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 ...
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 ...
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 ...
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 ...
Nurse Practitioner
Miami, FL · On-site
Conduct comprehensive patient assessments, focusing on chronic condition management and preventive care * Accurately document HCC (Hierarchical Condition Categories) for MRA (Medicare Risk Adjustment)
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Nurse Practitioner
Miami, FL · On-site
Conduct comprehensive patient assessments, focusing on chronic condition management and preventive care * Accurately document HCC (Hierarchical Condition Categories) for MRA (Medicare Risk Adjustment)
MRA Auditor
Miami, FL · On-site
$68K - $73K/yr
The Medicare Risk Adjustment (MRA) Auditor is responsible for reviewing medical records, disease ... Reconcile patient assessments against known or suspected chronic conditions, including pre-visit ...
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MRA Auditor
Miami, FL · On-site
$68K - $73K/yr
The Medicare Risk Adjustment (MRA) Auditor is responsible for reviewing medical records, disease ... Reconcile patient assessments against known or suspected chronic conditions, including pre-visit ...
Physical Therapist (PT) - Medicare Home Health (Full-Time & Per Diem)
Stuart, FL · On-site
$1.4K - $1.9K/wk
... Medicare Home Health patients and when needed our Hospital at Home cases . We are hiring for ... Gait analysis and fall risk assessment * Transfers, bed mobility, and stair negotiation * Activity ...
Physical Therapist (PT) - Medicare Home Health (Full-Time & Per Diem)
Stuart, FL · On-site
$1.4K - $1.9K/wk
... Medicare Home Health patients and when needed our Hospital at Home cases . We are hiring for ... Gait analysis and fall risk assessment * Transfers, bed mobility, and stair negotiation * Activity ...
Physical Therapist (PT) - Medicare Home Health (Full-Time & Per Diem)
Stuart, FL · On-site
$1.4K - $1.9K/wk
... Medicare Home Health patients and when needed our Hospital at Home cases . We are hiring for ... Gait analysis and fall risk assessment * Transfers, bed mobility, and stair negotiation * Activity ...
Physical Therapist (PT) - Medicare Home Health (Full-Time & Per Diem)
Stuart, FL · On-site
$1.4K - $1.9K/wk
... Medicare Home Health patients and when needed our Hospital at Home cases . We are hiring for ... Gait analysis and fall risk assessment * Transfers, bed mobility, and stair negotiation * Activity ...
Medicare Home Health Physical Therapist (PT) - (Full-Time & Per Diem) - Boynton Beach Fl,
Boynton Beach, FL · On-site
$1.5K - $2.0K/wk
... Medicare Home Health patients and when needed our Hospital at Home cases . We are hiring for ... Gait analysis and fall risk assessment * Transfers, bed mobility, and stair negotiation * Activity ...
Medicare Home Health Physical Therapist (PT) - (Full-Time & Per Diem) - Boynton Beach Fl,
Boynton Beach, FL · On-site
$1.5K - $2.0K/wk
... Medicare Home Health patients and when needed our Hospital at Home cases . We are hiring for ... Gait analysis and fall risk assessment * Transfers, bed mobility, and stair negotiation * Activity ...
Medicare Home Health Physical Therapist (PT) - (Full-Time & Per Diem) - Boynton Beach Fl,
Boynton Beach, FL · On-site
$1.5K - $2.0K/wk
... Medicare Home Health patients and when needed our Hospital at Home cases . We are hiring for ... Gait analysis and fall risk assessment * Transfers, bed mobility, and stair negotiation * Activity ...
Medicare Home Health Physical Therapist (PT) - (Full-Time & Per Diem) - Boynton Beach Fl,
Boynton Beach, FL · On-site
$1.5K - $2.0K/wk
... Medicare Home Health patients and when needed our Hospital at Home cases . We are hiring for ... Gait analysis and fall risk assessment * Transfers, bed mobility, and stair negotiation * Activity ...
Monitor compliance with DCF, AHCA, CMS, Medicare, Medicaid, HIPAA, OSHA, DEA (when applicable), and ... Maintain the organizational Risk Register. * Assist leadership with risk assessments and mitigation ...
Monitor compliance with DCF, AHCA, CMS, Medicare, Medicaid, HIPAA, OSHA, DEA (when applicable), and ... Maintain the organizational Risk Register. * Assist leadership with risk assessments and mitigation ...
Risk & Compliance Coordinator (Lotus Behavioral Health)
Winter Springs, FL · On-site
$50K - $60K/yr
Monitor compliance with DCF, AHCA, CMS, Medicare, Medicaid, HIPAA, OSHA, DEA (when applicable), and ... Maintain the organizational Risk Register. * Assist leadership with risk assessments and mitigation ...
Risk & Compliance Coordinator (Lotus Behavioral Health)
Winter Springs, FL · On-site
$50K - $60K/yr
Monitor compliance with DCF, AHCA, CMS, Medicare, Medicaid, HIPAA, OSHA, DEA (when applicable), and ... Maintain the organizational Risk Register. * Assist leadership with risk assessments and mitigation ...
Per-Diem PT for Activa Home Health
Stuart, FL · On-site
$39.75 - $51.25/hr
... Medicare Skilled home health physical therapy Skilled in: • Gait training and balance rehabilitation • Fall risk assessment and prevention • Functional mobility and discharge planning • Post ...
Per-Diem PT for Activa Home Health
Stuart, FL · On-site
$39.75 - $51.25/hr
... Medicare Skilled home health physical therapy Skilled in: • Gait training and balance rehabilitation • Fall risk assessment and prevention • Functional mobility and discharge planning • Post ...
