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Freelance Remote Risk Adjustment Coder Jobs in Florida

Oscar Health

Auditor, Risk Adjustment

Miami, FL · Remote

$82.72K - $108.57K/yr

Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas.

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Lee Health

Coder II - ProFee Surgery

Cape Coral, FL · On-site +1

$20.50 - $27.85/hr

Remote - FL Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00 AM to 4:30:00 PM Minimum ... Risk Adjustment Coder) required -or- CIC (Certified Inpatient Coder) required -or- RHIT (Registered ...

Lee Health

Coder II - ProFee Surgery

Cape Coral, FL · Remote

$20.50 - $27.85/hr

Remote - FL Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00 AM to 4:30:00 PM Minimum ... Risk Adjustment Coder) required -or- CIC (Certified Inpatient Coder) required -or- RHIT (Registered ...

Lee Health

HCC Coding Educator

Fort Myers, FL · On-site +1

$27.57 - $35.84/hr

Shift 1/ to Minimum to Midpoint Pay Rate: $27.57 - $35.84 / hour Summary The HCC Coding Educator is responsible for improving the accuracy, completeness, and compliance of risk-adjustment ...

Lee Health

HCC Coding Educator

Fort Myers, FL · Remote

$27.57 - $35.84/hr

Shift 1/ to Minimum to Midpoint Pay Rate: $27.57 - $35.84 / hour Summary The HCC Coding Educator is responsible for improving the accuracy, completeness, and compliance of risk-adjustment ...

Nemours Children's Health

Inpatient Coder

Orlando, FL · Remote

$19 - $23/hr

This position is remote. Applicants must reside in one of the following states: Alabama, Colorado ... risk adjustment factors (RAF). * Demonstrates an excellent working knowledge of hospital ...

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Freelance Remote Risk Adjustment Coder information

What are the key skills and qualifications needed to thrive as a Freelance Remote Risk Adjustment Coder, and why are they important?

Thriving as a Freelance Remote Risk Adjustment Coder requires deep knowledge of medical coding (especially ICD-10-CM), risk adjustment models, and compliance standards, typically verified by certifications like CRC, CPC, or CCS. Proficiency with coding software, EHR systems, and secure remote work platforms is essential for accurate and efficient coding. Strong attention to detail, self-motivation, and reliable communication are vital soft skills for managing independent workloads and collaborating with clients remotely. These abilities ensure accurate risk score calculations, regulatory compliance, and successful client relationships in a virtual work environment.

How do Freelance Remote Risk Adjustment Coders typically manage communication and workflow with healthcare clients and team members?

Freelance Remote Risk Adjustment Coders commonly use secure online platforms and project management tools to receive assignments, submit coded charts, and communicate with healthcare providers or project managers. Maintaining clear and prompt communication via email or dedicated messaging systems is crucial to clarify documentation, resolve coding queries, and ensure deadlines are met. Coders must be proactive in scheduling regular check-ins and staying updated on client-specific guidelines, as workflows can be fast-paced and require strong organizational skills. Collaboration often involves working independently but also participating in virtual meetings or training sessions to stay aligned with team quality standards.

What are Freelance Remote Risk Adjustment Coders?

Freelance Remote Risk Adjustment Coders are healthcare professionals who work independently from various locations to review medical records and assign codes that reflect patients’ health conditions and treatments, focusing on risk adjustment models. Their primary role is to ensure accuracy in coding so that healthcare organizations receive appropriate reimbursement and maintain compliance with regulatory standards. These coders typically work on a contract basis, using secure digital platforms to access records and submit their coding work. They must be highly knowledgeable in ICD-10-CM coding guidelines, risk adjustment methodologies (such as HCC), and HIPAA regulations.
What are the most commonly searched types of Remote Risk Adjustment Coder jobs in Florida? The most popular types of Remote Risk Adjustment Coder jobs in Florida are:
What are popular job titles related to Freelance Remote Risk Adjustment Coder jobs in Florida? For Freelance Remote Risk Adjustment Coder jobs in Florida, the most frequently searched job titles are:
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What cities in Florida are hiring for Freelance Remote Risk Adjustment Coder jobs? Cities in Florida with the most Freelance Remote Risk Adjustment Coder job openings:
Freelance Remote Risk Adjustment Coder jobs near you

Certified Medical Coder - Risk Adjustment (HCC)

Porter Cares, Inc.

Pompano Beach, FL • Remote

$50K - $54K/yr

Full-time

Posted 22 days ago

Job description

Porter is hiring a Risk Adjustment Coder to join our Team!
 
Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter's Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member's specific needs, and directs Porter's team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience. 
 
Position Overview
We are seeking a certified coder with expertise in risk adjustment coding and a specialization in in-home health assessments. The ideal candidate will have a strong understanding of CMS risk adjustment and quality initiatives, exceptional attention to coding quality, and experience managing the provider query process. This role also requires the ability to handle multiple clients, each with unique coding requirements, while ensuring accuracy and compliance. Proficiency in utilizing coding clinics for provider education and feedback is essential. This role will be instrumental in ensuring the accuracy of coding and improving the efficiency of our assessment workflows. A key expectation is that the Risk Adjustment Coder will maintain 98% coding accuracy.
 
Schedule: Monday - Friday (some weekends and overtime)
Start: 8am-8:30am ET
On-site: Pompano Beach, FL
*This is not a lead or manager position
 
Key Responsibilities
Assign accurate ICD-10, CPT, and CPT II codes based on documentation from in-home assessments, ensuring  compliance with CMS risk adjustment and quality guidelines.
Manage the provider query process to clarify documentation and ensure the completeness and accuracy of patient diagnoses, particularly related to chronic conditions.
Handle multiple clients with varying coding requirements, maintaining high standards of accuracy and adapting to specific client guidelines.
Utilize coding clinics and other reference materials to provide providers with targeted feedback and education on improving documentation and coding accuracy.
Maintain a minimum of 98% coding accuracy to meet performance expectations and ensure compliance.
Stay current with coding standards, risk adjustment methodologies, and CMS regulatory changes to ensure ongoing compliance and optimal coding practices.
Collaborate with clinical teams to review documentation and provide insights on areas for improvement in coding and documentation.
Support coding education initiatives by creating and delivering training materials to providers, particularly focused on improving documentation practices.
Maintain confidentiality and ensure full compliance with HIPAA regulations.
 
 
$50,000 - $54,000 a year
This is not a leadership or senior position.
Qualifications
- Certification Required - CPC or CSS
- Minimum 5 years of experience in risk adjustment coding, with specific experience in in-home assessments.
- Expertise in managing provider queries and improving provider documentation through coding feedback.
- Proficiency in using coding clinics and reference tools for accurate coding and provider education.
- Strong knowledge of CMS risk adjustment and quality initiatives, including Hierarchical Condition Categories (HCCs).
- Experience with electronic medical records (EMR) and coding tools.
- Excellent communication skills, with the ability to collaborate with providers and clinical teams to drive coding improvements.
- Strong attention to detail, prioritizing coding quality and compliance.
 
Preferred Qualifications
Experience in coding audits and providing actionable feedback to providers.
Knowledge of healthcare reimbursement models and regulations impacting risk adjustment coding.
Prior experience in telehealth or in-home care settings.
 
Benefits
Competitive wage and benefits package.
Opportunities for professional growth and continuing education.
A supportive, collaborative work environment.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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