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Seasonal Hcc Risk Adjustment Coding Jobs in Virginia

Ennoble Care

Actuary

Richmond, VA · Remote

$150/hr

Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models * Experience working with CMS and CMMI total cost of care (ACO) programs * Proven track record ...

LMI

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 ... Ability to multi-task between complex projects during seasonal peak periods Preferred ...

LMI

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 ... Ability to multi-task between complex projects during seasonal peak periods Preferred ...

LMI

Senior Health Data Analyst

Tysons, VA

$92K - $158K/yr

... to risk adjustment. Ultimately, success in this role comes from a combination of a passion for ... Ability to multi-task between complex projects during seasonal peak periods Preferred ...

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All JobsHcc Risk Adjustment Coding JobsSeasonal Hcc Risk Adjustment Coding JobsSeasonal Hcc Risk Adjustment Coding Jobs in Virginia

Seasonal Hcc Risk Adjustment Coding information

What are the most common challenges faced by professionals in seasonal HCC risk adjustment coding roles, and how can they be managed?

Seasonal HCC Risk Adjustment Coders often face the challenge of managing high volumes of medical records within tight deadlines, especially during peak audit or submission periods. Ensuring coding accuracy and compliance with evolving CMS guidelines can also be demanding, as even minor errors may impact reimbursement and risk scores. Staying organized, regularly participating in training updates, and leveraging coding software tools can help manage workloads and maintain accuracy. Collaborating closely with clinical teams and other coders is vital for clarifying documentation and sharing best practices.

What is a seasonal HCC risk adjustment coder?

A Seasonal HCC Risk Adjustment Coder is a healthcare professional who reviews medical records to identify and code diagnoses that impact risk adjustment scores, typically during peak periods such as the Medicare Advantage sweep season. HCC stands for Hierarchical Condition Category, a coding system used by Medicare to predict healthcare costs based on patient diagnoses. These coders ensure accurate documentation, which directly affects insurance reimbursement and compliance. Seasonal roles are common due to the cyclical nature of risk adjustment reporting deadlines.

What is the difference between Seasonal Hcc Risk Adjustment Coding vs Hcc Risk Adjustment Coding?

AspectSeasonal Hcc Risk Adjustment CodingHcc Risk Adjustment Coding
CredentialsCertifications in coding and risk adjustmentCertifications in coding and risk adjustment
Work EnvironmentHealthcare facilities, insurance companies, remoteHealthcare facilities, insurance companies, remote
Industry UsageUsed seasonally for specific risk adjustmentsUsed year-round for ongoing risk management
Search IntentUnderstanding seasonal coding differencesGeneral risk adjustment coding practices

Seasonal Hcc Risk Adjustment Coding focuses on coding practices during specific times of the year, often related to seasonal health trends. In contrast, Hcc Risk Adjustment Coding involves continuous coding to manage patient risk profiles throughout the year. Both roles require similar certifications and work environments but differ mainly in their temporal focus and application.

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

To thrive as a Seasonal HCC Risk Adjustment Coder, you need a strong understanding of ICD-10-CM coding, risk adjustment methodologies, and a certification such as CPC, CRC, or CCS. Proficiency in coding software, electronic health records (EHRs), and risk adjustment platforms is typically required. Attention to detail, analytical thinking, and strong organizational skills help ensure accuracy and compliance in reviewing medical records. These skills are essential to accurately capture patient risk profiles, support healthcare reimbursement, and maintain regulatory compliance.
What are popular job titles related to Seasonal Hcc Risk Adjustment Coding jobs in Virginia? For Seasonal Hcc Risk Adjustment Coding jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Seasonal Hcc Risk Adjustment Coding jobs in Virginia look for? The top searched job categories for Seasonal Hcc Risk Adjustment Coding jobs in Virginia are:
What cities in Virginia are hiring for Seasonal Hcc Risk Adjustment Coding jobs? Cities in Virginia with the most Seasonal Hcc Risk Adjustment Coding job openings:
Seasonal Hcc Risk Adjustment Coding jobs near you
Infographic showing various Seasonal Hcc Risk Adjustment Coding job openings in Virginia as of August 2026, with employment types broken down into 97% Full Time, and 3% Contract. Highlights an 84% In-person, and 16% Remote job distribution.

Medical Director, Quality and Value-Based Performance

Stryker Corporation

Newport News, VA • On-site

$200 - $300/hr

Other

Re-posted 29 days ago

Job description

Medical Director, Quality and Value-Based Performance

Medical Director, Quality and Value-Based Performance Riverside Medical Group – Newport News, Virginia

Riverside Medical Group is seeking a physician leader to serve as Medical Director of Quality and Value-Based Performance. This is a highly visible role focused on advancing value-based care across a growing, integrated health system.

This opportunity offers the ability to shape strategy, influence outcomes, and partner directly with clinical and executive leadership to drive performance across MSSP and commercial value-based arrangements.

About the Role

The Medical Director will provide physician leadership across all value-based initiatives, with a focus on improving quality, outcomes, utilization, and financial performance through data-driven strategies and strong collaboration.

This leader will play a key role in advancing Riverside’s participation in the Medicare Shared Savings Program and other payer programs, while helping standardize care delivery and elevate performance across the organization.

Key Responsibilities
  • Lead value-based performance initiatives across MSSP and commercial payer arrangements
  • Partner with physicians, advanced practice providers, and operational leaders to drive quality and utilization improvement
  • Analyze performance data and develop actionable strategies to improve outcomes and cost of care
  • Oversee development and implementation of population health dashboards and provider scorecards
  • Standardize clinical workflows and evidence-based protocols to enhance efficiency and care quality
  • Serve as Medical Director for ACO initiatives and participate in ACO governance and operations
  • Collaborate with payer partners and lead performance reviews, gap closure efforts, and improvement cycles
What Makes This Role Unique
  • Enterprise-level influence across a respected, physician-led organization
  • Direct impact on clinical quality, financial performance, and patient outcomes
  • Close collaboration with executive leadership and payer partners
  • Opportunity to help shape and scale a mature and evolving value-based care strategy
Qualifications
  • MD or DO, Board Certified in Internal Medicine, Family Medicine, Emergency Medicine, or Pediatrics
  • Eligible for or currently holding a Virginia medical license
  • 10+ years of experience, including meaningful involvement in value-based care models
  • Demonstrated experience with MSSP, ACOs, or other risk-based arrangements
  • Strong understanding of HCC risk adjustment, population health management, and utilization performance
  • Familiarity with payer performance, cost structures, and medical loss ratios
  • Experience working with data, dashboards, and performance reporting tools (Epic preferred)
  • Proven leadership, communication, and change management skills
About Riverside Medical Group

Riverside Medical Group is part of Riverside Health System, a mission-driven, physician-led organization committed to advancing care delivery across the region. With a strong foundation in quality and a growing focus on value-based care, Riverside offers an environment where physician leaders can make a meaningful and lasting impact.

Location

Newport News, Virginia, located in the Hampton Roads region, offers coastal living with access to a broad range of cultural, recreational, and professional amenities.

Interested candidates are encouraged to submit a CV directly to nicole.laroche@rivhs.com

or reach out for a confidential conversation (757) 224-4990.

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