Fort Myers, FL · Remote
$27.57 - $35.84/hr
Shift 1/ to Minimum to Midpoint Pay Rate: $27.57 - $35.84 / hour Summary The HCC Coding Educator is responsible for improving the accuracy, completeness, and compliance of risk-adjustment ...
Fort Myers, FL · Remote
$27.57 - $35.84/hr
Shift 1/ to Minimum to Midpoint Pay Rate: $27.57 - $35.84 / hour Summary The HCC Coding Educator is responsible for improving the accuracy, completeness, and compliance of risk-adjustment ...
Fort Myers, FL · On-site +1
$27.57 - $35.84/hr
Shift 1/ to Minimum to Midpoint Pay Rate: $27.57 - $35.84 / hour Summary The HCC Coding Educator is responsible for improving the accuracy, completeness, and compliance of risk-adjustment ...
Fort Myers, FL · On-site +1
$27.57 - $35.84/hr
Shift 1/ to Minimum to Midpoint Pay Rate: $27.57 - $35.84 / hour Summary The HCC Coding Educator is responsible for improving the accuracy, completeness, and compliance of risk-adjustment ...
Sunrise, FL · On-site
$23 - $25/hr
... HCC/risk adjustment coding as needed. Experience with eClinicalWorks is preferred. About Us: HealthPlus Staffing is National Leader in the Healthcare Staffing Industry. We partner up with top ...
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Sunrise, FL · On-site
$23 - $25/hr
... HCC/risk adjustment coding as needed. Experience with eClinicalWorks is preferred. About Us: HealthPlus Staffing is National Leader in the Healthcare Staffing Industry. We partner up with top ...
Pompano Beach, FL · On-site
$50K - $54K/yr
Porter is hiring a Risk Adjustment Coder to join our Team! Porter combines the power of analytics ... Proficiency in utilizing coding clinics for provider education and feedback is essential. This role ...
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Pompano Beach, FL · On-site
$50K - $54K/yr
Porter is hiring a Risk Adjustment Coder to join our Team! Porter combines the power of analytics ... Proficiency in utilizing coding clinics for provider education and feedback is essential. This role ...
... Risk Adjustment (HCC) coding quality programs. Reporting to the Senior Vice President of Revenue Cycle Management, this leader is responsible for developing and implementing enterprise coding ...
... Risk Adjustment (HCC) coding quality programs. Reporting to the Senior Vice President of Revenue Cycle Management, this leader is responsible for developing and implementing enterprise coding ...
... Risk Adjustment (HCC) coding quality programs. Reporting to the Senior Vice President of Revenue Cycle Management, this leader is responsible for developing and implementing enterprise coding ...
... Risk Adjustment (HCC) coding quality programs. Reporting to the Senior Vice President of Revenue Cycle Management, this leader is responsible for developing and implementing enterprise coding ...
Porter is hiring a Risk Adjustment Coder to join our Team! Porter combines the power of analytics ... Proficiency in utilizing coding clinics for provider education and feedback is essential. This role ...
Porter is hiring a Risk Adjustment Coder to join our Team! Porter combines the power of analytics ... Proficiency in utilizing coding clinics for provider education and feedback is essential. This role ...
Jacksonville, FL · On-site
$16.50 - $20.75/hr
... Risk Adjustment Specialist. ESSENTIAL JOB FUNCTIONS: * Reviews medical record and claims ... HCC & HHS-HCC) models * Abstract all risk adjusted diagnosis codes from acceptable provider ...
Jacksonville, FL · On-site
$16.50 - $20.75/hr
... Risk Adjustment Specialist. ESSENTIAL JOB FUNCTIONS: * Reviews medical record and claims ... HCC & HHS-HCC) models * Abstract all risk adjusted diagnosis codes from acceptable provider ...
... Risk Adjustment (HCC) coding quality programs. Reporting to the Senior Vice President of Revenue Cycle Management, this leader is responsible for developing and implementing enterprise coding ...
... Risk Adjustment (HCC) coding quality programs. Reporting to the Senior Vice President of Revenue Cycle Management, this leader is responsible for developing and implementing enterprise coding ...
Pompano Beach, FL · On-site
$50K - $54K/yr
Porter is hiring a Risk Adjustment Coder to join our Team! Porter combines the power of analytics ... Proficiency in utilizing coding clinics for provider education and feedback is essential. This role ...
