Fort Myers, FL · Remote
$27.57 - $35.84/hr
RBE-MPG-LH Work Type: Full Time Shift: 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 ...
Fort Myers, FL · Remote
$27.57 - $35.84/hr
RBE-MPG-LH Work Type: Full Time Shift: 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 ...
Fort Myers, FL · On-site +1
$27.57 - $35.84/hr
RBE-MPG-LH Work Type: Full Time Shift: 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 ...
Fort Myers, FL · On-site +1
$27.57 - $35.84/hr
RBE-MPG-LH Work Type: Full Time Shift: 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 ...
OR · Remote
$27.25 - $31/hr
HCC Coding Quality Specialist Team Members will be responsible for reviewing the accuracy of our ... Flexible scheduling after training, quality and productivity goals are met. * Full-time (40 hours ...
OR · Remote
$27.25 - $31/hr
HCC Coding Quality Specialist Team Members will be responsible for reviewing the accuracy of our ... Flexible scheduling after training, quality and productivity goals are met. * Full-time (40 hours ...
$28 - $31.75/hr
HCC Coding Quality Specialist Team Members will be responsible for reviewing the accuracy of our ... Flexible scheduling after training, quality and productivity goals are met. * Full-time (40 hours ...
$28 - $31.75/hr
HCC Coding Quality Specialist Team Members will be responsible for reviewing the accuracy of our ... Flexible scheduling after training, quality and productivity goals are met. * Full-time (40 hours ...
... * Full Time (40 hours/week) * Flexible hours after quality and productivity goals are met. * Remote/Work from home (within the U.S.) * Must have a minimum of 1 year of retrospective HCC coding ...
... * Full Time (40 hours/week) * Flexible hours after quality and productivity goals are met. * Remote/Work from home (within the U.S.) * Must have a minimum of 1 year of retrospective HCC coding ...
... * Full Time (40 hours/week) * Flexible hours after quality and productivity goals are met. * Remote/Work from home (within the U.S.) * Must have a minimum of 1 year of retrospective HCC coding ...
... * Full Time (40 hours/week) * Flexible hours after quality and productivity goals are met. * Remote/Work from home (within the U.S.) * Must have a minimum of 1 year of retrospective HCC coding ...
West Hills, CA · On-site
$30 - $33/hr
Requires knowledge in HCC Coding documentation guidelines. * Requires technical expertise in ICD-9 ... Full-Time Position Benefits: The success of any company depends on its employees. For us, employee ...
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West Hills, CA · On-site
$30 - $33/hr
Requires knowledge in HCC Coding documentation guidelines. * Requires technical expertise in ICD-9 ... Full-Time Position Benefits: The success of any company depends on its employees. For us, employee ...
Los Angeles, CA · On-site
$30 - $33/hr
Non-exempt; Full time REPORTS TO: Billing Manager SUPERVISES: None DEPARTMENT: Fiscal UNIT: Billing ... Conduct various activities to improve coding, particularly but not limited to HCC coding for ...
Los Angeles, CA · On-site
$30 - $33/hr
Non-exempt; Full time REPORTS TO: Billing Manager SUPERVISES: None DEPARTMENT: Fiscal UNIT: Billing ... Conduct various activities to improve coding, particularly but not limited to HCC coding for ...
Serves as a subject matter expert in all areas of Risk Adjustment methodologies and HCC coding and provide expertise to all areas across the health system. Maintains thorough knowledge of CMS and ...
Serves as a subject matter expert in all areas of Risk Adjustment methodologies and HCC coding and provide expertise to all areas across the health system. Maintains thorough knowledge of CMS and ...
Practice outpatient Primary Care at the full scope of your license * Full time position, Monday ... Knowledge of HEDIS measures, CAHPS, HOS, HCC Coding documentation * Proficient in Medicare Annual ...
Practice outpatient Primary Care at the full scope of your license * Full time position, Monday ... Knowledge of HEDIS measures, CAHPS, HOS, HCC Coding documentation * Proficient in Medicare Annual ...
Lecanto, FL · On-site
$13.75 - $18.50/hr
Job Type Full-time Description Join the Team at PedIM Healthcare! Delivering exceptional care ... Track coding trends and identify performance improvement opportunities * Collaborate closely with ...
Lecanto, FL · On-site
$13.75 - $18.50/hr
Job Type Full-time Description Join the Team at PedIM Healthcare! Delivering exceptional care ... Track coding trends and identify performance improvement opportunities * Collaborate closely with ...
Employment Type: Full time Shift: Description: Position Purpose: The Risk Adjustment Coder is ... Stay current with updates to coding guidelines, risk adjustment models (e.g., CMS-HCC, HHS-HCC ...
Employment Type: Full time Shift: Description: Position Purpose: The Risk Adjustment Coder is ... Stay current with updates to coding guidelines, risk adjustment models (e.g., CMS-HCC, HHS-HCC ...
Middleton, WI · On-site +1
$22.25 - $27/hr
This is a full time, 1.0 FTE position. Shifts will be scheduled Monday - Friday between the hours ... Collaborate with Clinical Documentation Improvement (CDI) on Hierarchical Condition Category (HCC ...
Middleton, WI · On-site +1
$22.25 - $27/hr
This is a full time, 1.0 FTE position. Shifts will be scheduled Monday - Friday between the hours ... Collaborate with Clinical Documentation Improvement (CDI) on Hierarchical Condition Category (HCC ...
Free Short and Long-Term Disability for Full Time employees * Zero copay for drugs on prescription ... Categories (HCC), M.E.A.T (Monitored, Evaluated/Assessed/Addressed, Treated) standards, Risk ...
Free Short and Long-Term Disability for Full Time employees * Zero copay for drugs on prescription ... Categories (HCC), M.E.A.T (Monitored, Evaluated/Assessed/Addressed, Treated) standards, Risk ...
