ZipRecruiter

Log In

1

Senior Hcc Risk Adjustment Coder Jobs in Roanoke, VA

Riverside

Compliance Analyst RMG

Newport, VA · Remote

$57K - $78K/yr

Overview Primary responsibility is to independently perform clinical chart reviews, risk adjustment audits, payor audits, coding analysis, charge/reimbursement analysis, medical records reviews, and ...

AECOM

Senior Electrical Engineer

Roanoke, VA · On-site

$105K - $137K/yr

... risk assessment, and arc flash analyses. * Develop lighting designs and photometric analyses ... Ensure designs are implemented in accordance with contract documents, codes, and applicable ...

AECOM

Senior Electrical Engineer

Roanoke, VA · On-site

$105K - $137K/yr

... risk assessment, and arc flash analyses. * Develop lighting designs and photometric analyses ... Ensure designs are implemented in accordance with contract documents, codes, and applicable ...

next page

Showing results 1-20

All JobsHcc Risk Adjustment Coder JobsSenior Hcc Risk Adjustment Coder JobsSenior Hcc Risk Adjustment Coder Jobs in Roanoke, VA

Senior Hcc Risk Adjustment Coder information

See Roanoke, VA salary details

$16

$28

$69

How much do senior hcc risk adjustment coder jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for senior hcc risk adjustment coder in Roanoke, VA is $28.74, according to ZipRecruiter salary data. Most workers in this role earn between $21.44 and $28.56 per hour, depending on experience, location, and employer.

What does a Senior HCC Risk Adjustment Coder do?

A Senior HCC Risk Adjustment Coder reviews medical records and assigns appropriate ICD-10 codes to ensure accurate risk adjustment for healthcare organizations. Their work supports proper reimbursement and compliance by identifying and coding Hierarchical Condition Categories (HCCs) based on clinical documentation. Senior coders typically have advanced knowledge of coding guidelines, risk adjustment models, and relevant regulations such as Medicare Advantage requirements. They may also audit coding work, provide training, and help implement best practices within their teams.

What are the key skills and qualifications needed to thrive as a Senior HCC Risk Adjustment Coder?

To thrive as a Senior HCC Risk Adjustment Coder, you need in-depth knowledge of ICD-10-CM coding, risk adjustment methodologies, and a relevant credential such as CPC, CRC, or CCS. Familiarity with coding software, EHR systems, and risk adjustment analytics platforms is essential. Attention to detail, analytical thinking, and strong communication skills distinguish top performers in this role. These skills ensure accurate documentation and coding, directly impacting healthcare organizations' compliance and financial outcomes.

What are some common challenges faced by Senior HCC Risk Adjustment Coders, and how can they be addressed?

Senior HCC Risk Adjustment Coders often encounter challenges such as keeping up with frequent coding guideline updates, navigating complex electronic health record systems, and ensuring accurate documentation to support risk adjustment scores. To address these, staying current with industry training and certification requirements is essential, as is developing strong communication skills to collaborate effectively with providers and other coding professionals. Regular auditing and feedback can also help maintain high accuracy and compliance, contributing to both individual and team success.
Senior Hcc Risk Adjustment Coder jobs near you

Quality and Value Based Performance Medical Director (Physician) - Riverside Medical Group - Newp...

Riverside Health System Providers

Newport, VA

$233K - $302K/yr

Full-time

Re-posted 8 days ago

Job description

As a provider with Riverside Health Medical Group, you would join a team of providers who are respected leaders and part of our collaborative care delivery team. Our providers care for our patients as if they are those they love. Our core values are built into our provider compact that outlines our dedication to our patients as our first priority. Our providers encourage patient involvement, embrace change, and take ownership in the success of the team and the organization. If that resonates with you, we would like to speak to you.

Hiring Range: $233,000.00 - $302,000.00

Actual pay depends on specialty, experience, and performance

Riverside Medical Group is currently seeking a Quality and Value Based Performance Medical Director (Physician) to join our team at Riverside Medical Group in Newport News, Virginia

In this role:

The Quality and Value Based Performance Medical Director provide physician leadership for value-based care initiatives across all payers. This role focuses on improving quality, outcomes, utilization, and financial performance through data-driven strategies, collaboration with clinical and operational leaders, and engagement with payer partners.

To perform this job successfully, an individual must be able to perform each essential job function. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential job functions.