Pompano Beach, FL · On-site
$50K - $54K/yr
Porter is hiring a Risk Adjustment Coder to join our Team! Porter combines the power of analytics ... Proficiency in utilizing coding clinics for provider education and feedback is essential. This role ...
$16.50 - $20.75/hr
... Risk Adjustment Specialist. ESSENTIAL JOB FUNCTIONS: * Reviews medical record and claims ... HCC & HHS-HCC) models * Abstract all risk adjusted diagnosis codes from acceptable provider ...
$16.50 - $20.75/hr
... Risk Adjustment Specialist. ESSENTIAL JOB FUNCTIONS: * Reviews medical record and claims ... HCC & HHS-HCC) models * Abstract all risk adjusted diagnosis codes from acceptable provider ...
Jupiter, FL · On-site
The Risk Adjustment Coder is required to follow procedures and documentation policies regarding ... Review medical record information to identify all appropriate coding based on CMS HCC categories
Jupiter, FL · On-site
The Risk Adjustment Coder is required to follow procedures and documentation policies regarding ... Review medical record information to identify all appropriate coding based on CMS HCC categories
Jupiter, FL · On-site
The Risk Adjustment Coder is required to follow procedures and documentation policies regarding ... Review medical record information to identify all appropriate coding based on CMS HCC categories
Jupiter, FL · On-site
The Risk Adjustment Coder is required to follow procedures and documentation policies regarding ... Review medical record information to identify all appropriate coding based on CMS HCC categories
Miami, FL · Remote
$82K - $108K/yr
The Associate, Risk Adjustment Auditor conducts internal and external quality audits ... Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ...
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Miami, FL · Remote
$82K - $108K/yr
The Associate, Risk Adjustment Auditor conducts internal and external quality audits ... Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ...
... HCC risk adjustment model Ability to meet productivity and accuracy standards Ability to defend coding decisions to both internal and external audits Qualifications A High School or GED Required 2+ ...
... HCC risk adjustment model Ability to meet productivity and accuracy standards Ability to defend coding decisions to both internal and external audits Qualifications A High School or GED Required 2+ ...
Tampa, FL · On-site +1
... and HCC (Hierarchical Condition Category) and ICD-10 coding practices. * As a subject matter expert and preceptor, provides on-going supervision, education and training of risk adjustment team ...
Tampa, FL · On-site +1
... and HCC (Hierarchical Condition Category) and ICD-10 coding practices. * As a subject matter expert and preceptor, provides on-going supervision, education and training of risk adjustment team ...
Miami, FL · On-site
$21.75 - $29/hr
A minimum of 1 year of coding experience in Risk Adjustment models and Hierarchical Condition Category (HCC) and ICD-10-CM coding guidelines and coding system Licenses/Certifications: * N/A Abilities ...
Miami, FL · On-site
$21.75 - $29/hr
A minimum of 1 year of coding experience in Risk Adjustment models and Hierarchical Condition Category (HCC) and ICD-10-CM coding guidelines and coding system Licenses/Certifications: * N/A Abilities ...
Miami, FL · On-site
$22 - $29.25/hr
A minimum of 1 year of coding experience in Risk Adjustment models and Hierarchical Condition Category (HCC) and ICD-10-CM coding guidelines and coding system Licenses/Certifications: * N/A Abilities ...
Miami, FL · On-site
$22 - $29.25/hr
A minimum of 1 year of coding experience in Risk Adjustment models and Hierarchical Condition Category (HCC) and ICD-10-CM coding guidelines and coding system Licenses/Certifications: * N/A Abilities ...
A minimum of 1 year of coding experience in Risk Adjustment models and Hierarchical Condition Category (HCC) and ICD-10-CM coding guidelines and coding system Licenses/Certifications: * N/A Abilities ...
A minimum of 1 year of coding experience in Risk Adjustment models and Hierarchical Condition Category (HCC) and ICD-10-CM coding guidelines and coding system Licenses/Certifications: * N/A Abilities ...
Maitland, FL · Remote
$25.50 - $29/hr
... Risk Adjustment. * Maintains current knowledge of ICD-10-CM codes, CMS HCC Model and updates, CMS documentation requirements, and the Official Guidelines for Coding and Reporting, as well as state ...
Maitland, FL · Remote
$25.50 - $29/hr
... Risk Adjustment. * Maintains current knowledge of ICD-10-CM codes, CMS HCC Model and updates, CMS documentation requirements, and the Official Guidelines for Coding and Reporting, as well as state ...
