... Risk Adjustment Coder (CRC) EXPERIENCE: * Experience with Cerner and eClinicalWorks (eCW) is strongly preferred. * Minimum 7 years professional fee coding and revenue cycle operations experience ...
... Risk Adjustment Coder (CRC) EXPERIENCE: * Experience with Cerner and eClinicalWorks (eCW) is strongly preferred. * Minimum 7 years professional fee coding and revenue cycle operations experience ...
Sr. Risk Analyst
Miami, FL · Hybrid
This role applies advanced data and coding skills to maintain the billing intelligence layer ... adjustments in compliance with internal and 3rd-party guidelines. * Billing Control Reporting:
Sr. Risk Analyst
Miami, FL · Hybrid
This role applies advanced data and coding skills to maintain the billing intelligence layer ... adjustments in compliance with internal and 3rd-party guidelines. * Billing Control Reporting:
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Accurately and on a timely basis document encounters and diagnoses in eCW, ensuring complete and compliant coding for risk adjustment * Participate in multidisciplinary meetings and quality ...
Senior Consultant - Clinical Documentation Specialist
$33.25 - $44.75/hr
Proven applicable CPT and ICD-10 coding experience; APR-DRG, MS-DRG and HCC assignment * Other ... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP ...
Senior Consultant - Clinical Documentation Specialist
$33.25 - $44.75/hr
Proven applicable CPT and ICD-10 coding experience; APR-DRG, MS-DRG and HCC assignment * Other ... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP ...
Clinical Documentation Integrity - Second Level Reviewer
Hialeah, FL · On-site
$31.50 - $42.25/hr
... and World Report risk-adjustment systems to identify clinical documentation improvement ... Coding certification (CCS, CIC, or CPC) preferred. Experience: At least three (3) years recent ...
Clinical Documentation Integrity - Second Level Reviewer
Hialeah, FL · On-site
$31.50 - $42.25/hr
... and World Report risk-adjustment systems to identify clinical documentation improvement ... Coding certification (CCS, CIC, or CPC) preferred. Experience: At least three (3) years recent ...
Clinical Documentation Integrity - Second Level Reviewer
Hialeah, FL · On-site +1
$31.50 - $42.25/hr
... and World Report risk-adjustment systems to identify clinical documentation improvement ... Coding certification (CCS, CIC, or CPC) preferred. Experience: At least three (3) years recent ...
Clinical Documentation Integrity - Second Level Reviewer
Hialeah, FL · On-site +1
$31.50 - $42.25/hr
... and World Report risk-adjustment systems to identify clinical documentation improvement ... Coding certification (CCS, CIC, or CPC) preferred. Experience: At least three (3) years recent ...
Clinical Documentation Integrity - Second Level Reviewer
Miami, FL · On-site
$33.25 - $44.75/hr
... and World Report risk-adjustment systems to identify clinical documentation improvement ... Coding certification (CCS, CIC, or CPC) preferred. Experience: At least three (3) years recent ...
Clinical Documentation Integrity - Second Level Reviewer
Miami, FL · On-site
$33.25 - $44.75/hr
... and World Report risk-adjustment systems to identify clinical documentation improvement ... Coding certification (CCS, CIC, or CPC) preferred. Experience: At least three (3) years recent ...
Familiarity with HEDIS measures, star ratings, risk adjustment (HCC coding), and electronic medical records (EMR). * Strong clinical judgment, documentation skills, and commitment to evidence-based ...
Familiarity with HEDIS measures, star ratings, risk adjustment (HCC coding), and electronic medical records (EMR). * Strong clinical judgment, documentation skills, and commitment to evidence-based ...
Familiarity with HEDIS measures, Star Ratings, risk adjustment (HCC coding), and electronic medical records (EMR). * Strong clinical judgment, documentation skills, and commitment to evidence-based ...
Familiarity with HEDIS measures, Star Ratings, risk adjustment (HCC coding), and electronic medical records (EMR). * Strong clinical judgment, documentation skills, and commitment to evidence-based ...
Medical Record Retrieval Specialist - Palm Beach, FL
Fort Lauderdale, FL · Remote
$40K - $52K/yr
... Risk Adjustment Representative) travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. Travel in North ...
