Virginia Beach, VA · On-site
$16.50 - $22/hr
Conducts annual risk assessments, training, monitoring, & auditing, control assessment, reporting ... Coordinates risk adjustment gap elimination with clinical and quality gap elimination Maintains a ...
Virginia Beach, VA · On-site
$16.50 - $22/hr
Conducts annual risk assessments, training, monitoring, & auditing, control assessment, reporting ... Coordinates risk adjustment gap elimination with clinical and quality gap elimination Maintains a ...
Virginia Beach, VA · On-site
$10K/mo
## Risk Adjustment CoderApplyremote type: Hybridlocations: SMG Administrationtime type: Full ... Conducts annual risk assessments, training, monitoring, & auditing, control assessment, reporting ...
Virginia Beach, VA · On-site
$10K/mo
## Risk Adjustment CoderApplyremote type: Hybridlocations: SMG Administrationtime type: Full ... Conducts annual risk assessments, training, monitoring, & auditing, control assessment, reporting ...
Virginia Beach, VA · On-site
$10K/mo
Supports risk adjustment data validation (RADV), medical record retrieval, vendor coding audits ... Conducts annual risk assessments, training, monitoring, & auditing, control assessment, reporting ...
Virginia Beach, VA · On-site
$10K/mo
Supports risk adjustment data validation (RADV), medical record retrieval, vendor coding audits ... Conducts annual risk assessments, training, monitoring, & auditing, control assessment, reporting ...
Virginia Beach, VA · On-site
$143K - $229K/yr
Manage external partnerships with vendors, auditors, regulators, and health care providers ... Deep experience with ACA Risk Adjustment , including HHS-HCC model methodology, risk score ...
Virginia Beach, VA · On-site
$143K - $229K/yr
Manage external partnerships with vendors, auditors, regulators, and health care providers ... Deep experience with ACA Risk Adjustment , including HHS-HCC model methodology, risk score ...
Arlington, VA · On-site
$21.50 - $28.75/hr
... CMS Risk Adjustment guidance - Assign appropriate ICD-10-CM, CPT, and other relevant codes to ... auditing, coding, and documentation requirements - AAPC/CCS CPC certification or AHIMA CCS ...
Arlington, VA · On-site
$21.50 - $28.75/hr
... CMS Risk Adjustment guidance - Assign appropriate ICD-10-CM, CPT, and other relevant codes to ... auditing, coding, and documentation requirements - AAPC/CCS CPC certification or AHIMA CCS ...
Newport, VA · Remote
$57K - $78K/yr
Overview Primary responsibility is to independently perform clinical chart reviews, risk adjustment ... Works in alliance with RHS Internal Auditing. Reports and tracks necessary corrections to ensure ...
Newport, VA · Remote
$57K - $78K/yr
Overview Primary responsibility is to independently perform clinical chart reviews, risk adjustment ... Works in alliance with RHS Internal Auditing. Reports and tracks necessary corrections to ensure ...
Newport, VA · Remote
$57K - $78K/yr
Overview Primary responsibility is to independently perform clinical chart reviews, risk adjustment ... Works in alliance with RHS Internal Auditing. Reports and tracks necessary corrections to ensure ...
Newport, VA · Remote
$57K - $78K/yr
Overview Primary responsibility is to independently perform clinical chart reviews, risk adjustment ... Works in alliance with RHS Internal Auditing. Reports and tracks necessary corrections to ensure ...
Newport News, VA · On-site +1
$57K - $78K/yr
Overview Primary responsibility is to independently perform clinical chart reviews, risk adjustment ... Works in alliance with RHS Internal Auditing. Reports and tracks necessary corrections to ensure ...
Newport News, VA · On-site +1
$57K - $78K/yr
Overview Primary responsibility is to independently perform clinical chart reviews, risk adjustment ... Works in alliance with RHS Internal Auditing. Reports and tracks necessary corrections to ensure ...