Free Short and Long-Term Disability for Full Time employees * Zero copay for drugs on prescription ... Categories (HCC), M.E.A.T (Monitored, Evaluated/Assessed/Addressed, Treated) standards, Risk ...
Free Short and Long-Term Disability for Full Time employees * Zero copay for drugs on prescription ... Categories (HCC), M.E.A.T (Monitored, Evaluated/Assessed/Addressed, Treated) standards, Risk ...
Bronx, NY · On-site
$27/hr
They will become experts in HCC-based risk adjustment (prior experience preferred, but not ... Job Type: Full-time Equal Opportunity Employer Essen Health care is proud to be an equal ...
Bronx, NY · On-site
$27/hr
They will become experts in HCC-based risk adjustment (prior experience preferred, but not ... Job Type: Full-time Equal Opportunity Employer Essen Health care is proud to be an equal ...
Portsmouth, OH · On-site
Department: Health Information Management Shift/schedule: Full Time (40 hrs/wk) GENERAL SUMMARY ... Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each ...
Portsmouth, OH · On-site
Department: Health Information Management Shift/schedule: Full Time (40 hrs/wk) GENERAL SUMMARY ... Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each ...
Tucson, AZ · On-site
$104K - $156K/yr
Optum AZ is seeking a Nurse Practitioner or Physician Assistant - Primary Care (Outpatient) to join ... Knowledge of HEDIS measures, CAHPS, HOS, HCC Coding documentation * Proficient in Medicare Annual ...
Tucson, AZ · On-site
$104K - $156K/yr
Optum AZ is seeking a Nurse Practitioner or Physician Assistant - Primary Care (Outpatient) to join ... Knowledge of HEDIS measures, CAHPS, HOS, HCC Coding documentation * Proficient in Medicare Annual ...
Tucson, AZ · On-site
$104K - $156K/yr
Knowledge of HEDIS measures, CAHPS, HOS, HCC Coding documentation * Proficient in Medicare Annual ... full-time employment. Pay is based on several factors including but not limited to local labor ...
Tucson, AZ · On-site
$104K - $156K/yr
Knowledge of HEDIS measures, CAHPS, HOS, HCC Coding documentation * Proficient in Medicare Annual ... full-time employment. Pay is based on several factors including but not limited to local labor ...
$22.14 - $33.21/hr
Skokie, IL * Full Time * Hours: Monday-Friday, [hours and flexible work schedules] A Brief Overview: Our ambulatory risk adjustment coding specialist I plays a key role in identifying HCC codes ...
$22.14 - $33.21/hr
Skokie, IL * Full Time * Hours: Monday-Friday, [hours and flexible work schedules] A Brief Overview: Our ambulatory risk adjustment coding specialist I plays a key role in identifying HCC codes ...
| Aspect | Full Time Optum Hcc Coding | Full Time Medical Coder |
|---|---|---|
| Certifications | AHIMA/ACM certifications, HCC coding credentials | AHIMA/ACM certifications, CPC or CCS certifications |
| Work Environment | Insurance, healthcare analytics, risk adjustment teams | Hospitals, clinics, physician offices |
| Industry Usage | Health insurance, risk adjustment, Medicare Advantage | Healthcare providers, billing departments |
Full Time Optum Hcc Coding specialists focus on risk adjustment and insurance data, often working in insurance companies or analytics teams. Full Time Medical Coders typically work in healthcare facilities, translating medical records into billing codes. While both roles require coding certifications, HCC coders emphasize risk and insurance data, whereas medical coders focus on clinical documentation and billing.
6.9
Based on 189 frontline employees who took The Breakroom Quiz
450th of 865 rated healthcare providers
Location:Lee Health -2776 Cleveland AveFort Myers FL 33901
Department: RBE-MPG-LH
Work Type: Full Time
Shift: Shift 1/ to
Minimum to Midpoint Pay Rate:$27.57 - $35.84 / hour
SummaryThe HCC Coding Educator is responsible for improving the accuracy, completeness, and compliance of risk-adjustment documentation through targeted provider education, documentation review, and performance monitoring. This role supports Medicare Advantage, ACO, and other risk-based contracts by ensuring Hierarchical Condition Category (HCC) capture accurately reflects patient acuity while remaining fully compliant with CMS and payer audit standards. The position serves as a clinical documentation and coding subject-matter expert, partnering with providers, care management teams, and compliance leadership to optimize risk adjustment outcomes and reduce audit exposure.
RequirementsEducation: Associates degree in health information management, nursing, healthcare administration or related field required.
Experience: Minimum of 3 years experience in HCC coding and risk adjustment. Minimum of 3 years experience in Medicare Advantage, MSSP, ACO or other value-based care models. Demonstrated experience providing provider education or coding feedback. Experience reviewing outpatient clinical documentation for risk adjustment.
Certification: CRC, CPC, CCS, COC, RHIA or RHIT required.
License: N/A
Other:
US:FL:Fort Myers
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Lee Health is one of the largest public health systems in the U.S. and one of the largest not-for-profit public health systems in Florida. With 4 acute care hospitals; Lee Memorial, Healthpark Medical Center, Cape Coral Hospital and Gulf Coast Medical Center, two specialty hospitals; Gaisano Children's Hospital and The Rehab Hospital. Lee Physician Group with over 80 practices throughout Southwest Florida, a Regional Cancer Center, seven outpatient centers, three walk-in clinics and two pediatric outpatient facilities. HEALTHGRADES ranks Lee Healths four acute care hospitals in the top 5% in the nation for overall clinical excellence in 2019, 2020, 2021 AND 2022 and is included in America's 250 Best Hospitals
Health care and social assistance
10,000+ Employees
Fort Myers, FL, US
1916