Medical Record Retrieval Specialist - Palm Beach, FL
Fort Lauderdale, FL · Remote
$40K - $52K/yr
... Risk Adjustment Representative) travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. Travel in North ...
Medical Record Retrieval Specialist - Palm Beach, FL
Fort Lauderdale, FL · Remote
$40K - $52K/yr
... Risk Adjustment Representative) travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. Travel in North ...
Medical Record Retrieval Specialist - Palm Beach, FL
Fort Lauderdale, FL · Remote
$40K - $52K/yr
... Risk Adjustment Representative) travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. Travel in North ...
Medical Record Retrieval Specialist - Palm Beach, FL
Pompano Beach, FL · Remote
$40K - $52K/yr
... Risk Adjustment Representative) travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. Travel in North ...
Medical Record Retrieval Specialist - Palm Beach, FL
Pompano Beach, FL · Remote
$40K - $52K/yr
... Risk Adjustment Representative) travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. Travel in North ...
Medical Record Retrieval Specialist - Palm Beach, FL
Pompano Beach, FL · Remote
$40K - $52K/yr
... Risk Adjustment Representative) travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. Travel in North ...
Medical Record Retrieval Specialist - Palm Beach, FL
Pompano Beach, FL · Remote
$40K - $52K/yr
... Risk Adjustment Representative) travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. Travel in North ...
Medical Record Retrieval Specialist - Palm Beach, FL
Pompano Beach, FL · Remote
$40K - $52K/yr
... Risk Adjustment Representative) travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. Travel in North ...
Medical Record Retrieval Specialist - Palm Beach, FL
Pompano Beach, FL · Remote
$40K - $52K/yr
... Risk Adjustment Representative) travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. Travel in North ...
Medical Record Retrieval Specialist - Palm Beach, FL
Fort Lauderdale, FL · Remote
$40K - $52K/yr
... Risk Adjustment Representative) travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. Travel in North ...
Medical Record Retrieval Specialist - Palm Beach, FL
Fort Lauderdale, FL · Remote
$40K - $52K/yr
... Risk Adjustment Representative) travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. Travel in North ...
Physician Advisor, FMG, Jackson Memorial Hospital, On-site, Per Diem, Variable weekends & holidays
Miami, FL · On-site
... risk of mortality, in addition to DRG assignment. * Educates physicians and providers about ... HCC coding, and other documentation topics which may include their individual patient records.
Physician Advisor, FMG, Jackson Memorial Hospital, On-site, Per Diem, Variable weekends & holidays
Miami, FL · On-site
... risk of mortality, in addition to DRG assignment. * Educates physicians and providers about ... HCC coding, and other documentation topics which may include their individual patient records.
Hcc Risk Adjustment Coder information
See Miami, FL salary details
$17.53 is the 25th percentile. Wages below this are outliers.
$15.17 - $17.58
26% of jobs
$17.58 - $19.98
9% of jobs
$19.98 - $22.39
12% of jobs
The median wage is $23.59 / hr.
$22.39 - $24.79
9% of jobs
$24.79 - $27.19
11% of jobs
$27.19 - $29.60
5% of jobs
$31.40 is the 75th percentile. Wages above this are outliers.
$29.60 - $32
6% of jobs
$32 - $34.40
5% of jobs
$34.40 - $36.81
5% of jobs
$36.81 - $39.21
3% of jobs
$39.21 - $41.61
10% of jobs
$15
$26
$41
How much do hcc risk adjustment coder jobs pay per hour?
What are the key skills and qualifications needed to thrive in the Hcc Risk Adjustment Coder position, and why are they important?
To thrive as an HCC Risk Adjustment Coder, you need a solid understanding of medical coding, ICD-10-CM coding guidelines, and clinical documentation, often demonstrated by a certification such as CPC, CRC, or CCS-P. Familiarity with EHR systems, risk adjustment software, and coding databases is commonly required. Attention to detail, analytical thinking, and strong communication skills set top coders apart in this field. These skills are critical for accurately capturing patient risk, ensuring compliance, and supporting optimal reimbursement for healthcare organizations.
What are some common challenges faced by HCC Risk Adjustment Coders, and how can they overcome them?