Essential Job Functions:

  • Lead and support value-based performance initiatives across payer programs, including MSSP and commercial arrangements.
  • Monitor and analyze key performance indicators and develop improvement strategies.
  • Collaborate with physicians, advanced practice providers, service line leaders, and quality leadership.
  • Develop and implement population health dashboards, scorecards, and reporting tools. Standardize clinical workflows and protocols to improve quality and efficiency.
  • Standardize clinical workflows and protocols to improve quality and efficiency.
  • Review payer performance reports and conduct regular performance reviews with providers.
  • Serve as Medical Director of the ACO and participate in ACO management activities
  • Participate in payer meetings, Close the Gap initiatives, and rapid-cycle improvement efforts.
  • Other duties as assigned.

Requirements for Job:

  • Demonstrates leadership behaviors that promote a culture of trusting relationships at all levels within Riverside. Practices inclusion and values diversity. Creates enthusiasm and celebrates successes.
  • Aligns initiatives with strategic goals. Recognizes and acts on opportunities that improve and grow the organization. Identifies goals and motivates team to consistently achieve goals. Proactively monitors key performance indicators and makes real time adjustments.
  • Demonstrates personal accountability of resources. Meets or exceeds annual revenue budget (if applicable). Demonstrate flexibility to increase service access to customers.
  • Responsible for demonstrating the Riverside Care Difference behaviors. Leaders ensure accountability for positive customer experience. Sets and maintains high standards for service. Demonstrates care commitments in all interactions. Anticipates and adapts to customer needs to enhance their experience.
  • Holds self and others accountable for delivering the best outcomes possible by communicating quality and safety goals, promoting and complying with evidence-based practices, cross checking, coaching, encouraging safe behaviors and by fostering a culture that is fair and just. Seeks to provide the best quality care/service within the department(s).
  • Demonstrates responsibility and engagement by completing leadership requirements on time. Meets department and system deadlines (i.e. deadlines for budget process, evaluation process, etc.). Makes and keeps commitments. Effectively cascades communications to team members in a timely manner. Compliant with communication tracker.

Skills Requirements:

  • Knowledge of EPIC workflows supporting value-based performance.
  • Competency in HCC risk coding and population stratification.
  • Strong communication, collaboration, and change management skills.
  • Understanding of medical loss ratios and payer cost structures.

Educational Requirements:

  • Doctor of Medicine or Doctor of Osteopathic Medicine
    • Family Medicine Certification (FMC) - American Board of Family Medicine (ABFM)
    • American Board Emergency Medicine - American Board of Emergency Medicine (ABEM)
    • Internal Medicine - American Board of Internal Medicine (ABIM)
    • American Board Emergency Medicine - American Board of Emergency Medicine (ABEM)
    • General Pediatrics - American Board of Pediatrics (ABP)

Certification(s) and License(s):

  • Licensed Medical Doctor - State of Virginia
  • Board Certified
  • Current DEA registration

Work Experience:

  • 10 years' experience in value-based payment models including MSSP and commercial payers. -Required
  • Please note: Visa sponsorship is not available for this position. Candidates must be authorized to work in the United States without sponsorship.

What Sets You Apart

  • Commitment to safety and quality
  • Passion for patient care and community health
  • Strong communication and interpersonal skills
  • Commitment to evidence-based medicine and learning
  • Collaborative, team approach

🧩 Who We Are: Our Provider Compact

Our Mission: To care for others as we would care for those we love - to enhance their wellbeing and improve their health.

Our Guiding Principles: Patients First | Pursue Excellence | Stronger Together

Our Compact:

  • We are resolute in our commitment to safety and quality
  • We listen with empathy and communicate constructively
  • We collaborate with a spirit of collegiality and mutual respect
  • We are educators, mentors, and lifelong learners

Why Riverside?

At Riverside,we care for others as we care for those we love.Our culture is built on clinical excellence, joy in practice, and meaningful community impact.

Learn More

Explore Riverside Medical Group and discover why we're the perfect place to grow your career:
Riverside Medical Group - Provider Recruitment -https://www.riversideonline.com/provider-recruitment/riverside-medical-group#

Company Overview:

Why Join Riverside?

Riverside Health System is a trusted community partner, known for its commitment to excellence in healthcare. We offer a supportive work environment, competitive compensation, and opportunities for professional growth.

Live Where Others Vacation:

Enjoy life incoastal Virginia, where charming communities, rich history, and scenic beauty meet. Whether it's waterfront living, cultural attractions, or top-rated schools-you'll find your perfect balance here.

Community Overview: https://riversidehealthsystem.box.com/s/ag9d6g1j52czvde9vd7zv8aw1ywkp9a3

What Brings people to Virginia

https://www.planetware.com/tourist-attractions/virginia-usva.htm

Apply