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Full Time Optum Hcc Coding Jobs in Florida (NOW HIRING)

Pedim

HCC Coder

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 ...

Lee Health

Coder I - Lee Wound Care

Fort Myers, FL · On-site

$20 - $25.45/hr

Lee Wound Care Clinic Work Type: Full Time Shift: Shift 1/8:00:00AM to 4:30:00PM Minimum to ... Responsible for Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and ...

Lee Health

Coder I - E/M

Cape Coral, FL · Remote

$20 - $25.45/hr

Coding Work Type: Full Time Shift: Shift 1/8:00:00AM to 4:30:00PM Minimum to Midpoint Pay Rate: $20 ... Responsible for Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and ...

Lee Health

Coder I - Lee Wound Care

Fort Myers, FL · On-site

$20 - $25.45/hr

Lee Wound Care Clinic Work Type: Full Time Shift: Shift 1/8:00:00 AM to 4:30:00 PM Minimum to ... Responsible for Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and ...

Lee Health

Coder I - E/M

Cape Coral, FL · On-site +1

$20 - $25.45/hr

Coding Work Type: Full Time Shift: Shift 1/8:00:00 AM to 4:30:00 PM Minimum to Midpoint Pay Rate ... Responsible for Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and ...

AdventHealth Corporate

Coding Auditor

Orlando, FL · Remote

$26.29 - $48.91/hr

Pet Benefits Schedule: Full time Shift: Day (United States of America) Address: 601 E Rollins St ... Proficient experience with EMR and CAC systems (Epic and Optum preferred). [Required] * Strong ...

AdventHealth Corporate

Coding Auditor

Tampa, FL · Remote

$26.29 - $48.91/hr

Pet Benefits Schedule: Full time Shift: Day (United States of America) Address: 3100 E FLETCHER AVE ... Proficient experience with EMR and CAC systems (Epic and Optum preferred). [Required] * Strong ...

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Full Time Optum Hcc Coding information

What is the difference between Full Time Optum Hcc Coding vs Full Time Medical Coder?

AspectFull Time Optum Hcc CodingFull Time Medical Coder
CertificationsAHIMA/ACM certifications, HCC coding credentialsAHIMA/ACM certifications, CPC or CCS certifications
Work EnvironmentInsurance, healthcare analytics, risk adjustment teamsHospitals, clinics, physician offices
Industry UsageHealth insurance, risk adjustment, Medicare AdvantageHealthcare 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.

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The most popular types of Optum Hcc Coding jobs in Florida are:

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For Full Time Optum Hcc Coding jobs in Florida, the most frequently searched job titles are:

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Full Time Optum Hcc Coding jobs near you
Infographic showing various Full Time Optum Hcc Coding job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 88% Full Time, 7% Part Time, and 4% Contract. Highlights an 77% Physical, 4% Hybrid, and 19% Remote job distribution.

HCC Coder

Pedim

Lecanto, FL • On-site

$13.75 - $18.50/hr

Full-time

Medical, Life, Retirement, PTO

Re-posted yesterday

Job description

Job Type
Full-time
Description
Join the Team at PedIM Healthcare!
Delivering exceptional care, together.
Who We Are
PedIM Healthcare is the first private medical office of its kind in Citrus County - offering top-quality care for children, adults, and seniors all under one roof. We provide pediatric, adult internal medicine, family practice, geriatrics, women's care, medical weight-loss, sleep-medicine services and more.
Our dedicated, community-focused team is committed to excellence, pride in service, and making a real difference for patients and families across Citrus County.
Why Work With Us?
  • A broad, multi-discipline practice where you can grow: pediatrics, internal medicine, weight-loss & sleep medicine specialties.
  • A values-driven environment: we listen, we help, we understand-and we care.
  • Community-oriented and recognized: voted "best of the best" in the region.
  • Opportunity to make a meaningful impact by supporting patients over their full life span-from children to seniors.
  • A workplace committed to employee development and delivering holistic care.

The Role
We are seeking a proactive and compassionate HCC Coder to join our Primary Care team!
This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance with CMS guidelines while supporting high-quality patient outcomes. You will be responsible for reviewing medical records, identifying appropriate HCC diagnoses, ensuring documentation integrity, and collaborating closely with providers and clinical teams to optimize RAF scores and coding accuracy.
What You'll Do:
  • Conduct pre-visit and chart reviews to identify known and suspected RAF/HCC conditions prior to patient appointments
  • Conduct post-visit chart reviews to ensure all RAF/HCC opportunities have been captured by the medical provider prior to claims submission/billing
  • Conduct post claims submission reconciliation from payer to ensure all codes have been properly accounted for through files such as MOA004, MOR and MMR
  • Review provider documentation and assign accurate ICD-10 and HCC codes
  • Identify documentation gaps and provide clear, actionable feedback to providers
  • Track coding trends and identify performance improvement opportunities
  • Collaborate closely with Clinical Integrity, Outreach, and Provider Teams
  • Maintain established productivity and quality benchmarks
  • Stay current with CMS risk adjustment guidelines and regulatory updates

Requirements
Qualities That Make You A Great Fit:
  • Minimum 2+ years of HCC/Risk Adjustment coding experience (required)
  • Strong knowledge of CMS risk adjustment methodology and Medicare Advantage models
  • Active coding credential preferred (CRC, CPC, CCS, or equivalent)
  • Proven experience with chart audits and provider education
  • Experience performing pre and post -visit RAF reviews preferred
  • Strong analytical skills and attention to detail
  • Experience with EHR systems required
  • Value-based care experience strongly preferred

Benefits Available To You:
Joining our team means more than just a job-it means access to benefits designed to support your health, well-being, and work-life balance.
  • Health coverage + Sick-N-Well membership
  • Health Savings Account (HSA)
  • Life insurance
  • Paid time off
  • 401(k) plan + 4% company match
  • Relax Scofa membership
  • Employee Assistance Program (EAP)
  • Employee Recognition Program
  • And more!

All employment offers at PedIM Healthcare are contingent upon the successful completion of applicable background checks, verification of credentials, and compliance with health and safety requirements.
Compliance & Equal Opportunity Notice
PedIM Healthcare is proud to be an Equal Opportunity Employer and is fully committed to compliance with all federal, state, and local employment laws. We believe every team member deserves a workplace built on respect, fairness, and opportunity.
We do not discriminate on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, gender identity, and sexual orientation), national origin, age, disability, genetic information, marital status, veteran status, or any other protected characteristic under applicable law.
In alignment with the Americans with Disabilities Act (ADA), PedIM Healthcare provides reasonable accommodations to qualified individuals with disabilities to ensure equal access to employment opportunities and participation in all aspects of our hiring and employment processes.
Employment at PedIM Healthcare is offered on an at-will basis and is contingent upon the successful completion of all required background checks, credential verifications, and health or safety screenings consistent with healthcare regulatory standards. Certain roles may also require proof of immunizations or other health compliance documentation.
We are dedicated to fostering a diverse, inclusive environment where every employee feels valued, supported, and empowered to contribute to our mission of delivering exceptional, compassionate care to our community.
EOE
PM20

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