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Hcc Coding Jobs in Miami, FL (NOW HIRING)

Using SQL code, mine data on medical spend, clinical data and population health data and derive ... Familiarity with CMS-HCC and HHS-HCC risk Adjustment Models * Familiarity with HEDIS and MSSP ...

In-depth knowledge of Procedural Coding, Specialist in identifying appropriate ICD10 coding based on CMS/HCC categories, CPT, HCPCS CMS 1500 FORM, Super Bill, Electronic Claims Submission 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.

Certified Medical Coder - Risk Adjustment (HCC)

Porter Cares

Pompano Beach, FL • On-site

$50K - $54K/yr

Other

Re-posted 3 days ago


Job description

Risk Adjustment Coder

Porter is hiring a Risk Adjustment Coder to join our team! Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. Driven by robust AI analytics, Porter's Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member's specific needs, and directs Porter's team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience.

Position Overview

We are seeking a certified coder with expertise in risk adjustment coding and a specialization in in-home health assessments. The ideal candidate will have a strong understanding of CMS risk adjustment and quality initiatives, exceptional attention to coding quality, and experience managing the provider query process. This role also requires the ability to handle multiple clients, each with unique coding requirements, while ensuring accuracy and compliance. Proficiency in utilizing coding clinics for provider education and feedback is essential. This role will be instrumental in ensuring the accuracy of coding and improving the efficiency of our assessment workflows. A key expectation is that the Risk Adjustment Coder will maintain 98% coding accuracy.

Schedule: Monday - Friday (some weekends and overtime)

Start: 8am-8:30am ET

On-site: Pompano Beach, FL

*This is not a lead or manager position

Key Responsibilities
  • Assign accurate ICD-10, CPT, and CPT II codes based on documentation from in-home assessments, ensuring compliance with CMS risk adjustment and quality guidelines.
  • Manage the provider query process to clarify documentation and ensure the completeness and accuracy of patient diagnoses, particularly related to chronic conditions.
  • Handle multiple clients with varying coding requirements, maintaining high standards of accuracy and adapting to specific client guidelines.
  • Utilize coding clinics and other reference materials to provide providers with targeted feedback and education on improving documentation and coding accuracy.
  • Maintain a minimum of 98% coding accuracy to meet performance expectations and ensure compliance.
  • Stay current with coding standards, risk adjustment methodologies, and CMS regulatory changes to ensure ongoing compliance and optimal coding practices.
  • Collaborate with clinical teams to review documentation and provide insights on areas for improvement in coding and documentation.
  • Support coding education initiatives by creating and delivering training materials to providers, particularly focused on improving documentation practices.
  • Maintain confidentiality and ensure full compliance with HIPAA regulations.

$50,000 - $54,000 a year This is not a leadership or senior position.

Qualifications

- Certification Required - CPC or CSS

- Minimum 5 years of experience in risk adjustment coding, with specific experience in in-home assessments.

- Expertise in managing provider queries and improving provider documentation through coding feedback.

- Proficiency in using coding clinics and reference tools for accurate coding and provider education.

- Strong knowledge of CMS risk adjustment and quality initiatives, including Hierarchical Condition Categories (HCCs).

- Experience with electronic medical records (EMR) and coding tools.

- Excellent communication skills, with the ability to collaborate with providers and clinical teams to drive coding improvements.

- Strong attention to detail, prioritizing coding quality and compliance.

Preferred Qualifications

Experience in coding audits and providing actionable feedback to providers.

Knowledge of healthcare reimbursement models and regulations impacting risk adjustment coding.

Prior experience in telehealth or in-home care settings.

Benefits

Competitive wage and benefits package.

Opportunities for professional growth and continuing education.

A supportive, collaborative work environment.