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Vice President Hcc Risk Adjustment Coder Jobs in Virginia Beach, VA

Sentara Health

Risk Adjustment Coder

Virginia Beach, VA · Hybrid

$10K/mo

... 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 ...

DaMar Staffing

Risk Adjustment Coder

Virginia Beach, VA · On-site

$90 - $110/hr

... 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 ...

CenterWell

IPA Consultative Coder

Chesapeake, VA · On-site

HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ... Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment ...

Centerwell

IPA Consultative Coder

Virginia Beach, VA · On-site

HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ... Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment ...

CenterWell

IPA Consultative Coder

Virginia Beach, VA · On-site

HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ... Use your skills to make an impact Required Qualifications: * 3+ years of risk adjustment ...

StratasCorp

Vice President of Finance

Chesapeake, VA · On-site

The VP of Finance will lead budgeting, forecasting, program finance, and financial reporting and ... Manage cash flow, working capital, and financial risk Government Contracting Compliance * Ensure ...

Threat Tec, LLC

Vice President of Finance

Virginia Beach, VA · On-site

$175K - $250K/yr

Currently, we are seeking a highly qualified Vice President (VP) of Finance to join our ranks. This ... Coordinate with external risk management broker for annual insurance renewals and periodic coverage ...

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Vice President Hcc Risk Adjustment Coder information

See Virginia Beach, VA salary details

$81.1K

$167.7K

$250.5K

How much do vice president hcc risk adjustment coder jobs pay per year?

As of Sep 6, 2026, the average yearly pay for vice president hcc risk adjustment coder in Virginia Beach, VA is $167,669.00, according to ZipRecruiter salary data. Most workers in this role earn between $130,000.00 and $194,600.00 per year, depending on experience, location, and employer.

What is a Vice President HCC Risk Adjustment Coder?

A Vice President HCC (Hierarchical Condition Category) Risk Adjustment Coder is a senior executive responsible for overseeing the medical coding operations related to risk adjustment in healthcare organizations. They lead teams that ensure accurate coding of patient diagnoses and health information, which impacts how healthcare providers are reimbursed by insurance payers, especially Medicare Advantage plans. Their role typically involves compliance oversight, quality assurance, training coders, and strategic planning to optimize risk scores. These professionals require extensive experience in medical coding, deep knowledge of HCC models, and strong leadership skills. They play a critical part in helping organizations maximize compliant reimbursement and improve patient outcomes.

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

To thrive as a Vice President HCC Risk Adjustment Coder, you need deep expertise in HCC coding, risk adjustment methodologies, healthcare regulations, and a relevant certification such as CPC, CRC, or CCS. Mastery of coding software, EHR systems, and data analytics platforms is typically required. Leadership, strategic thinking, attention to detail, and strong communication skills distinguish top performers in this role. These skills are crucial for ensuring coding accuracy, regulatory compliance, and driving organizational success in value-based care environments.

What are some common challenges faced by a Vice President HCC Risk Adjustment Coder, and how can they be managed?

A Vice President HCC Risk Adjustment Coder often faces the challenge of ensuring coding accuracy and compliance across large teams while keeping up with evolving CMS guidelines. Managing remote or distributed coding staff, integrating new technology solutions, and balancing productivity with quality assurance are also common hurdles. Success in this role requires strong communication skills, ongoing coder education, and the implementation of robust audit processes to maintain data integrity and regulatory compliance.

What is the difference between Vice President Hcc Risk Adjustment Coder vs Hcc Risk Adjustment Coder?

AspectVice President Hcc Risk Adjustment CoderHcc Risk Adjustment Coder
CredentialsAdvanced certifications, leadership experienceCertifications like CPC, CCS, or RHIT
Work EnvironmentExecutive-level, strategic planningOperational, coding departments
Industry UsageUsed in large healthcare organizations, insurersCommon in hospitals, clinics, coding firms

The Vice President Hcc Risk Adjustment Coder focuses on strategic leadership and oversight of risk adjustment coding programs, often requiring advanced certifications and leadership skills. In contrast, the Hcc Risk Adjustment Coder handles day-to-day coding tasks, ensuring accurate HCC coding based on medical records. Both roles are vital in healthcare risk management but differ mainly in scope, responsibilities, and experience level.

What are the most commonly searched types of Hcc Risk Adjustment Coder jobs in Virginia Beach, VA?

The most popular types of Hcc Risk Adjustment Coder jobs in Virginia Beach, VA are:

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For Vice President Hcc Risk Adjustment Coder jobs in Virginia Beach, VA, the most frequently searched job titles are:

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The top searched job categories for Vice President Hcc Risk Adjustment Coder jobs in Virginia Beach, VA are:

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Cities near Virginia Beach, VA with the most Vice President Hcc Risk Adjustment Coder job openings:

Vice President Hcc Risk Adjustment Coder jobs near you
Infographic showing various Vice President Hcc Risk Adjustment Coder job openings in Virginia Beach, VA as of August 2026, with employment types broken down into 92% Full Time, and 8% Contract. Highlights an 60% In-person, and 40% Remote job distribution, with an average salary of $167,669 per year, or $80.6 per hour.

Risk Adjustment Coder

Sentara Healthcare Inc

Virginia Beach, VA • On-site

$60 - $80/hr

Other

Posted 5 days ago

Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 417 frontline employees who took The Breakroom Quiz

498th of 898 rated healthcare providers

Job description

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.

Overview

Performs 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.

Education
  • Associate degree (Required)
Experience
  • Medical Records Data - 1 year (Required)
  • Coding - 2 years (Required)
Certifications:

One 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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