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Risk Adjustment Coder

Sentara

Sentara Medical Group is hiring a full-time hybrid Risk Adjustment Coder in Virginia Beach, VA.

This role performs compliance activities focused on risk adjustment in accordance with CMS and HHS requirements. The position supports prospective and retrospective medical record reviews, RADV audits, provider coding reviews, vendor coding audits, provider engagement, and other ICD-10-CM risk adjustment coding activities.

The role also involves annual risk assessments, training, monitoring, auditing, control assessment, reporting, investigation, root cause analysis, and corrective action oversight. The coder serves as a subject matter expert on risk adjustment diagnosis coding guidelines and helps coordinate risk adjustment gap elimination with clinical and quality gap elimination.

Requirements & Qualifications

Education

  • Associate degree required

Experience

  • Medical records/data experience: 1 year required
  • Coding experience: 2 years required

Certifications

  • One of the following required: CPC, COC, CIC, CCS-P, CCS, RHIT, or RHIA
  • Must obtain CRC certification within two years of employment
Benefits & Perks

Compensation

  • Base pay range: $71,177.60 to $108,534.40 annually
  • Additional compensation may be available, including shift differentials, standby/on-call pay, shift premiums, extra-shift incentives, or bonuses

Benefits

  • Medical, dental, and vision insurance
  • Life and disability insurance
  • 401(k)/403(b) with employer match
  • Paid time off, sick time, and holidays
  • Paid parental and military leave
  • Educational assistance or student loan repayment
  • Adoption, fertility, and surrogacy reimbursement up to $10,000
  • Emergency backup care
  • Long-term, short-term disability, and critical illness plans
  • Tuition assistance up to $5,250/year
  • Student debt pay down up to $10,000
  • Pet insurance
  • Legal resources plan
  • Annual discretionary bonus eligibility

Location

Virginia Beach, Virginia, US

Employment Type

Full-time

Experience Level

Associate

Salary Range

$71,178 - $108,534

Remote work allowed

Yes

Posted

1 month ago

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