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Medicare Risk Adjustment Jobs in Florida (NOW HIRING)

BHC ISC

PBO Risk Adjustment Coding

Fort Lauderdale, FL · On-site

Review and audit documentation for appropriate capture of CAT II coding Medicare Annual Wellness ... High School or Equivalent Experience: 2-5 years of risk adjustment coding E/M procedures and ...

Cano Health

Risk Adjustment Coder III

Miami, FL · On-site

$18 - $24/hr

Expertise of Medicare Risk Adjustment methodology. * Additional AAPC specialty certifications (CPMA, CDEO, etc.). * Excellent knowledge of ICD-10-CM coding conventions and guidelines. * Excellent ...

Cano Health

Risk Adjustment Coder III

Miami, FL · On-site

$18 - $24/hr

Expertise of Medicare Risk Adjustment methodology. * Additional AAPC specialty certifications (CPMA, CDEO, etc.). * Excellent knowledge of ICD-10-CM coding conventions and guidelines. * Excellent ...

Cano Health

Risk Adjustment Coder III

Miami, FL · On-site

$18 - $24/hr

Expertise of Medicare Risk Adjustment methodology. * Additional AAPC specialty certifications (CPMA, CDEO, etc.). * Excellent knowledge of ICD-10-CM coding conventions and guidelines. * Excellent ...

Cano Health

Risk Adjustment Coder III

Miami, FL · On-site

$18 - $24/hr

Expertise of Medicare Risk Adjustment methodology. * Additional AAPC specialty certifications (CPMA, CDEO, etc.). * Excellent knowledge of ICD-10-CM coding conventions and guidelines. * Excellent ...

Cano Health

Risk Adjustment Coder III

Miami, FL · On-site

$18 - $24/hr

Expertise of Medicare Risk Adjustment methodology. * Additional AAPC specialty certifications (CPMA, CDEO, etc.). * Excellent knowledge of ICD-10-CM coding conventions and guidelines. * Excellent ...

Centrum Health

Risk Adjustment Data Analyst

Doral, FL · On-site

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 ...

Centrum Health

Risk Adjustment Data Analyst

Doral, FL · On-site

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 ...

Cano Health

Auditor, ACO Coding

Miami, FL · On-site

$26 - $29.75/hr

CPC, CRC, CCS-P, CCS-H, RHIT * 3+ years of Medicare Risk Adjustment experience * Experience working in health care and insurance Industry. Education Requirements Required/Preferred Education Level ...

Cano Health

Auditor, ACO Coding

Miami, FL · On-site

$26 - $29.75/hr

CPC, CRC, CCS-P, CCS-H, RHIT * 3+ years of Medicare Risk Adjustment experience * Experience working in health care and insurance Industry. Education Requirements Required/Preferred Education Level ...

Integrity Placement Group

ACN Physician

Debary, FL · On-site

$180K - $210K/yr

The Ideal Candidate Should Have a Proven Track Record of Working with Medicare Advantage Patients and Be Well-Versed in HEDIS Quality Measures, Medicare Risk Adjustment (MRA), RAF Score Optimization ...

Integrity Placement Group

ACN Physician

Debary, FL · On-site

$180K - $210K/yr

The Ideal Candidate Should Have a Proven Track Record of Working with Medicare Advantage Patients and Be Well-Versed in HEDIS Quality Measures, Medicare Risk Adjustment (MRA), RAF Score Optimization ...

Integrity Placement Group

ACN Physician

Debary, FL · On-site

$180K - $210K/yr

The Ideal Candidate Should Have a Proven Track Record of Working with Medicare Advantage Patients and Be Well-Versed in HEDIS Quality Measures, Medicare Risk Adjustment (MRA), RAF Score Optimization ...

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Medicare Risk Adjustment information

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How much do medicare risk adjustment jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for medicare risk adjustment in Florida is $16.75, according to ZipRecruiter salary data. Most workers in this role earn between $12.02 and $20.29 per hour, depending on experience, location, and employer.

