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Hcc Coder Jobs in Hialeah, FL (NOW HIRING)

DaMar Staffing

MRA Coder

Miami, FL · On-site

$55 - $75/hr

MRA Coder The MRA Coder will be responsible for coordinating/supporting retrospective and concurrent chart reviews using knowledge of Hierarchical Condition Categories (HCC) coding to translate ...

Msmc

Certified Risk Adjustment Coder

Hialeah, FL · On-site

$20.50 - $27.75/hr

Demonstrates knowledge of coding and documentation standards as well as CMS risk adjustment ... Regularly reviews Epic HCC and payor CSI (Clinically Suspect Conditions) reports * Queries and ...

Centrum Health

Medical Coder

Doral, FL

$17.25 - $23.25/hr

A Medical Coder, or Certified Professional Coder, is responsible for reviewing a patient's medical records after a visit and translating the information into codes that insurers use to process claims ...

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Hcc Coder information

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How much do hcc coder jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for hcc coder in Hialeah, FL is $20.31, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $21.78 per hour, depending on experience, location, and employer.

What is an HCC coder?

HCC coders are medical coding professionals who specialize in Hierarchical Condition Category (HCC) coding. They review patient medical records to identify and assign appropriate diagnosis codes, ensuring accurate risk adjustment for Medicare Advantage and other value-based care programs. Their work is critical for healthcare organizations to receive proper reimbursement and to report patient health status accurately. HCC coders must understand both clinical documentation and coding guidelines to ensure compliance and optimize coding accuracy.

What skills and qualifications are needed to thrive as an HCC coder?

To thrive as an HCC Coder, you need a solid understanding of medical coding, risk adjustment models, and ICD-10-CM coding guidelines, often supported by certifications such as CPC, CRC, or CCS. Familiarity with coding software, electronic health records (EHR) systems, and risk adjustment tools is typically required. Attention to detail, analytical thinking, and strong organizational skills distinguish top performers in this field. These competencies are crucial for ensuring accurate coding, compliant documentation, and optimal reimbursement for healthcare organizations.

What are common challenges faced by HCC coders, and how can they be addressed?

HCC Coders often encounter challenges such as interpreting complex medical records, staying current with changing coding guidelines, and ensuring accurate documentation to maximize risk adjustment scores. To address these, coders can participate in ongoing training, regularly review updates from CMS and other regulatory bodies, and collaborate closely with clinical staff to clarify ambiguous documentation. Leveraging coding software and auditing processes can also help maintain accuracy and compliance in daily work.

What is the difference between Hcc Coder vs Medical Biller?

AspectHcc CoderMedical Biller
CertificationsHCC Coding Certification, CPCMedical Billing Certification, CPC
Work EnvironmentHospitals, clinics, insurance companiesMedical offices, billing companies, hospitals
Primary FocusAssigning Hierarchical Condition Category codes for insurance risk adjustmentProcessing insurance claims and patient billing
Industry UsageHealthcare, insuranceHealthcare, insurance

Hcc Coders specialize in assigning codes for insurance risk adjustment, focusing on Hierarchical Condition Categories, while Medical Billers handle the billing process, submitting claims and managing payments. Both roles require coding knowledge and work in healthcare settings, but their primary responsibilities differ significantly.

Are Hcc coders still in demand?

HCC coders, who specialize in outpatient hospital coding, continue to be in demand due to ongoing healthcare industry needs for accurate medical coding and billing. Strong knowledge of ICD-10, CPT, and HCPCS coding systems, along with certification such as CPC, enhances job prospects in this field.

How much do HCC coders make in the US?

HCC coders in the US typically earn between $50,000 and $70,000 annually, depending on experience, certification, and location. Certified coders with specialized knowledge in hierarchical condition categories (HCC) and familiarity with coding tools tend to have higher salaries.

Is HCC coding a good career?

HCC coding, which involves risk adjustment coding for healthcare reimbursement, is a growing field with steady demand due to the expansion of value-based care models. It requires strong knowledge of medical terminology, coding systems, and often certification, offering opportunities for remote work and career advancement. Overall, it can be a stable and rewarding career for those interested in healthcare and coding.

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The most popular types of Hcc Coder jobs in Hialeah, FL are:

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For Hcc Coder jobs in Hialeah, FL, the most frequently searched job titles are:

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What cities near Hialeah, FL are hiring for Hcc Coder jobs?

Cities near Hialeah, FL with the most Hcc Coder job openings:

Hcc Coder jobs near you
Infographic showing various Hcc Coder job openings in Hialeah, FL as of August 2026, with employment types broken down into 2% As Needed, 85% Full Time, 10% Part Time, and 3% Contract. Highlights an 59% Physical, 3% Hybrid, and 38% Remote job distribution, with an average salary of $42,238 per year, or $20.3 per hour.

MRA Coder

DaMar Staffing

Miami, FL • On-site

$55 - $75/hr

Other

Posted 4 days ago

Job description

MRA Coder

The MRA Coder will be responsible for coordinating/supporting retrospective and concurrent chart reviews using knowledge of Hierarchical Condition Categories (HCC) coding to translate, input, extract and validate medical record data.

  • Review patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries in order to verify whether the diagnosis codes are supported by the documentation to ensure they are within Guidelines for Coding and Reporting
  • Schedule chart reviews with Physician practices
  • Assist in obtaining medical records from Physicians to support audits requested by Health Plans
  • Ensure compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment.
  • Educate Physicians regarding proper billing and documentation policies, procedures, and conflicting/ambiguous or non-specific documentation
  • Demonstrate the ability to quickly identify low risk scores; incorrect coding and compliance trends; to analyze and investigate suspected problems with resolve; and to forward problems to the attention of the Medicare Risk Adjustment Director
  • Performs other duties as required.

Requirements:

  • CPC /CPMA/ CRC/ CCS-P/ CCS/ RHIA or RHIT certification
  • Minimum 3 years of Medicare Risk Adjustment coding
  • Advanced Microsoft Excel
  • Familiar with HCC Dashboard tool
  • Strong knowledge of ICD-10 and CPT codes
  • Fluent in English and Spanish
  • Clean driving record and reliable form of transportation
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