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Hcc Risk Adjustment Coding Jobs in Jacksonville, FL

Hays

Construction Superintendent

Jacksonville, FL · On-site

They should be able to determine and address any risk areas in order to maintain the safety of ... Ensure compliance with safety regulations and building codes. * Develop and maintain project ...

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All JobsHcc Risk Adjustment Coding JobsHcc Risk Adjustment Coding Jobs in Jacksonville, FL

Hcc Risk Adjustment Coding information

See Jacksonville, FL salary details

$12

$25

$41

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

As of Sep 2, 2026, the average hourly pay for hcc risk adjustment coding in Jacksonville, FL is $25.58, according to ZipRecruiter salary data. Most workers in this role earn between $19.28 and $31.39 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 popular job titles related to Hcc Risk Adjustment Coding jobs in Jacksonville, FL?

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

What job categories do people searching Hcc Risk Adjustment Coding jobs in Jacksonville, FL look for?

The top searched job categories for Hcc Risk Adjustment Coding jobs in Jacksonville, FL are:

Hcc Risk Adjustment Coding jobs near you
Infographic showing various Hcc Risk Adjustment Coding job openings in Jacksonville, FL as of August 2026, with employment types broken down into 1% As Needed, 88% Full Time, 9% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $53,202 per year, or $25.6 per hour.

Certified Coding Specialist II | Part-Time | Hybrid WFH

Alivia Care, Inc.

Jacksonville, FL • On-site

$24 - $26/hr

Part-time

Posted 7 days ago

Job description

Awarded Best Quality of Care - Once Again!
Behind every award is a story, and ours is written every day by more than 900 dedicated employees and hundreds of compassionate volunteers who walk alongside patients and families when they need us most.
At Community Hospice & Palliative Care, we're honored to be recognized with the Hospice Honors Elite award, a testament not just to our clinical excellence, but to the compassion we bring to every bedside, every home, every conversation. Every day, we serve approximately 1,500 patients living with advanced illness, wherever they call home, be it a private residence, a long-term care or assisted living facility, a hospital, or in one of our nine inpatient care centers.
We're here to improve quality of life, to ease pain and lift burdens, and to be the Compassionate Guide that families need when time matters most. And most importantly, as the only non-profit hospice provider in the region, we never turn anyone away due to an inability to pay.
The Certified Coding Specialist II reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid, and private insurance reimbursement. This position serves as an advanced coding subject matter expert, supports provider education, performs audits, supports risk adjustment initiatives, and may assume departmental leadership in the absence of the Medical Coding Manager.
Position Details
  • Work Location: Hybrid, local Work from Home position. In-person company orientation and occasional in-person department meetings required at main company location: Community Hospice and Palliative Care, 4266 Sunbeam Road Jacksonville FL.
  • Hours: Part-Time, 20-25 hours per week
  • Days: Between Monday - Friday, 8:00am - 5:00pm; actual work days/hours TBD worked out with manager/candidate at time of hire
  • Compensation: $24.00 - $26.00 hour

Primary Responsibilities:
  • Reviews, analyzes, abstracts, and translates provider documentation to assign accurate CPT, HCPCS, E/M, and modifier codes.
  • Reviews, analyzes, abstracts, and sequences of ICD-10-CM diagnosis codes.
  • Identifies and captures applicable Hierarchical Condition Categories (HCCs), chronic conditions, and risk-adjusted diagnoses in accordance with CMS and payer-specific guidelines.
  • Performs HCC (Hierarchical Condition Category) risk adjustment coding activities for PACE (Program of All-Inclusive Care for the Elderly), Advanced Illness Program (AIP), and other applicable organizational programs.
  • Provides coding support for Hospice, inpatient and outpatient Palliative Care, Alivia Supportive Care (ASC), Chronic Care Management (CCM) GUIDE, and future organizational programs.
  • Extracts MIPS quality measures and other value-based reporting elements from provider documentation.
  • Queries providers when documentation is incomplete, ambiguous, or insufficient for coding, compliance, or quality reporting.
  • Conducts coding-related audits including prospective audits for Palliative Care, GUIDE, and other programs to ensure documentation accuracy, coding integrity, and risk adjustment capture.
  • Identifies high-performing providers who may qualify for temporary audit exemption based on sustained documentation accuracy while continuing periodic monitoring.
  • Develops, implements, and delivers provider documentation education for physicians and Advanced Practice Registered Nurses (APRNs), including:
    • Orientation and annual training
    • One-on-one education in clinical settings
    • Identification of documentation improvement opportunities
    • Monitoring effectiveness through follow-up audits
    • Reporting outcomes to leadership
  • Serves as a coding and compliance subject matter expert for Certified Coding Specialist I staff and providers.
  • Works closely with Charge Entry and Billing teams to ensure timely and accurate charge submission.
  • Reviews Additional Documentation Requests (ADRs) and payer audit requests from Medicare, Medicaid, and commercial payers.
  • Assists with development of weekly and monthly departmental reports (coding, audit, productivity, and compliance).
  • Maintains knowledge of CMS regulations, coding guidelines, payer policies, NCCI edits, and reimbursement requirements.
  • Supports compliance, revenue integrity, and quality improvement initiatives.
  • Provides mentoring and support to Certified Coding Specialist I staff.
  • In the absence of the Medical Coding Manager, assumes departmental oversight includes workflow coordination and staff supervision as assigned.
  • Performs special projects and other duties supporting Medical Coding, Compliance, and Revenue Cycle operations.

Required Licenses/Certifications:
  • Certified Professional Coder (CPC) required
  • Certified Risk Adjustment Coder (CRC) required
  • Current Florida Driver's License (acceptable driving record)
  • AHCA Level 2 Background Screening (eligible status required)

Education/Experience:
A combination of education and experience that would provide required skills and knowledge for successful job performance would be considered. Typical qualifications would be equivalent to:
  • Associate degree preferred
  • Coding program or CPC prep required
  • 3-5 years coding experience required
  • Experience with auditing and provider education preferred
  • Experience with risk adjustment/HCC coding strongly preferred
  • Experience in Hospice, Palliative Care, ASC, or value-based programs preferred
  • Leadership or mentoring experience preferred

Skills/Competencies:
• Advanced CPT, ICD-10-CM, HCPCS, and E/M coding proficiency
• Strong understanding of CMS regulations, HCC/risk adjustment, and MIPS
• Strong auditing and analytical skills
• Provider education and communication skills
• Microsoft Office (advanced Excel preferred)
• Strong organizational and critical thinking skills
• Ability to manage multiple priorities and work independently
Community Hospice & Palliative Care, including all of its subsidiaries and affiliated companies, is committed to complying with all applicable provisions of the Americans with Disabilities Act (ADA), as amended. We provide reasonable accommodations to qualified individuals with disabilities to ensure equal access to employment opportunities and the ability to perform the essential functions of a position. If you require an accommodation to complete the application process, interview, or perform the essential functions of a role, please contact Human Resources at humanresources@aliviacare.com.
We participate in E-Verify to confirm the employment eligibility of all newly hired employees. Where applicable, and as required by law, employment with Community Hospice & Palliative Care may be contingent upon successful completion of a background screening initiated by the organization through the Florida Agency for Health Care Administration (AHCA) Background Screening Clearinghouse. More information about the Clearinghouse, including positions that require screening, can be found here: https://info.flclearinghouse.com. Equal Opportunity Employer

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