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Risk Adjustment Coding Jobs in Virginia (NOW HIRING)

Senior Health Data Analyst

Tysons, VA · On-site

$92K - $158K/yr

... to risk adjustment. Ultimately, success in this role comes from a combination of a passion for ... of coding skills). * 1-3 years' experience in federal consulting. * 3 years analyzing healthcare ...

Senior Health Data Analyst

Tysons, VA · On-site

$92K - $158K/yr

... to risk adjustment. Ultimately, success in this role comes from a combination of a passion for ... of coding skills). * 1-3 years' experience in federal consulting. * 3 years analyzing healthcare ...

Undertaking robust risk assessments based on limited or emerging information, ensuring defensible ... Reasonable Adjustments: If you consider yourself to have a disability or require any reasonable ...

Apply professional judgement to balance choice, control, risk, and protection. * Work effectively ... Reasonable Adjustments: If you consider yourself to have a disability or require any reasonable ...

... code review, and security testing - Experience in identifying security risks in AI applications - Experience in using or developing AI tooling for risk assessment and enabling organizations to make ...

Conduct safeguarding checks and risk assessments within family court proceedings. * Gather ... Reasonable Adjustments: If you consider yourself to have a disability or require any reasonable ...

... code changes, architectural improvements, and control adjustments. Stay current with attacker ... Experience writing reports that clearly demonstrate vulnerability risk, business impact, and ...

... code changes, architectural improvements, and control adjustments. * Stay current with attacker ... Experience writing reports that clearly demonstrate vulnerability risk, business impact, and ...

... code changes, architectural improvements, and control adjustments. * Stay current with attacker ... Experience writing reports that clearly demonstrate vulnerability risk, business impact, and ...

Showing results 41-60

Risk Adjustment Coding information

See Virginia salary details

$16

$29

$70

How much do risk adjustment coding jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for risk adjustment coding in Virginia is $29.04, according to ZipRecruiter salary data. Most workers in this role earn between $21.68 and $28.85 per hour, depending on experience, location, and employer.

How long does it take to become a risk adjustment coder?

Becoming a risk adjustment coder typically requires completing a specialized training program or certification, which can take from a few months up to a year. Many professionals also pursue coding certifications such as CPC or CCS to enhance their skills and job prospects, with some gaining experience through on-the-job training during this period.

What is risk adjustment coding?

Risk adjustment coding is the process of assigning standardized diagnosis codes to patient records to accurately reflect their health status and predict future healthcare costs. These codes are used by health plans and government programs to adjust payments based on the complexity and severity of patient conditions. Proper risk adjustment coding ensures fair reimbursement and supports quality care management by identifying high-risk patients who may require additional resources.

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

AspectRisk Adjustment CodingMedical Coding
CredentialsCPR, CPC, or CCS certifications often preferredCPR, CPC, or CCS certifications
Work EnvironmentHealthcare facilities, insurance companies, remoteHospitals, clinics, physician offices
Industry UsageHealth plans, risk adjustment programsGeneral healthcare billing and documentation

Risk Adjustment Coding focuses on assigning codes that predict healthcare costs and risk for insurance purposes, often requiring understanding of patient risk factors. Medical Coding covers a broader range of diagnoses and procedures for billing and documentation. While both roles require similar certifications, their work environments and industry applications differ significantly.

What do risk adjustment coders do?

Risk adjustment coders review and assign medical codes to patient records to accurately reflect diagnoses and health conditions, which are used to calculate risk scores for insurance reimbursement and quality measurement. They ensure coding accuracy and compliance with industry standards, often using coding tools and guidelines such as ICD-10 and CPT. Attention to detail and knowledge of medical documentation are essential for this role.

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, certifications, and location. Entry-level positions may start around $45,000, while experienced coders with certifications like CPC or CCS can earn over $80,000. The role often requires knowledge of medical coding systems and familiarity with healthcare data analysis.

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

To thrive as a Risk Adjustment Coder, you need a solid understanding of medical coding, healthcare regulations, and anatomy, typically supported by certification such as CPC or CRC. Familiarity with coding software, EHR systems, and risk adjustment models like HCC or CMS-HCC is crucial. Attention to detail, analytical thinking, and effective communication are standout soft skills for this role. These skills ensure accurate coding, compliance, and optimized reimbursement, which are vital for healthcare organizations' financial and regulatory success.

What are some common challenges faced by professionals in risk adjustment coding, and how can they be managed?

