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Hcc Risk Adjustment Coding Jobs in Florida (NOW HIRING)

Solis Health Plans

MRA Auditor

Miami, FL · On-site

$68K - $73K/yr

Educates providers and their practice staff on the Medicare Advantage HCC and RxHCC models medical coding guidelines and regulations. * Trains provider groups on available Solis Risk Adjustment tools ...

Lee Health

Coder I - Facility

Cape Coral, FL · Remote

$20 - $25.45/hr

Responsible for Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and ... Coding Specialist)RequiredorAdditional Requirements CRC (Certified Risk Adjustment Coder) required ...

Lee Health

Coder I - Facility

Cape Coral, FL · On-site +1

$20 - $25.45/hr

Responsible for Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and ... Coding Specialist)Requiredor Additional Requirements CRC (Certified Risk Adjustment Coder) required ...

NeueHealth

Internal Medicine Physician

Lady Lake, FL

Utilize EMR systems for precise clinical documentation and coding to ensure compliance with risk ... Familiarity with HCC risk adjustment and quality reporting. * Strong interpersonal skills and a ...

Lee Health

Coder I - E/M

Cape Coral, FL · Remote

$20 - $25.45/hr

Responsible for Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and ... Coding Specialist)RequiredorAdditional Requirements CRC (Certified Risk Adjustment Coder) required ...

BHP

Director Value Base - BHP

Fort Lauderdale, FL · On-site

... risk adjustment coding for the ambulatory division. This includes all specialty and primary care ... Hierarchical Condition Category (HCC) Medical Loss Ratio (MLR) Risk Certification Risk Auditor ...

Lee Health

Coder I - E/M

Cape Coral, FL · On-site +1

$20 - $25.45/hr

Responsible for Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and ... Coding Specialist)Requiredor Additional Requirements CRC (Certified Risk Adjustment Coder) required ...

Elevance Health

Coding Analyst Sr.

Doral, FL · On-site

AAPC Certified Risk Adjustment Coder (CRC) is highly preferred. * Knowledge of medical terminology and anatomy strongly preferred. Job Level: Non-Management Non-Exempt Workshift: 1st Shift (United ...

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

As of Jul 12, 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 are the key skills and qualifications needed to thrive in the Hcc Risk Adjustment Coding position, and why are they important?

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.

What is an HCC Risk Adjustment Coding job?

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 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:
What are popular job titles related to Hcc Risk Adjustment Coding jobs in Florida? For Hcc Risk Adjustment Coding jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Hcc Risk Adjustment Coding jobs in Florida look for? The top searched job categories for Hcc Risk Adjustment Coding jobs in Florida are:
What cities in Florida are hiring for Hcc Risk Adjustment Coding jobs? Cities in Florida with the most Hcc Risk Adjustment Coding job openings:
Hcc Risk Adjustment Coding jobs near you
Infographic showing various Hcc Risk Adjustment Coding job openings in Florida as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $46,311 per year, or $22.3 per hour.
Physician Advisor - Strategic Quality Performance

