Primary Care Physician (MD/DO)
Miami, FL ยท On-site
Knowledge of HEDIS quality measures and Risk Adjustment (HCC) documentation * Experience using electronic medical records (EMR) * Bilingual (English/Spanish or English/Creole) is a plus Skills ...
Miami, FL ยท On-site
Knowledge of HEDIS quality measures and Risk Adjustment (HCC) documentation * Experience using electronic medical records (EMR) * Bilingual (English/Spanish or English/Creole) is a plus Skills ...
Miami, FL ยท On-site
Knowledge of HEDIS quality measures and Risk Adjustment (HCC) documentation * Experience using electronic medical records (EMR) * Bilingual (English/Spanish or English/Creole) is a plus Skills ...
Miami, FL ยท On-site
Knowledge of HEDIS quality measures and Risk Adjustment (HCC) documentation * Experience using electronic medical records (EMR) * Bilingual (English/Spanish or English/Creole) is a plus Skills ...
Quick apply
Miami, FL ยท On-site
Knowledge of HEDIS quality measures and Risk Adjustment (HCC) documentation * Experience using electronic medical records (EMR) * Bilingual (English/Spanish or English/Creole) is a plus Skills ...
... VBP), risk adjustment models, quality metrics such as Healthcare Effectiveness Data and Information Set (HEDIS) and Medicare STARS, and coding. โข Knowledge of medical economics and financial ...
... VBP), risk adjustment models, quality metrics such as Healthcare Effectiveness Data and Information Set (HEDIS) and Medicare STARS, and coding. โข Knowledge of medical economics and financial ...
... VBP), risk adjustment models, quality metrics such as Healthcare Effectiveness Data and Information Set (HEDIS) and Medicare STARS, and coding. โข Knowledge of medical economics and financial ...
... VBP), risk adjustment models, quality metrics such as Healthcare Effectiveness Data and Information Set (HEDIS) and Medicare STARS, and coding. โข Knowledge of medical economics and financial ...
Knowledge of value- based programs (VBP), risk adjustment models, quality metrics such as Healthcare Effectiveness Data and Information Set (HEDIS) and Medicare STARS, and coding. Knowledge of ...
Knowledge of value- based programs (VBP), risk adjustment models, quality metrics such as Healthcare Effectiveness Data and Information Set (HEDIS) and Medicare STARS, and coding. Knowledge of ...
Fort Lauderdale, FL ยท Remote
... VBP), risk adjustment models, quality metrics such as Healthcare Effectiveness Data and Information Set (HEDIS) and Medicare STARS, and coding. โข Knowledge of medical economics and financial ...
Fort Lauderdale, FL ยท Remote
... VBP), risk adjustment models, quality metrics such as Healthcare Effectiveness Data and Information Set (HEDIS) and Medicare STARS, and coding. โข Knowledge of medical economics and financial ...
Pompano Beach, FL ยท Remote
$115K - $150K/yr
... risk adjustment, and member experience. ABOUT THE ROLE Our organization operates in a payer ... Identify and clear inappropriate Athena holds; distinguish true data/coding issues from false ...
Quick apply
Pompano Beach, FL ยท Remote
$115K - $150K/yr
... risk adjustment, and member experience. ABOUT THE ROLE Our organization operates in a payer ... Identify and clear inappropriate Athena holds; distinguish true data/coding issues from false ...
Pompano Beach, FL ยท On-site +1
$115K - $150K/yr
... risk adjustment, and member experience. ABOUT THE ROLE Our organization operates in a payer ... Identify and clear inappropriate Athena holds; distinguish true data/coding issues from false ...
Pompano Beach, FL ยท On-site +1
$115K - $150K/yr
... risk adjustment, and member experience. ABOUT THE ROLE Our organization operates in a payer ... Identify and clear inappropriate Athena holds; distinguish true data/coding issues from false ...
... risk adjustment, and member experience. ABOUT THE ROLE Our organization operates in a payer ... Identify and clear inappropriate Athena holds; distinguish true data/coding issues from false ...
... risk adjustment, and member experience. ABOUT THE ROLE Our organization operates in a payer ... Identify and clear inappropriate Athena holds; distinguish true data/coding issues from false ...
Miami, FL ยท On-site
$80K - $107K/yr
For BHQN, knowledge of HEDIS and Star ratings, risk adjustment and HCC coding preferred. * Proficient in computer applications and typing skills. * Experience in Electronic Medical Record systems ...
