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Crc Coder Jobs in Orlando, FL (NOW HIRING)

Medical Case Manager

Orlando, FL · On-site

$53K - $98K/yr

... CCM, CRC, COHN, CRRC) Workers' Comp Case Management experience a plus ✅ Your Impact: You'll ... Upholds the Crawford and Company Code of Business Conduct at all times. * Demonstrates excellent ...

Crc Coder information

See Orlando, FL salary details

$14

$25

$40

How much do crc coder jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for crc coder in Orlando, FL is $25.66, according to ZipRecruiter salary data. Most workers in this role earn between $17.74 and $32.31 per hour, depending on experience, location, and employer.

What is a CRC coder?

CRC coders, or Certified Risk Adjustment Coders, are professionals who specialize in reviewing and assigning medical codes to patient diagnoses and procedures for risk adjustment purposes. Their primary role is to ensure that healthcare providers receive appropriate compensation based on the complexity and severity of their patient populations. They work with medical records to accurately capture all relevant health conditions, which is critical for healthcare organizations participating in risk-adjusted payment models. CRC coders must be knowledgeable in ICD-10-CM coding and maintain compliance with regulations and payer requirements.

What are the key skills and qualifications needed to thrive as a CRC coder, and why are they important?

To excel as a CRC (Certified Risk Adjustment Coder), you need a solid understanding of medical coding, risk adjustment models, and healthcare regulations, often demonstrated by earning the CRC certification. Familiarity with ICD-10-CM coding systems, electronic health records (EHRs), and coding audit tools is typically required. Attention to detail, analytical thinking, and strong communication skills help ensure accurate coding and effective collaboration with healthcare teams. These competencies are crucial for optimizing reimbursement, supporting compliance, and maintaining the integrity of patient data in healthcare organizations.

What are some common challenges CRC coders face when ensuring accurate coding and compliance?

CRC Coders often encounter challenges such as interpreting complex medical documentation, staying updated with frequent changes in coding guidelines, and ensuring that risk adjustment codes accurately reflect the patient's health status for compliance and reimbursement. Collaboration with healthcare providers is key to clarifying ambiguous records and reducing errors. Attention to detail and ongoing education are crucial to maintaining high coding accuracy and supporting organizational compliance.

What is the difference between Crc Coder vs Medical Coder?

AspectCrc CoderMedical Coder
CertificationsCertified Risk Adjustment Coder (CRC)Certified Professional Coder (CPC), Certified Coding Specialist (CCS)
Work EnvironmentHealthcare facilities, insurance companies, risk adjustment teamsHospitals, clinics, physician offices
Industry UsageRisk adjustment, insurance, healthcare analyticsMedical billing, coding, reimbursement

While both Crc Coders and Medical Coders work within healthcare, Crc Coders focus on risk adjustment coding for insurance and analytics, requiring specific certifications like CRC. Medical Coders primarily handle billing and reimbursement coding for patient records, often holding CPC or CCS credentials. Understanding these differences helps professionals choose the right career path or specialization within healthcare coding.

How to become a CRC coder?

To become a CRC coder, you typically need a high school diploma or equivalent, followed by specialized training or certification in medical coding. Many employers prefer candidates with certification from organizations like the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA). Developing strong knowledge of medical terminology, coding systems such as ICD-10 and CPT, and computer skills is essential for success in this role.

What cities near Orlando, FL are hiring for Crc Coder jobs?

Cities near Orlando, FL with the most Crc Coder job openings:

Infographic showing various Crc Coder job openings in Orlando, FL as of August 2026, with employment types broken down into 77% Full Time, 22% Part Time, and 1% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $53,380 per year, or $25.7 per hour.

Coding and Billing Specialist

Nemours

Orlando, FL • On-site

$55 - $70/hr

Other

Posted yesterday

New


Nemours Children's Health rating

8.1

Company rating: 8.1 out of 10

Based on 87 frontline employees who took The Breakroom Quiz

66th of 898 rated healthcare providers


Job description

Nemours is seeking a Coding and Billing Specialist in Orlando, FL

Assesses documentation for each service rendered in the hospital’s place of service, in order to accurately code principal diagnoses (i.e. preponderance of care sequence), secondary conditions, procedures, and social determinant codes using American Hospital Association guidelines, Current Procedural Terminology guidelines, payer specific rules for commercial and/or Medicaid insurance, and drug administration for specified service lines impacting Florida’s enhanced ambulatory grouping. This includes excellent working knowledge of revenue charge capture and the impact to hospital billing (i.e. soft vs. hard coded charges), working knowledge of revenue codes, relevant grouper function and financial impact; assessment and entry of surgical charges (i.e. supplies, implants), and pharmacy charges (i.e. contrast, patient supplied, etc).

Essential Functions
  1. Ability to comprehend medical record documentation to accurately assign codes for both concurrent and discharged accounts across multiple specialties.
  2. Meets minimum requirements for production and quality monthly.
  3. Requires a working knowledge of code sequencing for grouper-related payers with attention to detail to avoid rework and waste with charge capture assessment component.
  4. Requires understanding and application of M.E.A.T. criteria (i.e., monitoring, evaluation, assessment, treatment) using ICD 10 CM transaction data set to capture diagnoses.
  5. Analyzes high-risk encounters for accurate and/or missing charges gaps prior to encounter completion (i.e., missing charges from anesthesia, surgery) when manual charge capture occurs.
  6. Understand complexity of billing requirements and incorporates payer specific trends into day-to-day reviews to reduce “take backs” associated with un-clear, or un-substantiated care rendered. (i.e., varying modifier assignment for EAPG vs. Non-EAPG payer specificity)
  7. Requires excellent coding knowledge of ICD 10 CM, CPT 4, and modifier application, with expectations to maintain certification (i.e., CCS, CPC, RHIT, or RHIA) and apply ICD 10 CM Coding Guidelines specific to both inpatient and outpatient encounters.
  8. Facilitate modifications to clinical documentation through query interaction to ensure that the information captured supports the level of service rendered, with attention towards chronic conditions, hierarchical condition categories (HCC), and risk adjustment factors (RAF).
  9. Demonstrates an excellent working knowledge of hospital information systems to retrieve data specific information (i.e., order diagnosis, patient type) within a complicated filing schema including non-hospital data (i.e., Media Tab, Office Visits etc)
Requirements
  • Associate's degree required
  • Medical Terminology, Anatomy and Physiology
  • One of the following: CPC, CCS, RHIT, RHIA, COC; Preferred CRC
  • 3-5 years experience
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About Nemours

Sourced by ZipRecruiter

As one of the nation's leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 300,000 children each year in our pediatric hospitals, specialty clinics, primary care practices, and school-based health centers in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children - even those who may never enter our doors - through our world-changing research, education and advocacy efforts.

Industry

Health care and social assistance and hospitals

Company size

1,001 - 5,000 Employees

Headquarters location

Jacksonville, FL, US