$10.93 - $13.18
0% of jobs
$13.18 - $15.43
17% of jobs
$16.52 is the 25th percentile. Wages below this are outliers.
$15.43 - $17.69
17% of jobs
The median wage is $19.63 / hr.
$17.69 - $19.94
19% of jobs
$19.94 - $22.19
9% of jobs
$22.19 - $24.44
7% of jobs
$25.92 is the 75th percentile. Wages above this are outliers.
$24.44 - $26.70
8% of jobs
$26.70 - $28.95
6% of jobs
$28.95 - $31.20
4% of jobs
$31.20 - $33.45
6% of jobs
$33.45 - $35.71
5% of jobs
$10
$22
$35
To thrive as an HCC Risk Adjustment Coder, you need a strong understanding of medical coding guidelines, ICD-10-CM codes, and risk adjustment principles, typically supported by a certification such as CPC, CRC, or CCS-P. Familiarity with electronic health record systems and risk adjustment software is essential for accurate coding and data analysis. Attention to detail, critical thinking, and effective communication skills are important soft skills for ensuring documentation integrity and collaborating with healthcare providers. These competencies are crucial to accurately capture patient complexity, optimize reimbursement, and support compliance in healthcare organizations.
HCC Risk Adjustment Coders often face challenges such as interpreting complex medical records, staying up-to-date with evolving coding guidelines, and ensuring thorough documentation to support accurate risk scoring. To overcome these challenges, coders should engage in continuous education, collaborate closely with healthcare providers for clarification, and utilize available coding resources and team support. Staying organized and maintaining a detail-oriented approach will also help ensure that codes are assigned correctly and all relevant conditions are captured. Working as part of a supportive team can further ease the process, providing opportunities for knowledge sharing and professional development.
An HCC Risk Adjustment Coding job involves reviewing medical records to assign Hierarchical Condition Category (HCC) codes based on documented diagnoses. Coders ensure accurate risk adjustment by following ICD-10-CM coding guidelines, which impact reimbursement for healthcare providers and insurance plans. This role requires knowledge of medical terminology, compliance regulations, and risk adjustment models used in Medicare Advantage and other programs.
$27.57 - $35.84/hr
Full-time
Re-posted 17 days ago
6.9
Based on 193 frontline employees who took The Breakroom Quiz
447th of 881 rated healthcare providers
Location:Lee Health -2776 Cleveland AveFort Myers FL 33901
Department: RBE-MPG-LH
Work Type: Full Time
Shift: Shift 1/ to
Minimum to Midpoint Pay Rate:$27.57 - $35.84 / hour
SummaryThe HCC Coding Educator is responsible for improving the accuracy, completeness, and compliance of risk-adjustment documentation through targeted provider education, documentation review, and performance monitoring. This role supports Medicare Advantage, ACO, and other risk-based contracts by ensuring Hierarchical Condition Category (HCC) capture accurately reflects patient acuity while remaining fully compliant with CMS and payer audit standards. The position serves as a clinical documentation and coding subject-matter expert, partnering with providers, care management teams, and compliance leadership to optimize risk adjustment outcomes and reduce audit exposure.
RequirementsEducation: Associates degree in health information management, nursing, healthcare administration or related field required.
Experience: Minimum of 3 years experience in HCC coding and risk adjustment. Minimum of 3 years experience in Medicare Advantage, MSSP, ACO or other value-based care models. Demonstrated experience providing provider education or coding feedback. Experience reviewing outpatient clinical documentation for risk adjustment.
Certification: CRC, CPC, CCS, COC, RHIA or RHIT required.
License: N/A
Other:
US:FL:Fort Myers
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Lee Health is one of the largest public health systems in the U.S. and one of the largest not-for-profit public health systems in Florida. With 4 acute care hospitals; Lee Memorial, Healthpark Medical Center, Cape Coral Hospital and Gulf Coast Medical Center, two specialty hospitals; Gaisano Children's Hospital and The Rehab Hospital. Lee Physician Group with over 80 practices throughout Southwest Florida, a Regional Cancer Center, seven outpatient centers, three walk-in clinics and two pediatric outpatient facilities. HEALTHGRADES ranks Lee Healths four acute care hospitals in the top 5% in the nation for overall clinical excellence in 2019, 2020, 2021 AND 2022 and is included in America's 250 Best Hospitals
Health care and social assistance
10,000+ Employees
Fort Myers, FL, US
1916