Miami, FL ยท On-site
$80K - $107K/yr
For BHQN, knowledge of HEDIS and Star ratings, risk adjustment and HCC coding preferred. * Proficient in computer applications and typing skills. * Experience in Electronic Medical Record systems ...
Miami, FL ยท On-site
$80K - $107K/yr
For BHQN, knowledge of HEDIS and Star ratings, risk adjustment and HCC coding preferred. * Proficient in computer applications and typing skills. * Experience in Electronic Medical Record systems ...
Miami, FL ยท On-site
$80K - $107K/yr
For BHQN, knowledge of HEDIS and Star ratings, risk adjustment and HCC coding preferred. * Proficient in computer applications and typing skills. * Experience in Electronic Medical Record systems ...
Miami, FL ยท On-site
$80K - $107K/yr
For BHQN, knowledge of HEDIS and Star ratings, risk adjustment and HCC coding preferred. * Proficient in computer applications and typing skills. * Experience in Electronic Medical Record systems ...
Miami, FL ยท On-site
$80K - $107K/yr
For BHQN, knowledge of HEDIS and Star ratings, risk adjustment and HCC coding preferred. * Proficient in computer applications and typing skills. * Experience in Electronic Medical Record systems ...
Miami, FL ยท On-site
$80K - $107K/yr
For BHQN, knowledge of HEDIS and Star ratings, risk adjustment and HCC coding preferred. * Proficient in computer applications and typing skills. * Experience in Electronic Medical Record systems ...
Miami, FL ยท On-site
$80K - $107K/yr
For BHQN, knowledge of HEDIS and Star ratings, risk adjustment and HCC coding preferred. * Proficient in computer applications and typing skills. * Experience in Electronic Medical Record systems ...
Pompano Beach, FL ยท On-site
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 ...
Pompano Beach, FL ยท On-site
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 ...
Weston, FL ยท On-site
$96K/yr
Understanding of risk adjusted payment methodologies, HCC assignment and payment methodology, professional coding and billing, outpatient facility coding and billing, APC assignment and OPPS ...
Weston, FL ยท On-site
$96K/yr
Understanding of risk adjusted payment methodologies, HCC assignment and payment methodology, professional coding and billing, outpatient facility coding and billing, APC assignment and OPPS ...
$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 ...
$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 ...
$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 ...
$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 ...
Hialeah, FL ยท 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 ...
Hialeah, FL ยท 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 ...
Miami, FL ยท On-site
$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 ...
Miami, FL ยท On-site
$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 ...
Coral Gables, FL ยท On-site
$17 - $22/hr
... coding based on CMS/HCC categories, CPT, HCPCS CMS 1500 FORM, Super Bill, Electronic Claims ... Request correct adjustment to resolve outstanding account balances. * Maintain accurate and ...
Quick apply
Coral Gables, FL ยท On-site
$17 - $22/hr
... coding based on CMS/HCC categories, CPT, HCPCS CMS 1500 FORM, Super Bill, Electronic Claims ... Request correct adjustment to resolve outstanding account balances. * Maintain accurate and ...
$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
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.
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.
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.
The most popular types of Hcc Risk Adjustment Coder jobs in Miami, FL are:
For Hcc Risk Adjustment Coder jobs in Miami, FL, the most frequently searched job titles are:
The top searched job categories for Hcc Risk Adjustment Coder jobs in Miami, FL are:

Miami, FL โข On-site
Other
Medical, Dental, Vision, Retirement, PTO
Re-posted 24 days ago
OnePlus Healthcare Group is seeking a compassionate, dedicated, and highly skilled Primary Care Physician (MD/DO) who is Board Certified or Board Eligible in Internal Medicine or Family Medicine to provide exceptional, patient-centered care to our growing community.
We are looking for a physician who is passionate about preventative medicine, chronic disease management, and building lasting relationships with patients. The ideal candidate thrives in a collaborative, fast-paced environment and is committed to improving patient outcomes through evidence-based care and compassionate service.
We value our providers and offer a comprehensive benefits package, including:
At OnePlus Healthcare Group, we believe healthcare is about more than treating illnessโit's about building lasting relationships and improving lives. Our providers are supported by an experienced leadership team, efficient clinical operations, and a culture centered on compassion, collaboration, and excellence.
As we continue to grow throughout South Florida, you'll have the opportunity to make a meaningful impact while practicing medicine in an environment that values quality, innovation, and work-life balance.
Join us and become part of a team dedicated to delivering exceptional healthcareโone patient at a time.