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Hcc Risk Adjustment Jobs in Florida (NOW HIRING)

Centrum Health

Risk Adjustment Analyst

Doral, FL

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 ...

Centrum Health

Risk Adjustment Analyst

Doral, FL · On-site

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 ...

PedIM Healthcare

HCC Coder

Lecanto, FL

$13.75 - $18.50/hr

  • Medical

  • Life

  • Retirement

  • PTO

The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...

Pedim

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

  • Medical

  • Life

  • Retirement

  • PTO

The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...

Pedim

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

  • Medical

  • Life

  • Retirement

  • PTO

The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...

PedIM Healthcare

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

  • Medical

  • Life

  • Retirement

  • PTO

The Role We are seeking a proactive and compassionate HCC Coder to join our Primary Care team ... This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ...

BHC ISC

PBO Risk Adjustment Coding

Fort Lauderdale, FL · On-site

... Risk HRA/HCC Assessment forms Medicare Advantage plans suspect HCC condition forms prior to ... High School or Equivalent Experience: 2-5 years of risk adjustment coding E/M procedures and ...

Msmc

Certified Risk Adjustment Coder

Hialeah, FL · On-site

$20.50 - $27.75/hr

  • Medical

  • Life

  • Retirement

  • PTO

Regularly reviews Epic HCC and payor CSI (Clinically Suspect Conditions) reports * Queries and ... Demonstrates understanding of risk adjustment payment models * Uses clinical reasoning and critical ...

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All JobsHcc Risk Adjustment JobsHcc Risk Adjustment Jobs in Florida

Hcc Risk Adjustment information

See Florida salary details

$8.2K

$106.4K

$142K

How much do hcc risk adjustment jobs pay per year?

As of Aug 15, 2026, the average yearly pay for hcc risk adjustment in Florida is $106,356.00, according to ZipRecruiter salary data. Most workers in this role earn between $99,000.00 and $99,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the HCC Risk Adjustment position, and why are they important?

To excel in HCC Risk Adjustment, you need a solid understanding of medical coding, clinical documentation, healthcare regulations, and disease management, usually coupled with experience in coding certifications like CPC or CRC. Familiarity with Hierarchical Condition Category (HCC) models, data analytics tools, and electronic health record (EHR) systems is essential. Attention to detail, analytical thinking, and strong communication skills make a candidate stand out in this role. These skills ensure accurate risk adjustment coding and documentation, which are vital for appropriate reimbursement and compliance in the healthcare industry.

What are the main responsibilities of someone working in HCC Risk Adjustment?

Professionals in HCC Risk Adjustment are typically responsible for reviewing medical records, ensuring accurate coding of diagnoses aligned with CMS guidelines, and collaborating with providers to improve documentation. The role often involves analyzing patient data to identify risk gaps and providing education to clinical staff on best practices for compliant coding. Team members regularly coordinate with data analysts, providers, and compliance teams to support accurate reporting and optimal reimbursement. Overall, attention to detail and clear communication are key to meeting the organization's compliance and financial objectives.

What is an HCC Risk Adjustment?

An HCC Risk Adjustment job involves reviewing medical records to ensure accurate coding of diagnoses under the Hierarchical Condition Category (HCC) model. This role helps determine risk scores for patients, which impact healthcare provider reimbursements in Medicare Advantage and other risk-adjusted programs. Professionals in this field, such as medical coders or auditors, analyze documentation to assign appropriate ICD-10-CM codes that reflect a patient's health status. Strong attention to detail and knowledge of coding guidelines are essential for success in this role.

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

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

What are popular job titles related to Hcc Risk Adjustment jobs in Florida?

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

What job categories do people searching Hcc Risk Adjustment jobs in Florida look for?

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

What cities in Florida are hiring for Hcc Risk Adjustment jobs?

Cities in Florida with the most Hcc Risk Adjustment job openings:

Hcc Risk Adjustment jobs near you
Infographic showing various Hcc Risk Adjustment job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 87% Full Time, 9% Part Time, and 3% Contract. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution, with an average salary of $106,356 per year, or $51.1 per hour.

Risk Adjustment Analyst

Centrum Health

Doral, FL

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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