HCC Risk Adjustment Coders often encounter challenges such as incomplete or ambiguous provider documentation, frequent code updates, and tight coding accuracy standards. Staying current on industry coding guidelines, maintaining open communication with providers, and participating in regular training programs are essential strategies for overcoming these hurdles. Coders who proactively seek clarification, double-check their work, and embrace ongoing learning typically excel in this role. Addressing these challenges effectively not only improves coding quality but also supports accurate reimbursement and risk adjustment reporting.
What is an HCC Risk Adjustment Coder job?
An HCC Risk Adjustment Coder reviews medical records to identify and assign accurate Hierarchical Condition Category (HCC) codes based on documented diagnoses. These codes help determine risk adjustment scores, which impact healthcare reimbursements for Medicare Advantage and other risk-adjusted plans. Coders ensure compliance with CMS guidelines, improve documentation accuracy, and support proper reimbursement for patient care. Strong knowledge of ICD-10-CM coding, medical terminology, and risk adjustment models is essential for this role.

Other
Medical, Dental, Vision, Life, Retirement, PTO
Posted 5 days ago
HCA Healthcare rating
6.5
Based on 2,200 frontline employees who took The Breakroom Quiz
592nd of 872 rated healthcare providers
Job description
Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! The Regional Coding Operations Manager is responsible for assisting in the development and evolution of the overall strategy for Physician Services Coding Operations. The RCOM is responsible for oversight of all CSG coding operational processes and workflow, including but not limited to, practice acquisitions, provider clinical documentation improvement, practice coding processes, and division relationship management as applicable.
The RCOM assists the Regional Coding Operations Director with the oversight and implementation of Coding Operations operational planning, service commitment, budgets, workflow processes and internal controls. As the RCOM, this person serves as a key promoter of Coding Operations and is responsible for setting the tone of Coding Operations as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs.
***This role supports HCA East Florida Division so candidates must live in the Fort Lauderdale are or being willing to relocate. Travel within division is required.***
Job Summary
- Provides coding and documentation improvement education to Providers.
- Assists the Director Coding Operations Division Support in reviewing progress against business case expectations and operational metrics to ensure that financial and operational risks are properly managed.
- Works with the division operations team and CCU team on practice implementation/acquisition activities and projects.
- Leads key communication efforts with practice staff, providers, and Division Leadership.
- Provides direction and guidance to the practice management and Division Leadership teams to ensure accurate and efficient coding processes.
- Physician Services Coding Operations works with Central Coding Unit (CCU) to identify and resolve issues.
- Works collaboratively with each practice and division leadership team to ensure customer satisfaction and efficient coding work processes.
- Assists the coding process in serving as a liaison between the CCU team and practice management, including the providers and division leadership while building and maintaining strategic working relationships with the practice and division leadership (working through specific issues, committee meetings, monthly updates, etc.).
- Assumes a lead role for innovation, knowledge sharing and leading best practice identification.
- Manages coding education for practice management and practice/division staff.
- Contributes to the development of strategic direction for Coding Operations.
- Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement”.
- Must be willing to be present within physician practices daily to include minimal overnight travel.
EDUCATION:
- Bachelor’s Degree preferred.
- Must be a Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator) through AHIMA (American Health Information Management Association) or AAPC's (American Academy of Professional Coders) Certified Professional Coder (CPC®) credential or Certified Professional Coder - Hospital (CPC-H®) or Certified Risk Adjustment Coder (CRC)
EXPERIENCE:
- Experience with Cerner and eClinicalWorks (eCW) is strongly preferred.
- Minimum 7 years professional fee coding and revenue cycle operations experience strongly preferred.
- Minimum 5 years health care management/leadership experience required.
HCA Healthcare offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
- Wellbeing support, including free counseling and referral services
- Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
- Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
- Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
- Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Physician Services Group is skilled in physician employment, practice and urgent care operations. We are experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician practices and 170+ urgent care centers. We are HCA Healthcare’s graduate medical education leader. We provide direction for over 260 exceptional resident and fellowship programs. We focus on carrying out value-added solutions. These solutions help physicians deliver patient-centered healthcare. We support HCA Healthcare's commitment to the care and improvement of human life.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Regional Coding Operations Manager WFH opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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