, pharmacology, microbiology and medical terminology is required.
  • Familiarity with appeals and 1-3 years of healthcare business office experience preferred

EEO Statement:

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Avoid and Report Recruitment Scams:

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

  •  
Education:UNAVAILABLEEmployment Type: FULL_TIME

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US