King William, VA · On-site
$26.43/hr
You will monitor and operate equipment, lead troubleshooting and make adjustments to provide ... This position will be responsible for reviewing and actively participating in risk assessments.This ...
King William, VA · On-site
$26.43/hr
You will monitor and operate equipment, lead troubleshooting and make adjustments to provide ... This position will be responsible for reviewing and actively participating in risk assessments.This ...
King William, VA · On-site
$26.43/hr
You will monitor and operate equipment, lead troubleshooting and make adjustments to provide ... This position will be responsible for reviewing and actively participating in risk assessments.
King William, VA · On-site
$26.43/hr
You will monitor and operate equipment, lead troubleshooting and make adjustments to provide ... This position will be responsible for reviewing and actively participating in risk assessments.
King William, VA · On-site
$26.43/hr
You will monitor and operate equipment, lead troubleshooting and make adjustments to provide ... This position will be responsible for reviewing and actively participating in risk assessments.
King William, VA · On-site
$26.43/hr
You will monitor and operate equipment, lead troubleshooting and make adjustments to provide ... This position will be responsible for reviewing and actively participating in risk assessments.
... in compliance, auditing, quality assurance, or regulatory affairs - Knowledge of Anti-Money ... If you have a disability and need a workplace accommodation or adjustment during the application ...
... in compliance, auditing, quality assurance, or regulatory affairs - Knowledge of Anti-Money ... If you have a disability and need a workplace accommodation or adjustment during the application ...
... risk, and refine workflow procedures. * (20%) Escrow Analysis & Account Adjustments. Performs ... Assists internal and external auditors during periodic compliance reviews by gathering necessary ...
... risk, and refine workflow procedures. * (20%) Escrow Analysis & Account Adjustments. Performs ... Assists internal and external auditors during periodic compliance reviews by gathering necessary ...
$29.25 - $48/hr
Industry/Sector Not Applicable Specialism Assurance Management Level Intern/Trainee & Summary The ... auditing methodologies - Participating in the review and verification of financial documents to ...
$29.25 - $48/hr
Industry/Sector Not Applicable Specialism Assurance Management Level Intern/Trainee & Summary The ... auditing methodologies - Participating in the review and verification of financial documents to ...
Richmond, VA · On-site
$29.25 - $48/hr
Industry/Sector Not Applicable Specialism Assurance Management Level Intern/Trainee & Summary The ... auditing methodologies - Participating in the review and verification of financial documents to ...
Richmond, VA · On-site
$29.25 - $48/hr
Industry/Sector Not Applicable Specialism Assurance Management Level Intern/Trainee & Summary The ... auditing methodologies - Participating in the review and verification of financial documents to ...
Richmond, VA · On-site
$18 - $19/hr
Trainees will assist in performing changes, adjustments, and repairs onproduction machines ... Minor risk of repetitive motion injuries.* May be subject to extreme cold, heat, and wet or humid ...
Quick apply
Richmond, VA · On-site
$18 - $19/hr
Trainees will assist in performing changes, adjustments, and repairs onproduction machines ... Minor risk of repetitive motion injuries.* May be subject to extreme cold, heat, and wet or humid ...
Richmond, VA · On-site
$18 - $19/hr
Trainees will assist in performing changes, adjustments, and repairs onproduction machines.Examines ... Minor risk of repetitive motion injuries.May be subject to extreme cold, heat, and wet or humid ...
Quick apply
Richmond, VA · On-site
$18 - $19/hr
Trainees will assist in performing changes, adjustments, and repairs onproduction machines.Examines ... Minor risk of repetitive motion injuries.May be subject to extreme cold, heat, and wet or humid ...
Henrico, VA · On-site
$18 - $19/hr
Trainees will assist in performing changes, adjustments, and repairs on production machines ... Minor risk of repetitive motion injuries. * May be subject to extreme cold, heat, and wet or humid ...
