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Full Time Optum Health Coding Risk Adjustment Jobs in Orlando, FL

Orlando Health

Risk Manager II

Orlando, FL · On-site

Position Summary Orlando Health Medical Group is a comprehensive physician group serving patients ... with various codes, laws, and regulations concerning patient care, including those mandated by ...

Orlando Health

Risk Manager II

Orlando, FL · On-site

Position Summary Orlando Health Medical Group is a comprehensive physician group serving patients ... with various codes, laws, and regulations concerning patient care, including those mandated by ...

Axiom Bank

Merchant Risk & Compliance Analyst

Maitland, FL · On-site

$65K - $85K/yr

We believe in the value of promoting a healthy work/life balance and are committed to recognizing ... We offer the following benefits to our Full Time Employees: * 12 Paid Holidays * Generous Paid Time ...

Axiom Bank

Merchant Risk & Compliance Analyst

Maitland, FL · On-site +1

$65K - $85K/yr

We believe in the value of promoting a healthy work/life balance and are committed to recognizing ... We offer the following benefits to our Full Time Employees: * 12 Paid Holidays * Generous Paid Time ...

CLAREMEDICA HEALTH PARTNERS LLC

Physician

Clermont, FL · On-site

Promote preventive care through regular wellness visits, immunizations, and health education ... Familiarity with HEDIS measures, Star Ratings, risk adjustment (HCC coding), and electronic medical ...

CLAREMEDICA HEALTH PARTNERS LLC

Physician

Orlando, FL · On-site

Promote preventive care through regular wellness visits, immunizations, and health education ... Familiarity with HEDIS measures, Star Ratings, risk adjustment (HCC coding), and electronic medical ...

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All JobsOptum Health Coding Risk Adjustment JobsFull Time Optum Health Coding Risk Adjustment JobsFull Time Optum Health Coding Risk Adjustment Jobs in Orlando, FL

Full Time Optum Health Coding Risk Adjustment information

See Orlando, FL salary details

$14

$24

$35

How much do full time optum health coding risk adjustment jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for full time optum health coding risk adjustment in Orlando, FL is $24.60, according to ZipRecruiter salary data. Most workers in this role earn between $20.19 and $27.60 per hour, depending on experience, location, and employer.

What is a full time Optum Health coding risk adjustment?

A Full Time Optum Health Coding Risk Adjustment job involves reviewing medical records and coding data to ensure accurate risk adjustment for health plan members. Employees in this role typically analyze clinical documentation, assign diagnostic codes, and support compliance with regulatory requirements. Their work ensures that health plans receive appropriate reimbursement by capturing the complexity and severity of patient conditions. This role is essential to maintaining data integrity and supporting overall healthcare quality initiatives.

What are the key skills and qualifications needed to thrive as a full time Optum Health coding risk adjustment professional?

To excel in a Full Time Optum Health Coding Risk Adjustment role, you need a solid understanding of medical coding guidelines, risk adjustment models (such as HCC), and typically a certification like CPC or CRC. Proficiency with coding software, electronic health records (EHRs), and risk adjustment analytics platforms is crucial. Attention to detail, analytical thinking, and effective communication help ensure accuracy and collaboration in documentation and reporting. These skills are vital for optimizing compliant coding, improving patient outcomes, and supporting accurate reimbursement in value-based care environments.

What are some common challenges faced by full time Optum Health coding risk adjustment professionals, and how can they be addressed?

Professionals in Full Time Optum Health Coding Risk Adjustment roles often encounter challenges such as keeping up with frequent updates to coding guidelines, managing high volumes of complex patient data, and ensuring accuracy under tight deadlines. Staying current with ongoing training, leveraging available coding support resources, and collaborating closely with clinical teams can help address these challenges. Additionally, using advanced coding tools and regularly participating in team meetings can improve both accuracy and workflow efficiency.

What is the difference between Full Time Optum Health Coding Risk Adjustment vs Full Time Medical Coder?

AspectFull Time Optum Health Coding Risk AdjustmentFull Time Medical Coder
CertificationsCPR, CPC, or CCS often preferredCPR, CPC, or CCS typically required
Work EnvironmentHealthcare insurance, risk adjustment teamsHospitals, clinics, outpatient facilities
Industry UsageHealth insurance, risk managementHealthcare providers, hospitals
Job FocusRisk adjustment coding, data analysisMedical record coding, billing

Full Time Optum Health Coding Risk Adjustment roles focus on risk adjustment coding within health insurance companies, requiring knowledge of risk models and specific certifications. Full Time Medical Coders primarily work in healthcare facilities, concentrating on accurate medical record coding for billing. While both roles involve coding, their environments and focus areas differ significantly.

What are the most commonly searched types of Optum Health Coding Risk Adjustment jobs in Orlando, FL?