Physician Advisor - Strategic Quality Performance

Lakeland Regional Health

Lakeland, FL • On-site

$161K - $215K/yr

Full-time

Posted 23 days ago

Lakeland Regional Health rating

7.0

Company rating: 7.0 out of 10

Based on 64 frontline employees who took The Breakroom Quiz

411th of 881 rated healthcare providers

Job description

Position Details
This is Full-Time Benefit Eligible position working 80 hours per biweekly pay period.
Location: 1324 Lakeland Hills Blvd Lakeland, FL - Onsite
Annual Salary: Min $161,200.00 Mid $215,300.80
Position Summary
The Physician Advisor serves as a liaison between the clinical document improvement (CDI) team, which includes hospital coders; members of the Hospital's administration; the Medical Staff of the hospital; and the hospital's Utilization Management to facilitate the development and implementation of clinical documentation improvement initiatives. The Physician Advisor is pivotal in leveraging his or her clinical position to demonstrate the association of care delivery with specificity in documentation. The Physician Advisor is responsible for conducting clinical reviews referred by the Utilization Management, Coding and Clinical Documentation Improvement departments. The Physician Advisor will assist with reviews and appeals of DRG and medical necessity denials.
Position Responsibilities
Standard Work: Physician Advisor
  • Acts as a liaison between the CDI professionals, Health Information Management, and the hospital's medical staff to facilitate accurate and complete documentation for coding and abstracting of clinical data, capture of severity, acuity and risk of mortality, HCC/risk adjustment in addition to Diagnosis Related Group (DRG) assignment.
  • Perform concurrent and retrospective reviews of selected health records as it pertains to CDI and coding validation, and participate in the development of clinically appropriate and compliant provider queries to further clarify documentation.
  • Educates individual hospital staff physicians about International Classification of Diseases (ICD) coding guidelines and clinical terminology to improve their understanding of severity, acuity, risk of mortality, HCC/risk adjustment and DRG assignments on their individual patient records.
  • Assists with the evaluation and appeal of concurrent and retrospective denials and retrospective DRG downgrades. May perform peer-to-peer meetings as required.
  • Participates in the coding and CDI programs and identifies potential areas for improved documentation of services. Also participates in the Coding and CDI meetings and provides ongoing education to the team members.
  • Provides peer to peer communication to affect the appropriate response for those cases where the physician fails to respond or questions the need for queries.
  • Responsible for writing and submitting appeals (multiple levels as needed) specifically around medical necessity, non-covered services, authorizations, and inpatient/observation stay related denials. May perform peer-to-peer meetings as required.
  • The Physician Advisor is pivotal in leveraging his or her clinical position to demonstrate the association of care delivery with specificity in documentation through effective communication and education of the respective parties.
  • Provides his or her expert opinion in relation to clinical validity assessments, and, furthermore, the development of clinically robust and appropriate queries.
  • Serves as second level reviewer for UM, providing guidance on appropriate/alternate levels of care based on InterQual guidelines and other appropriate criteria.

Competencies & Skills
Essential:
  • Broad knowledge base of clinical medicine across all specialties.
  • Basic coding guidelines regarding the selection of the principal diagnosis and reporting additional diagnoses and procedures; understanding the DRG system; levels of comorbidities; and concepts of risk adjustment, severity of illness, risk of mortality, case mix index, prospective payment, hospital acquired conditions, patient safety indicators.
  • Organize tasks effectively and efficiently and the ability to act independently through the application of critical thinking skills.
  • Computer skills appropriate to position
  • Excellent written and verbal communication skills.

Qualifications & Experience
Essential: Medical Degree
Essential: Licensed to practice medicine in the state of Florida, shall be board certified in internal medicine, and shall meet any other reasonable professional criteria established by LRH or the hospital.
Experience Essential:
- Minimum of two years of experience in conducting coding and CDI reviews.
- Knowledge of coding guidelines and how it translates from clinical documentation.
- Knowledge of DRGs, Risk of Mortality, Severity of Illness, Mortality Rate, HCC/risk adjustment, CMI and the impact of clinical documentation/coding in relation to these metrics.
- Excellent computer skills with prior exposure to use of Microsoft Office suite
People At The Heart Of All That We Do
Fosters an inclusive and engaged environment through teamwork and collaboration.
Ensures patients and families have the best possible experiences across the continuum of care.
Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.
Safety And Performance Improvement
  • Behaves in a mindful manner focused on self, patient, visitor, and team safety.
  • Demonstrates accountability and commitment to quality work.
  • Participates actively in process improvement and adoption of standard work.

Stewardship
  • Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
  • Knows and adheres to organizational and department policies and procedures.

People At The Heart Of All We Do
  • Fosters an inclusive and engaged environment through teamwork and collaboration.
  • Ensures patients and families have the best possible experiences across the continuum of care.
  • Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.

Stewardship
  • Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
  • Knows and adheres to organizational and department policies and procedures.

Safety And Performance Improvement
  • Behaves in a mindful manner focused on self, patient, visitor, and team safety.
  • Demonstrates accountability and commitment to quality work.
  • Participates actively in process improvement and adoption of standard work.

Supervisor/Team Lead Capabilities
  • Demonstrates accountability for shift/team operations and care/service delivery to support achievement of organizational priorities.
  • Coaches front line team members to support ongoing professional development and hardwire technical and professional capabilities.
  • Creates a high performing team by building strong relationships, delegating work and nurturing commitment and engagement.
  • Manages team conflict/issues implementing appropriate corrective actions, improvement plans and regular performance evaluations.
  • Applies change management best practices and standard work to support departmental changes and ensure effective team transition.
  • Promotes a healthy and safe culture to advance system, team and service experience.

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