Henrico, VA · On-site
$18 - $19/hr
Trainees will assist in performing changes, adjustments, and repairs on production machines ... Minor risk of repetitive motion injuries. * May be subject to extreme cold, heat, and wet or humid ...
Henrico, VA · On-site
Trainees will assist in performing changes, adjustments, and repairs on production machines ... Minor risk of repetitive motion injuries. May be subject to extreme cold, heat, and wet or humid ...
Henrico, VA · On-site
Trainees will assist in performing changes, adjustments, and repairs on production machines ... Minor risk of repetitive motion injuries. May be subject to extreme cold, heat, and wet or humid ...
Henrico, VA · On-site
Trainees will assist in performing changes, adjustments, and repairs on production machines ... Minor risk of repetitive motion injuries. * May be subject to extreme cold, heat, and wet or humid ...
Henrico, VA · On-site
Trainees will assist in performing changes, adjustments, and repairs on production machines ... Minor risk of repetitive motion injuries. * May be subject to extreme cold, heat, and wet or humid ...
| Aspect | Trainee Risk Adjustment Auditor | Risk Adjustment Auditor |
|---|---|---|
| Certifications | Entry-level, often requires basic healthcare or auditing certifications | Advanced certifications like RHIA or RAC are common |
| Work Environment | Training phase, supervised, learning on the job | Full responsibility, independent audits, detailed analysis |
| Experience Level | Limited, focused on training and skill development | Experienced, with proven auditing skills |
The Trainee Risk Adjustment Auditor is an entry-level role focused on learning and supporting risk adjustment processes, while the Risk Adjustment Auditor is a fully responsible professional conducting independent audits. The trainee position emphasizes training and supervision, whereas the auditor role requires experience and certification for independent work.
The most popular types of Risk Adjustment Auditor jobs in Virginia are:
For Trainee Risk Adjustment Auditor jobs in Virginia, the most frequently searched job titles are:
The top searched job categories for Trainee Risk Adjustment Auditor jobs in Virginia are:
Virginia Beach, VA • On-site
$16.50 - $22/hr
Other
Posted 12 days ago
6.8
Based on 417 frontline employees who took The Breakroom Quiz
Sentara Medical Group is now hiring a full-time hybrid Risk Adjustment Coder in Virginia Beach, VA!
Hours: Monday - Friday, 8:00AM -5:00PM, dayshift.
This is a hybrid position that offers a combination of remote and onsite work, with a requirement to be in the office one to two days each week. The role also includes travel as needed to support business objectives and team collaboration.
OverviewPerforms compliance activities focused on risk adjustment in accordance with Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Health & Human Services (HHS). Performs prospective/retrospective medical record reviews (MMR) & CMS/HHS Risk Adjustment Data Validation (RADV) audits. Reviews provider coding for professional & inpatient/outpatient services to ensure capture of diagnostic conditions supported within the provider's documentation for CMS/HHS Hierarchical Condition Categories (HCC). Supports risk adjustment data validation (RADV), medical record retrieval, vendor coding audits, provider engagement, & all risk adjustment ICD-10-CM coding-related activities. Conducts annual risk assessments, training, monitoring, & auditing, control assessment, reporting, investigation, root cause analysis, and corrective action oversight. Performs vendor quality oversight audits; reviews and/or makes final coding determination for non-agreeable coding. Makes final decision on vendor-to-vendor diagnosis coding rebuttal concerns. Serves as subject matter expert on risk adjustment diagnosis coding guidelines. Coordinates risk adjustment gap elimination with clinical and quality gap elimination Maintains a reasonable fluency in workings & financial implications of applicable risk adjustment models.
EducationOne of the following certifications are required: Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Coding Specialist-Physician-based (CCS-P), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA).
Must obtain Certified Risk Adjustment Coder (CRC) certification within two years of employment.
Keywords:Risk Adjustment Coding & Documentation Specialist, Talroo-Allied Health, Medical Office
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Hospitals
10,000+ Employees
Norfolk, VA, US
1888
