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Hcc Coding Jobs in Miami, FL (NOW HIRING)

MRA Coder

Miami, FL · On-site

$18 - $24/hr

... 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 ...

Review and audit documentation for appropriate capture of CAT II coding Medicare Annual Wellness Visits Medicare Risk HRA/HCC Assessment forms Medicare Advantage plans suspect HCC condition forms ...

Certified Risk Adjustment Coder

Hialeah, FL

$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 ...

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Hcc Coding information

See Miami, FL salary details

$15

$26

$41

How much do hcc coding jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for hcc coding in Miami, FL is $26.29, according to ZipRecruiter salary data. Most workers in this role earn between $18.17 and $33.12 per hour, depending on experience, location, and employer.

What are some common challenges faced by HCC coders, and how can they be addressed in a healthcare setting?

HCC Coders often encounter challenges such as incomplete or ambiguous medical documentation, frequent updates to coding guidelines, and the need for ongoing collaboration with providers to ensure accurate capture of risk adjustment data. These challenges can be addressed by maintaining open communication with clinicians, participating in regular training on coding updates, and utilizing auditing tools to review and improve documentation quality. Proactively seeking clarification and staying current with industry standards are key to success in this role.

What are the key skills and qualifications 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 clinical documentation, typically with a certification such as CPC, CCS, or CRC. Familiarity with coding software, EHR systems, and the CMS HCC risk adjustment model is essential. Attention to detail, analytical thinking, and effective communication skills distinguish top performers in this field. These skills ensure accurate coding for risk adjustment, which directly impacts healthcare reimbursement and compliance.

What is HCC coding?

HCC coding stands for Hierarchical Condition Category coding, which is a risk adjustment model used primarily by Medicare to estimate future healthcare costs for patients. HCC coders review medical records to identify and assign the appropriate ICD-10 codes that capture a patient's diagnoses and health conditions. Accurate HCC coding ensures proper reimbursement for healthcare providers and helps reflect the complexity of a patient’s health status. This process is essential for risk adjustment in value-based care models.

What is the difference between Hcc Coding vs Medical Coding?

AspectHcc CodingMedical Coding
Required CredentialsCertification (e.g., CPC, CCS), specialized training in HCCCertification (e.g., CPC, CCS), general medical coding training
Work EnvironmentHealthcare facilities, insurance companies, risk adjustment teamsHospitals, clinics, physician offices, insurance companies
Industry UsageRisk adjustment, Medicare Advantage, MedicaidBilling, reimbursement, medical record management
Search & Comparison IntentHcc Coding vs Medical CodingMedical Coding

Hcc Coding focuses on risk adjustment and insurance reimbursement, requiring specialized knowledge of Hierarchical Condition Categories. Medical Coding covers a broader range of medical billing and record-keeping tasks. While both roles involve coding, Hcc Coding is more specialized for insurance and risk management, whereas Medical Coding is essential for general healthcare billing and documentation.

What cities near Miami, FL are hiring for Hcc Coding jobs?

Cities near Miami, FL with the most Hcc Coding job openings:

Infographic showing various Hcc Coding job openings in Miami, FL as of August 2026, with employment types broken down into 1% Internship, 1% As Needed, 81% Full Time, 12% Part Time, and 5% Contract. Highlights an 77% Physical, 4% Hybrid, and 19% Remote job distribution, with an average salary of $54,691 per year, or $26.3 per hour.

$18 - $24/hr

Other

Posted 12 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