Risk adjustment coders often encounter challenges such as keeping up with frequent updates to coding guidelines, ensuring complete and accurate documentation, and managing high volumes of medical records. To address these challenges, effective time management, continuous education on coding standards (like ICD-10-CM), and regular communication with healthcare providers are essential. Many coders also rely on auditing tools and ongoing feedback from team leads to improve accuracy and compliance, fostering a collaborative and supportive work environment.
What are the most commonly searched types of Risk Adjustment Coding jobs in Virginia? The most popular types of Risk Adjustment Coding jobs in Virginia are:
What job categories do people searching Risk Adjustment Coding jobs in Virginia look for? The top searched job categories for Risk Adjustment Coding jobs in Virginia are:
What cities in Virginia are hiring for Risk Adjustment Coding jobs? Cities in Virginia with the most Risk Adjustment Coding job openings:
Infographic showing various Risk Adjustment Coding 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 $60,397 per year, or $29 per hour.

Senior Health Data Analyst

LMI

Tysons, VA • On-site

$92K - $158K/yr

Full-time

Re-posted 25 days ago


Job description

Overview

LMI is a new breed of digital solutions provider dedicated to accelerating government impact with innovation and speed. Investing in technology and prototypes ahead of need, LMI brings commercial-grade platforms and mission-ready AI to federal agencies at commercial speed.

Leveraging our mission-ready technology and solutions, proven expertise in federal deployment, and strategic relationships, we enhance outcomes for the government, efficiently and effectively. With a focus on agility and collaboration, LMI serves the defense, space, healthcare, and energy sectors-helping agencies navigate complexity and outpace change. Headquartered in Tysons, Virginia, LMI is committed to delivering impactful results that strengthen missions and drive lasting value.

Responsibilities

LMI is seeking a skilled Senior Health Policy Data Analyst at our headquarters office in Tysons VA. Successful Senior Health Policy Data Analyst demonstrate competency in health data analysis, health policy, project execution, critical thinking, and relationship managementwhile upholding the highest standard of ethical behavior.

The successful applicant will become part of an analytical team that supports public health systems management projects with a primary focus on Medicare and Medicare Advantage. He/She will use strong data analysis skills (e.g., SAS/SQL/Python/Excel) to produce reports and insights that inform Medicare and Medicare Advantage policy including related to risk adjustment.

Ultimately, success in this role comes from a combination of a passion for healthcare policy, exceptional attention to detail and accuracy, top-notch data analysis and presentation skills, commitment to cross-functional teamwork, an outstanding client service ethic and a desire to consistently improve in an organization that is dedicated to excellence. Each day may require the candidate to:

  • Understand complex and organization-specific datasets;
  • Perform analyses to answer routine and ad hoc questions about health systems, population health and regulatory compliance and be able to explain the significance of those analyses to non-technical stakeholders;
  • Learn and apply relevant federal policy and regulations to data analysis;
  • Develop and improve standard operating procedures; and
  • Communicate with systems development experts to design tools and applications to automate the fulfillment of repeat requests;
  • Demonstrate a strong commitment to excellence.
Qualifications

Minimum Qualifications

  • Bachelor's Degree
  • 5 years' experience writing automated processes in SAS and/or SQL, Python or similar language. (Applicant may be required to perform demonstration of coding skills).
  • 1-3 years' experience in federal consulting.
  • 3 years analyzing healthcare plan data including claims and utilization data, MA and Part D plan bids, plan payments, and/or risk scores.
  • 3-5 years' experience in data analysis and reporting in client-facing role.
  • Strong Microsoft Office (Excel, PPT) skills required. Applicant may be required to perform demonstration of Excel or analytical skills.
  • Superior communication and writing skills on technical subjects. Ability to provide narrative context of data analysis to a non-technical audience.
  • Ability to absorb large amounts of new technical and policy knowledge without a lot of guidance.
  • Demonstrated Strong interest in health policy.
  • Experience producing high quality analytical deliverables with both short-term (i.e., 1 hour) and longer-term (i.e., 1+ months) lead times.
  • Demonstrated commitment to delivering outstanding products and service that meet or exceed our client's expectations.
  • Ability to multi-task between complex projects during seasonal peak periods

Preferred Qualifications

  • Master's Degree
  • Experience with audits, compliance, or monitoring
  • Experience communicating business requirements to system development experts
  • 3-5 years of experience analyzing any of the following (claims/encounter data, enrollment, quality and /or provider data) for the Medicare program
  • 3-5 years of experience in federal consulting in an analytic role
  • Experience migrating large SAS programs to Python

Target Salary Range: $92,000 - $158,000

Disclaimer: 

The salary range displayed represents the typical salary range for this position and is not a guarantee of compensation. Individual salaries are determined by various factors including, but not limited to location, internal equity, business considerations, client contract requirements, and candidate qualifications, such as education, experience, skills, and security clearances. 

 Job LocationsUS-VA-TysonsEmployment Type: OTHER