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Hcc Risk Adjustment Coding Jobs in Florida (NOW HIRING)

Msmc

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 ...

Insight Global

Medical Coder

Tampa, FL · On-site

$25 - $28/hr

Knowledge of Risk Adjustment and HCC coding methodologies * Experience reviewing physician documentation and assigning accurate diagnosis codes * Strong understanding of medical terminology, anatomy ...

Centrum Health

Risk Adjustment Data Analyst

Doral, FL · On-site

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 ...

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How much do hcc risk adjustment coding jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for hcc risk adjustment coding in Florida is $22.26, according to ZipRecruiter salary data. Most workers in this role earn between $16.78 and $27.31 per hour, depending on experience, location, and employer.

What is an HCC Risk Adjustment Coding?

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.

What are the key skills and qualifications needed to thrive in HCC Risk Adjustment Coding?

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.

What are the typical challenges faced by HCC Risk Adjustment Coders, and how can they overcome them?

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.

Is Hcc Risk Adjustment Coding a good career?

Hcc Risk Adjustment Coding is a growing field within healthcare that involves analyzing patient data to improve risk adjustment models, often requiring knowledge of medical terminology and coding systems like ICD-10. It offers opportunities for stable employment, remote work, and career advancement, especially for those with certification and experience in medical coding. The role is in demand as healthcare organizations focus on accurate risk assessment and reimbursement.

What are the most commonly searched types of Hcc Risk Adjustment Coding jobs in Florida?

The most popular types of Hcc Risk Adjustment Coding jobs in Florida are:

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For Hcc Risk Adjustment Coding jobs in Florida, the most frequently searched job titles are:

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The top searched job categories for Hcc Risk Adjustment Coding jobs in Florida are:

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Hcc Risk Adjustment Coding jobs near you
Infographic showing various Hcc Risk Adjustment Coding job openings in Florida as of September 2026, with employment types broken down into 1% As Needed, 87% Full Time, 9% Part Time, 2% Contract, and 1% Nights. Highlights an 81% Physical, 4% Hybrid, and 15% Remote job distribution, with an average salary of $46,311 per year, or $22.3 per hour.

Risk Adjustment Data Analyst

Doral, FL

Centrum Health
Health Care and Social Assistance • 201 - 500 employees
Learn more about Centrum Healthexternal

Full-time

Re-posted 15 days ago

Job description

SCOPE OF ROLE 

The Risk Adjustment and Analytics Team is working to push boundaries to redefine Risk Adjustment and Quality Analytics in a Value-Based Care Setting. The Risk Adjustment Analyst will be the lead in the design, implementation, and maintenance of all Risk Adjustment and Quality Data and Dashboards for our entire NeueHealth Portfolio: ACA, Medicare, ACO REACH, MSSP, and Medicaid. The Risk Adjustment and Quality Analyst will be responsible for working both independently and collaboratively between multiple departments such as Analytics, Risk Adjustment and Quality, Medical Economics, & Clinical Operations.

This is an onsite position in Doral, FL.

ROLE RESPONSIBILITIES

  • Proactively collaborate and interact with business stakeholders across the organization to understand analytics needs, develop plans to address those needs, and deliver analytics to meet those needs.
  • Using SQL code, mine data on medical spend, clinical data and population health data and derive meaningful insights to improve operations such as trends, correlations and patterns.
  • Own the data. You are responsible for accurate presentation of your data elements, so ensuring data integrity is paramount.
  • Thoroughly analyze data, quickly identify relevant information, and transform it into a meaningful output.  Conduct thoughtful presentations, online or in person, to stakeholders with actionable findings for improvement.
  • Provide concise data reports and clear data visualizations for executive level reporting through Power BI, Excel and other tools used by the organization.
  • Create data processes that are consistent, repeatable, and scalable.
  • Conduct Quarterly Reconciliations to identify dropped HCCs and prepare supplemental data submission files according to payor partner specifications.

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE

  • Bachelor's degree is required.
  • Comprehensive understanding of risk adjustment and quality programs across all government-regulated lines of business, including Marketplace, Medicaid, and Medicare programs.
  • Five (5) or more years of hands-on SQL code development is required, including expertise with programming languages like Scala or Python.
  • Three (3) or more years of experience in healthcare field dealing with claims/utilization as it pertains to Risk Adjustment and Quality.
  • Three (3) or more years of analytics experience (Required)
  • Two (2) or more years of Power BI experience (Required)
  • Experience with Databricks (Preferred)
  • Familiarity with CMS-HCC and HHS-HCC risk Adjustment Models
  • Familiarity with HEDIS and MSSP Quality Reporting

PROFESSIONAL COMPETENCIES

  • Expertise in analytics, statistics, data visualization, or programming
  • Dedicates exacting attention to detail and data quality
  • Eager learner, collaborative partner, easy communicator, and careful analyst
  • Passion for empirical research and answering hard questions with data

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