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Vice President Of Risk Adjustment Coding Jobs (NOW HIRING)

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Risk Adjustment Coding Reviewer

As an employer of the future, we are proud to offer our team members many career and lifestyle ... As a Risk Adjustment Coding Reviewer, you will conduct prospective and concurrent chart reviews to ...

Kokosing

Vice President of Risk

Westerville, OH · On-site

The Vice President of Risk is responsible for leading the enterprise-wide risk management strategy for a large, self-performing heavy civil general contractor with approximately $3.1 billion in ...

Kokosing

Vice President of Risk

Westerville, OH · On-site

The Vice President of Risk is responsible for leading the enterprise-wide risk management strategy for a large, self-performing heavy civil general contractor with approximately $3.1 billion in ...

Kokosing

Vice President of Risk

Fredericktown, OH · On-site

The Vice President of Risk is responsible for leading the enterprise-wide risk management strategy for a large, self-performing heavy civil general contractor with approximately $3.1 billion in ...

Impact Payments Recruiting

VP of Risk

$129K - $173K/yr

VP Risk & Underwriting Manager - Payments About the Role Are you passionate about payments, risk ... What We're Looking For 5+ years of experience in payments, banking, risk, or compliance. Strong ...

Impact Payments Recruiting (formally CSH Consulting)

$125K - $168K/yr

VP Risk & Underwriting Manager - Payments About the Role Are you passionate about payments, risk ... What We're Looking For 5+ years of experience in payments, banking, risk, or compliance. Strong ...

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How much do vice president of risk adjustment coding jobs pay per year?

As of Sep 11, 2026, the average yearly pay for vice president of risk adjustment coding in the United States is $157,532.00, according to ZipRecruiter salary data. Most workers in this role earn between $115,000.00 and $190,000.00 per year, depending on experience, location, and employer.

What does a vice president of risk adjustment coding do?

A Vice President Of Risk Adjustment Coding oversees the strategy, operations, and compliance for risk adjustment coding within a healthcare organization. They ensure that coding practices accurately reflect patient diagnoses and comply with federal regulations, which impacts reimbursement rates and quality scores. This leadership role involves managing teams, implementing coding guidelines, monitoring auditing processes, and collaborating with other departments to optimize documentation and coding accuracy.

What are some common challenges faced by a vice president of risk adjustment coding, and how can they be addressed?

A Vice President of Risk Adjustment Coding often encounters challenges such as ensuring coding accuracy and compliance amidst changing regulations, managing large teams across multiple locations, and integrating new technologies into existing workflows. Addressing these challenges requires establishing robust training programs, fostering strong communication between coders and compliance departments, and staying updated on regulatory changes through regular education. Leveraging advanced analytics and automation tools can also improve efficiency and accuracy, helping the team adapt to evolving industry standards.

What are the key skills and qualifications needed to thrive as a vice president of risk adjustment coding, and why are they important?

To thrive as a Vice President of Risk Adjustment Coding, you need deep expertise in medical coding, risk adjustment methodologies, healthcare compliance, and a relevant degree such as RHIA, RHIT, or CPC certification. Familiarity with coding software, risk adjustment analytics platforms, and regulatory systems like HCC and CMS guidelines is crucial. Leadership, strategic thinking, and strong communication skills set top performers apart in this executive role. These skills ensure regulatory compliance, optimize coding accuracy, and drive organizational success in a rapidly evolving healthcare landscape.

What are popular job titles related to Vice President Of Risk Adjustment Coding jobs?

For Vice President Of Risk Adjustment Coding jobs, the most frequently searched job titles are:

Infographic showing various Vice President Of Risk Adjustment Coding job openings in the United States as of June 2026, with employment types broken down into 4% As Needed, 48% Full Time, 4% Part Time, and 44% Temporary. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $157,532 per year, or $75.7 per hour.

Risk Adjustment - Risk Adjustment Coding Auditor 135-2014

Tulsa, OK • On-site

CommunityCare
See more jobs at CommunityCareexternal

$25 - $28.25/hr

Full-time

Re-posted 14 days ago

Job description

JOB SUMMARY:
The Risk Adjustment Auditor is responsible for reviewing medical records and related documentation to ensure accurate capture of diagnoses in compliance with CMS risk adjustment guidelines and ICD-10-CM coding standards. This role plays a critical part in supporting accurate risk score calculation, regulatory compliance, and overall program integrity.
KEY RESPONSIBILITIES:
• Perform bi-directional retrospective and prospective medical record reviews to validate, clarify, and accurately capture risk adjusted diagnoses (HCCs) in accordance with CMS guidelines and MEAT documentation requirements.
• Ensure documentation supports coded conditions in accordance with ICD-10-CM, CMS, and payer-specific guidelines.
• Identify unsupported diagnoses, over coding, under-coding, and documentation gaps.
• Provide detailed audit findings and recommendations to coding teams, providers, and leadership.
• Monitor compliance with CMS Risk Adjustment Data Validation (RADV) standards.
• Track and report audit results, trends, and performance metrics.
• Collaborate with coding staff, providers, and operations teams to improve documentation quality and coding accuracy.
• Assist with education and training initiatives related to risk adjustment and documentation best practices.
• Maintain confidentiality and ensure compliance with HIPAA regulations.
• Meet daily and weekly productivity goals and quality standards set by the supervisor.
• Perform other job-related duties as required or assigned.
QUALIFICATIONS:
• Knowledge of CMS-HCC and HHS-HCC risk adjustment model.
• Knowledge of ICD-10-CM coding guidelines.
• Knowledge of RADV requirements.
• Proficiency in EMR systems and Microsoft Office (Excel preferred).
• High attention to detail.
• Strong analytical and critical thinking skills.
• Clear written and verbal communication.
• Ability to work independently and meet deadlines.
• Strong organizational skills.
• Integrity and commitment to compliance.
• Successful completion of Health Care Sanctions background check.
EDUCATION/EXPERIENCE:
• A minimum of two years of risk adjustment coding or auditing experience.
• Experience reviewing medical records across multiple specialties.
• Certified Professional Coder (CPC), CRC, CCS, or equivalent coding certification.
• Bachelor's degree in Health Information Management or related field preferred.
• Previous auditing experience in Medicare Advantage and ACA preferred.
• Experience with internal audit programs or payer audits preferred.
CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin

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