The most popular types of Optum Health Coding Risk Adjustment jobs in Orlando, FL are:

What are popular job titles related to Full Time Optum Health Coding Risk Adjustment jobs in Orlando, FL?

For Full Time Optum Health Coding Risk Adjustment jobs in Orlando, FL, the most frequently searched job titles are:

What job categories do people searching Full Time Optum Health Coding Risk Adjustment jobs in Orlando, FL look for?

The top searched job categories for Full Time Optum Health Coding Risk Adjustment jobs in Orlando, FL are:

Full Time Optum Health Coding Risk Adjustment jobs near you

Medical Economics Supervisor Managed Care

AdventHealth Corporate

Altamonte Springs, FL • On-site

$66K - $123K/yr

Full-time, Per diem

Medical, Dental, Vision, Life, Retirement, PTO

Posted 27 days ago

AdventHealth rating

7.4

Company rating: 7.4 out of 10

Based on 1,276 frontline employees who took The Breakroom Quiz

269th of 889 rated healthcare providers

Job description

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

  • Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

  • Paid Time Off from Day One

  • 403-B Retirement Plan

  • 4 Weeks 100% Paid Parental Leave

  • Career Development

  • Whole Person Well-being Resources

  • Mental Health Resources and Support

  • Pet Benefits

Schedule:

Full time

Shift:

Day (United States of America)

Address:

900 HOPE WAY

City:

ALTAMONTE SPRINGS

State:

Florida

Postal Code:

32714

Job Description:

Other duties as assigned. Accumulates data, interprets results, makes recommendations, and influences outcomes. Prepares well-organized project documentation. Leads complex medical economic projects related to value-based contract modeling. Initiates projects, identifies, and completes key deliverables to meet business objectives. Conducts research and analyzes managed care data from various financial systems and tools. Reviews and analyzes complex healthcare data, including financial modeling and risk forecasting. Implements improvements in quality control and reporting timeliness. Manages, collects, analyzes, and interprets health utilization and financial data. Uses knowledge of healthcare managed care contracts and administrative claims data to interpret and analyze data. Reviews existing models, implements them on new projects, and designs new solutions for data and analytic challenges. Identifies risks associated with various reimbursement structures. Produces prospective analyses on new ventures, products, and services. Prepares and presents analytics or project results to key stakeholders for decision-making. Evaluates and understands contract language related to reimbursement methodologies. Applies understanding of medical coding systems affecting claims adjudication, including ICD-9/10, CPT, HCPCS II, DRG, and revenue codes. Proficient with reimbursement methodologies such as Per Diem, DRG, fee schedules, and percent of charge. Recommends contractual payment term changes to achieve net revenue targets developed by Regional Managed Care Directors and Contract negotiators. Oversees standard and ad-hoc reports, analytical modeling, and consulting on provider-specific negotiations in multiple regions.

Schedule/shift:

  • Hybrid (Monday, Wednesday, Thursday on site in Maitland, FL
  • Monday-Friday: 8am-5pm est

Knowledge, Skills, and Abilities:

  • Working knowledge of value-based arrangements, including shared savings, bundled payments, pay-for-performance, and capitation [Preferred]
  • Working knowledge of population health, utilization measurement, and claims analytics [Preferred]
  • Managed Care, Patient Financial services, health insurance claims processing, contract management, or medical economics preferred [Preferred]
  • Proficiency in understanding professional and facility claims and managed care concepts such as risk adjustment, capitation, FFS, DRG, APG, APCs and other payment mechanisms [Preferred]
  • Experience in modeling financial impact of changes and presenting the findings to executives [Preferred]
  • Strong ability to handle multiple projects including problem solving, research, analysis, and communication in a fast-paced environment [Preferred]
  • In depth knowledge of Commercial and Government programs reimbursement rules and regulations Required [Preferred]
  • Intermediate level of proficiency working with MS Excel including Formulas, calculations, charts, and graphs [Preferred]
  • Strong skills in analytical/problem solving and presentations required [Preferred]
  • Excellent interpersonal skills [Preferred]
  • Ability to complete assigned tasks with very limited supervision [Preferred]


Education:

  • Bachelor's [Required]
  • Master's [Preferred]


Field of Study:

  • in Finance, Health Care Administration, Accounting, Mathematics, or Health and Informatics or related field
  • in a related field


Work Experience:

  • 2+ managerial experience [Required]
  • 5+ experience performing data, financial and/or risk analytics in a healthcare environment [Required]


Licenses and Certifications:

  • Epic Resolute Hospital Billing Charging (EPIC RHBC) [Preferred]


Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$66,170.74 - $123,073.07

Background Screening Requirement (Florida Law)


Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.


Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse:
https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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