What is Medicare Risk Adjustment?

Medicare Risk Adjustment is a process used by the Centers for Medicare & Medicaid Services (CMS) to adjust payments to Medicare Advantage plans based on the health status and demographic characteristics of their enrolled beneficiaries. The goal is to ensure that plans receive appropriate compensation for taking care of members with varying levels of health risk. This system uses diagnosis codes and other data to predict future healthcare costs, encouraging plans to provide comprehensive care and accurately document patient conditions.

What are jobs in Medicare Risk Adjustment?

Jobs in Medicare risk adjustment include work in data analytics, consulting, insurance, and closely related industries. Your duties and responsibilities differ depending on the type of work. For example, as a Medicare risk-adjustment consultant, you provide advice and recommendations to healthcare organizations or an insurance provider on how to mitigate risk across a customer pool. Data analytics and statistics specialists gather and analyze insurance and Medicare data and documentation from hospitals, healthcare providers, and other medical care facilities that accept Medicare. This includes reviewing different types of diagnosis and comparing patient chart information. Some health care providers have in-house risk adjustment workers, while others contract with outside consulting and analytics firms.

What are the key skills and qualifications needed to thrive in Medicare Risk Adjustment?

To excel in Medicare Risk Adjustment, you need a solid understanding of medical coding (especially ICD-10), healthcare regulations, and risk adjustment methodologies, often supported by credentials like CRC or CPC certifications. Familiarity with data analytics platforms, EHR systems, and specialized risk adjustment software is typically required. Strong attention to detail, analytical thinking, and effective communication are crucial soft skills for interpreting complex clinical data and collaborating across teams. These competencies ensure accurate risk scores, compliance with CMS requirements, and optimal financial outcomes for healthcare organizations.

What are some common challenges faced by professionals working in Medicare Risk Adjustment roles?

Professionals in Medicare Risk Adjustment often encounter challenges such as staying current with frequently changing CMS regulations, ensuring the accurate capture and documentation of patient diagnoses, and collaborating effectively with providers to optimize risk scores. The role requires meticulous attention to detail when reviewing medical records and coding, as well as strong communication skills to educate and support healthcare teams. Additionally, there can be pressure to meet strict deadlines for data submission and to ensure compliance with audit standards.

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

AspectMedicare Risk AdjustmentMedicare Coding Specialist
Primary FocusAssessing patient health risk scores for reimbursementAccurately coding medical diagnoses and procedures
Required CredentialsCertifications in risk adjustment or coding, often CPC or RHITCertifications like CPC, CCS, or RHIT
Work EnvironmentHealth plans, risk adjustment companies, healthcare providersHospitals, clinics, billing departments
Industry UsageUsed for Medicare Advantage plan reimbursementsUsed for medical billing and claims processing

While both roles involve healthcare coding and require similar certifications, Medicare Risk Adjustment focuses on evaluating patient health data to determine reimbursement levels, whereas Medicare Coding Specialists concentrate on accurately coding diagnoses and procedures for billing purposes.

More about Medicare Risk Adjustment jobs

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

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

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

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

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

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

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

Medicare Risk Adjustment jobs near you
Infographic showing various Medicare Risk Adjustment job openings in Florida as of September 2026, with employment types broken down into 1% As Needed, 87% Full Time, 9% Part Time, 2% Contract, and 1% Nights. Highlights an 81% Physical, 4% Hybrid, and 15% Remote job distribution, with an average salary of $34,848 per year, or $16.8 per hour.

PBO Risk Adjustment Coding

Fort Lauderdale, FL • On-site

BHC ISC
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Other

Re-posted 28 days ago

Job description

Broward Health Corporate ISC

Shift: Shift 1

FTE: 1.000000

Requisition:  31881

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 or Equivalent

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).  Proficient in Microsoft Word Excel and PowerPoint.  Competent in Electronic Health Records NextGen and Cerner experience preferred.

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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