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4 crc certified risk adjustment coder jobs found

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crc certified risk adjustment coder Virginia
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Medicare Risk Adjustment Coder - Provider Educator
Complete Health Manakin, VA, USA
Location: Richmond, VA with travel to corporate office in Jacksonville, FL as necessary Schedule: Monday-Friday Pay Range: $60,000-80,000 per year, dependent on experience Be part of our growing regional company whose main objective is putting our patients first. The provider educator is responsible for identifying opportunities to improve coding, documentation and quality of care. The educator will customize an education plan customized for each provider. Position overview: Plan, conduct and coordinate all aspects of MRA process evaluation and education to internal and external partners, including but not limited to: Communicating a comprehensive understanding of Medicare Risk Adjustment, Documentation & Coding guidelines to both external/internal partners while ensuring compliance with regulatory. Analyze reports to identify and report documentation/coding trends in order to create opportunities for improvement with internal and external partners....

Feb 05, 2026
SH
Hybrid Risk Adjustment Coder & Documentation Specialist
Sentara Health Plans Virginia Beach, VA, USA
A healthcare provider organization is seeking a Risk Adjustment Coding & Documentation Specialist to oversee compliance activities related to Medicare and Medicaid. This role includes conducting medical record reviews, supporting risk adjustment data validations, and ensuring proper coding standards are met. Candidates should possess an Associate's degree and relevant coding certifications, along with medical coding experience. The position offers benefits like medical plans, 401k matching, and tuition assistance, within a hybrid work model. #J-18808-Ljbffr

Jan 23, 2026
VD
Compliance and Privacy Analyst (Non-coder)
Virginia Department of Human Resource Management Charlottesville, VA, USA
Compliance and Privacy Analyst (Non-Coder) Using advanced knowledge required for the complex analytical functions of this job, the Analyst conducts compliance and privacy investigations using expertise of investigative procedures, research, and analysis, applies independent judgement and critical decision making to determine regulatory compliance risk to patients and the organization. The Analyst uses the advanced knowledge of the regulatory compliance profession, and research and auditing procedures. Uses professional verbal and written communication skills to document and communicate results and findings of compliance research, analysis and decision-making. Ensures health system compliance with applicable regulatory, accreditation and requirements. 1. Identifies, researches and analyzes compliance and regulatory risk Researches and collects all data points relevant to the issue being investigated. Using advanced knowledge of federal, state and local regulations,...

Feb 11, 2026
AH
Remote Certified Coder
Altegra Health Richmond, VA, USA
Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information from...

Feb 10, 2026
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