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Manager Hcc Risk Adjustment Jobs in Florida (NOW HIRING)

Cano Health

Risk Adjustment Coder

Jupiter, FL · On-site

Work HCC suspect reports * Accurately code and submit encounters on a timely basis * Researching ... Notifies Patient Experience Manager if annual wellness visits for patients have not been scheduled.

Cano Health

Risk Adjustment Coder

Jupiter, FL · On-site

Work HCC suspect reports * Accurately code and submit encounters on a timely basis * Researching ... Notifies Patient Experience Manager if annual wellness visits for patients have not been scheduled.

Cano Health

Risk Adjustment Coder

Jupiter, FL · On-site

Work HCC suspect reports * Accurately code and submit encounters on a timely basis * Researching ... Notifies Patient Experience Manager if annual wellness visits for patients have not been scheduled.

Oscar Health

Auditor, Risk Adjustment

Miami, FL · Remote

$82K - $108K/yr

You will work with management to implement benchmarks, establish acceptable thresholds, and quality assurance programs. You will report into the Manager, Risk Adjustment. Work Location: This is a ...

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Manager Hcc Risk Adjustment information

What is the difference between Manager Hcc Risk Adjustment vs Hcc Risk Adjustment Specialist?

AspectManager Hcc Risk AdjustmentHcc Risk Adjustment Specialist
CredentialsTypically requires a bachelor’s degree, industry certifications (e.g., CPC, CCS), and experience in healthcare or risk adjustmentOften requires similar certifications and experience but may have less managerial responsibility
Work EnvironmentSupervises teams, manages projects, and collaborates with multiple departmentsFocuses on data analysis, coding, and risk adjustment tasks, often working independently or in small teams
Employer & Industry UsageCommonly employed by health plans, healthcare providers, and risk adjustment vendorsFound within similar organizations, often as a specialized role supporting risk adjustment processes

The main difference is that the Manager Hcc Risk Adjustment oversees teams and manages projects, while the Hcc Risk Adjustment Specialist focuses on technical tasks like data analysis and coding. Both roles require relevant certifications and industry experience, but the manager role involves leadership responsibilities.

What are the key skills and qualifications needed to thrive as a Manager HCC Risk Adjustment?

To thrive as a Manager HCC Risk Adjustment, you need expertise in healthcare coding (especially ICD-10), risk adjustment methodologies, and a background in health administration or a related field, often supported by a relevant degree and coding certifications like CRC or CPC. Familiarity with risk adjustment analytics platforms, EHR systems, and healthcare data reporting tools is important. Strong leadership, analytical thinking, and effective communication skills enable you to guide teams and collaborate across departments. These skills and qualifications are essential to ensure accurate risk scoring, regulatory compliance, and optimal reimbursement for healthcare organizations.

How does a Manager HCC Risk Adjustment typically collaborate with other departments to ensure accurate risk scoring?

A Manager HCC Risk Adjustment frequently partners with coding teams, clinical staff, and data analysts to ensure that documentation and coding accurately reflect patient conditions for risk adjustment purposes. This collaboration often involves leading training sessions, reviewing charts for compliance, and coordinating audits to identify documentation gaps. Working closely with these departments helps ensure data integrity, optimize risk scores, and support organizational goals related to reimbursement and quality reporting.

What is a Manager HCC Risk Adjustment?

Manager HCC Risk Adjustment jobs involve overseeing teams and processes that assess and improve Hierarchical Condition Category (HCC) coding and risk adjustment in healthcare organizations. These managers ensure accurate documentation and coding of patient diagnoses to optimize reimbursement and compliance with government regulations. They collaborate with coders, clinicians, and data analysts to monitor performance, provide training, and implement best practices. Their role is critical in maximizing risk-adjusted revenue while maintaining high standards of patient data integrity.
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 Manager Hcc Risk Adjustment jobs in Florida? For Manager Hcc Risk Adjustment jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Manager Hcc Risk Adjustment jobs in Florida look for? The top searched job categories for Manager Hcc Risk Adjustment jobs in Florida are:
What cities in Florida are hiring for Manager Hcc Risk Adjustment jobs? Cities in Florida with the most Manager Hcc Risk Adjustment job openings:
Manager Hcc Risk Adjustment jobs near you
Infographic showing various Manager Hcc Risk Adjustment job openings in Florida as of August 2026, with employment types broken down into 100% Full Time. Highlights an 92% In-person, and 8% Remote job distribution.

Certified Medical Coder - Risk Adjustment (HCC)

Porter Cares

Pompano Beach, FL • On-site

$50K - $54K/yr

Other

Re-posted 29 days ago

Job description

Risk Adjustment Coder

Porter is hiring a Risk Adjustment Coder to join our team! Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. Driven by robust AI analytics, Porter's Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member's specific needs, and directs Porter's team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience.

Position Overview

We are seeking a certified coder with expertise in risk adjustment coding and a specialization in in-home health assessments. The ideal candidate will have a strong understanding of CMS risk adjustment and quality initiatives, exceptional attention to coding quality, and experience managing the provider query process. This role also requires the ability to handle multiple clients, each with unique coding requirements, while ensuring accuracy and compliance. Proficiency in utilizing coding clinics for provider education and feedback is essential. This role will be instrumental in ensuring the accuracy of coding and improving the efficiency of our assessment workflows. A key expectation is that the Risk Adjustment Coder will maintain 98% coding accuracy.

Schedule: Monday - Friday (some weekends and overtime)

Start: 8am-8:30am ET

On-site: Pompano Beach, FL

*This is not a lead or manager position

Key Responsibilities
  • Assign accurate ICD-10, CPT, and CPT II codes based on documentation from in-home assessments, ensuring compliance with CMS risk adjustment and quality guidelines.
  • Manage the provider query process to clarify documentation and ensure the completeness and accuracy of patient diagnoses, particularly related to chronic conditions.
  • Handle multiple clients with varying coding requirements, maintaining high standards of accuracy and adapting to specific client guidelines.
  • Utilize coding clinics and other reference materials to provide providers with targeted feedback and education on improving documentation and coding accuracy.
  • Maintain a minimum of 98% coding accuracy to meet performance expectations and ensure compliance.
  • Stay current with coding standards, risk adjustment methodologies, and CMS regulatory changes to ensure ongoing compliance and optimal coding practices.
  • Collaborate with clinical teams to review documentation and provide insights on areas for improvement in coding and documentation.
  • Support coding education initiatives by creating and delivering training materials to providers, particularly focused on improving documentation practices.
  • Maintain confidentiality and ensure full compliance with HIPAA regulations.

$50,000 - $54,000 a year This is not a leadership or senior position.

Qualifications

- Certification Required - CPC or CSS

- Minimum 5 years of experience in risk adjustment coding, with specific experience in in-home assessments.

- Expertise in managing provider queries and improving provider documentation through coding feedback.

- Proficiency in using coding clinics and reference tools for accurate coding and provider education.

- Strong knowledge of CMS risk adjustment and quality initiatives, including Hierarchical Condition Categories (HCCs).

- Experience with electronic medical records (EMR) and coding tools.

- Excellent communication skills, with the ability to collaborate with providers and clinical teams to drive coding improvements.

- Strong attention to detail, prioritizing coding quality and compliance.

Preferred Qualifications

Experience in coding audits and providing actionable feedback to providers.

Knowledge of healthcare reimbursement models and regulations impacting risk adjustment coding.

Prior experience in telehealth or in-home care settings.

Benefits

Competitive wage and benefits package.

Opportunities for professional growth and continuing education.

A supportive, collaborative work environment.

Apply