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Medicare Risk Adjustment Coding Educator Jobs in Florida

DaMar Staffing

MRA Coder

Miami, FL · On-site

$55 - $75/hr

Minimum 3 years of Medicare Risk Adjustment coding * Advanced Microsoft Excel * Familiar with HCC Dashboard tool * Strong knowledge of ICD-10 and CPT codes * Fluent in English and Spanish * Clean ...

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Cano Health

Auditor, ACO Coding

Miami, FL

$26 - $29.75/hr

Facilitates education and/or educates providers and office staff on proper CMS Risk Adjustment ... Required Certified Coder; CPC, CRC, CCS-P, CCS-H, RHIT * 3+ years of Medicare Risk Adjustment ...

Cano Health

Auditor, ACO Coding

Miami, FL · On-site

$26 - $29.75/hr

Facilitates education and/or educates providers and office staff on proper CMS Risk Adjustment ... Required Certified Coder; CPC, CRC, CCS-P, CCS-H, RHIT * 3+ years of Medicare Risk Adjustment ...

Cano Health

Auditor, ACO Coding

Miami, FL · On-site

$70 - $90/hr

Facilitates education and/or educates providers and office staff on proper CMS Risk Adjustment ... Required Certified Coder; CPC, CRC, CCS-P, CCS-H, RHIT3+ years of Medicare Risk Adjustment ...

Msmc

Certified Risk Adjustment Coder

Hialeah, FL · On-site

$20.50 - $27.75/hr

Queries and provides feedback and education to physicians when identifying documentation deficiencies to improve accuracy of risk adjustment coding * Demonstrates understanding of risk adjustment ...

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Medicare Risk Adjustment Coding Educator information

What is a Medicare Risk Adjustment Coding Educator?

A Medicare Risk Adjustment Coding Educator is a healthcare professional responsible for training and educating medical coders, providers, and staff on risk adjustment coding guidelines as they pertain to Medicare. Their primary role is to ensure accurate and compliant coding of diagnoses, which affects risk scores and reimbursement under Medicare Advantage plans. They stay current with CMS policies and regulations, develop educational materials, and conduct audits to identify areas for improvement. By fostering correct coding practices, they help healthcare organizations optimize revenue and maintain compliance.

What are the key skills and qualifications needed to thrive as a Medicare Risk Adjustment Coding Educator?

To thrive as a Medicare Risk Adjustment Coding Educator, you need in-depth knowledge of ICD-10-CM coding, HCC risk adjustment models, and healthcare compliance, typically backed by certifications such as CPC, CRC, or CCS. Familiarity with coding software, electronic health record (EHR) systems, and auditing tools is essential for training and quality assurance. Excellent communication, presentation, and interpersonal skills help engage learners and clarify complex regulations. These skills ensure accurate coding practices, optimize revenue integrity, and support compliance in Medicare risk adjustment programs.

What are some common challenges faced by Medicare Risk Adjustment Coding Educators in ensuring coding accuracy across teams?

Medicare Risk Adjustment Coding Educators often encounter challenges such as varying levels of coding proficiency among staff, frequent updates to CMS guidelines, and the need to keep teams consistently informed about compliance changes. Educators must develop effective training methods tailored to different learning styles and regularly audit coding work to identify and address gaps. Collaboration with clinical staff and coders is key to maintaining high accuracy, and ongoing education is essential to support both new and experienced team members.

What is the difference between Medicare Risk Adjustment Coding Educator vs Medicare Coding Specialist?

AspectMedicare Risk Adjustment Coding EducatorMedicare Coding Specialist
CertificationsAHIMA or AAPC certifications, risk adjustment trainingAHIMA or AAPC coding certifications, Medicare-specific coding credentials
Work EnvironmentTraining sessions, educational settings, healthcare organizationsClinical coding departments, healthcare facilities, insurance companies
Employer & Industry UsageHospitals, health plans, educational institutionsHospitals, clinics, insurance providers

The Medicare Risk Adjustment Coding Educator focuses on training healthcare professionals in risk adjustment coding principles, while the Medicare Coding Specialist applies coding directly to patient records and claims. Both roles require coding certifications and knowledge of Medicare guidelines, but educators emphasize teaching and compliance, whereas specialists focus on accurate coding for reimbursement.

What are popular job titles related to Medicare Risk Adjustment Coding Educator jobs in Florida?

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

What job categories do people searching Medicare Risk Adjustment Coding Educator jobs in Florida look for?

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

Medicare Risk Adjustment Coding Educator jobs near you

PBO Risk Adjustment Coding - FT - Days - PBO Coding Dept - BHC ISC

Broward Health

Fort Lauderdale, FL • On-site

Full-time

Re-posted 19 days ago

Broward Health rating

6.9

Company rating: 6.9 out of 10

Based on 91 frontline employees who took The Breakroom Quiz

454th of 898 rated healthcare providers

Job description

Broward Health Corporate ISC
Shift: Shift 1
FTE: 1.000000
Requisition: 31469
Summary: Ensures procedures, E&M and diagnoses are coded as documented in the medical records according to ICD-10-CM, CPT-4, and HCPCS, in an effort to maintain accurate coding and obtain reimbursement, all within the professional coding guidelines, Centers for Medicare and Medicaid (CMS) guidelines and Broward Health policies. Review and audit documentation for appropriate capture of CAT II coding, Medicare Annual Wellness Visits, Medicare Risk HRA/HCC Assessment forms, Medicare Advantage plans suspect HCC condition forms prior to submission to the payer.
Education: High School
Experience: 2-5 years of risk adjustment coding, E/M, procedures and diagnosis experience required.
Credentials: Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC)
Visit us online at www.BrowardHealth.org or contact Talent Acquisition
*Bonus Exclusions may apply in accordance with policy HR-004-026
Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race, color, national origin, gender, gender identity or gender expression, pregnancy, sexual orientation, religion, age, disability, military status, genetic information or any other characteristic protected under applicable federal or state law.
At Broward Health, the dedication and contributions of veterans are valued. Supporting the military community and giving back to those who served is a priority. Broward Health is proud to offer veteran's preference in the hiring process to eligible veterans and other individuals as defined by applicable law.

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About Broward Health

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A career with Broward Health means endless opportunities to grow through a wide range of experiences across the healthcare system. You will be part of a team that is continually raising the bar for patient care. Our competitive benefits package includes healthcare coverage, a matching retirement program, pension plan, and wellness programs.

Industry

Hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Fort Lauderdale, FL, US

Year founded

1938

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