Per-Diem PT for Activa Home Health
Stuart, FL · On-site
$39.75 - $51.25/hr
... Medicare Skilled home health physical therapy Skilled in: • Gait training and balance rehabilitation • Fall risk assessment and prevention • Functional mobility and discharge planning • Post ...
Per-Diem PT for Activa Home Health
Stuart, FL · On-site
$39.75 - $51.25/hr
... Medicare Skilled home health physical therapy Skilled in: • Gait training and balance rehabilitation • Fall risk assessment and prevention • Functional mobility and discharge planning • Post ...
Assists with clinical risk assessments and analysis. * Assists with an annual evaluation of the ... FDA, OSHA, EPA, EMTALA, Medicare and Medicaid provisions of the Social Security Act.) * Assists in ...
Assists with clinical risk assessments and analysis. * Assists with an annual evaluation of the ... FDA, OSHA, EPA, EMTALA, Medicare and Medicaid provisions of the Social Security Act.) * Assists in ...
Compliance Auditor - Hospital Services
$33.37 - $45.05/hr
... risk assessment. The Compliance Auditor will also verify reimbursement and/or coding when ... Knowledgeable in compliance-oriented tasks including reviewing coverage determinations, Medicare ...
Compliance Auditor - Hospital Services
$33.37 - $45.05/hr
... risk assessment. The Compliance Auditor will also verify reimbursement and/or coding when ... Knowledgeable in compliance-oriented tasks including reviewing coverage determinations, Medicare ...
Compliance Auditor - Hospital Services
Fort Myers, FL · On-site
$33.37 - $45.05/hr
... risk assessment. The Compliance Auditor will also verify reimbursement and/or coding when ... Knowledgeable in compliance-oriented tasks including reviewing coverage determinations, Medicare ...
Compliance Auditor - Hospital Services
Fort Myers, FL · On-site
$33.37 - $45.05/hr
... risk assessment. The Compliance Auditor will also verify reimbursement and/or coding when ... Knowledgeable in compliance-oriented tasks including reviewing coverage determinations, Medicare ...
Lead and implement an effective Compliance Program as described in CMS Medicare Managed Care Manuals/regulations, applicable Medicaid rules and government contracts, including risk assessment ...
Lead and implement an effective Compliance Program as described in CMS Medicare Managed Care Manuals/regulations, applicable Medicaid rules and government contracts, including risk assessment ...
... Medicare Advantage, HIPAA Privacy & Data Security, as well as other insurance products. This role ... Conduct periodic compliance risk assessments and collaborate with internal stakeholders * Develop ...
... Medicare Advantage, HIPAA Privacy & Data Security, as well as other insurance products. This role ... Conduct periodic compliance risk assessments and collaborate with internal stakeholders * Develop ...
Director of Compliance
Miami, FL · On-site
$80K - $120K/yr
... Medicare Advantage, HIPAA Privacy & Data Security, as well as other insurance products. This role ... risk assessments and collaborate with internal stakeholders · Develop and maintain compliance ...
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Director of Compliance
Miami, FL · On-site
$80K - $120K/yr
... Medicare Advantage, HIPAA Privacy & Data Security, as well as other insurance products. This role ... risk assessments and collaborate with internal stakeholders · Develop and maintain compliance ...
Compliance Manager
Miami, FL · On-site
... Medicare Advantage, and commercial health plan obligations. Audit Oversight - Health Plans ... Conduct enterprise risk assessments and maintain the organization's risk register. * Identify ...
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Compliance Manager
Miami, FL · On-site
... Medicare Advantage, and commercial health plan obligations. Audit Oversight - Health Plans ... Conduct enterprise risk assessments and maintain the organization's risk register. * Identify ...
Compliance Manager
Miami, FL · On-site
$120K/yr
... Medicare Advantage, and commercial health plan obligations. Audit Oversight - Health Plans ... Conduct enterprise risk assessments and maintain the organization's risk register. * Identify ...
Compliance Manager
Miami, FL · On-site
$120K/yr
... Medicare Advantage, and commercial health plan obligations. Audit Oversight - Health Plans ... Conduct enterprise risk assessments and maintain the organization's risk register. * Identify ...
Medicare Risk Assessment information
See Florida salary details
$17.26 is the 25th percentile. Wages below this are outliers.
$14.91 - $18.14
34% of jobs
The median wage is $20.16 / hr.
$18.14 - $21.38
25% of jobs
$21.38 - $24.61
0% of jobs
$24.61 - $27.84
0% of jobs
$27.84 - $31.08
6% of jobs
$31.08 - $34.31
2% of jobs
$34.31 - $37.54
5% of jobs
$38.62 is the 75th percentile. Wages above this are outliers.
$37.54 - $40.78
6% of jobs
$40.78 - $44.01
8% of jobs
$44.01 - $47.24
10% of jobs
$47.24 - $50.48
2% of jobs
$14
$28
$50
How much do medicare risk assessment jobs pay per hour?
What is a Medicare Risk Assessment job?
A Medicare Risk Assessment job involves evaluating patients' health conditions to determine risk scores that impact Medicare Advantage plan reimbursements. Professionals in this role collect and analyze medical data, review patient histories, and ensure accurate coding of diagnoses. Their work helps healthcare providers and insurers understand patient risks and deliver appropriate care. Strong knowledge of ICD-10 coding, healthcare regulations, and medical terminology is essential for this role.
What are some common challenges faced in a Medicare Risk Assessment role?
One common challenge in Medicare Risk Assessment is staying up to date with frequently changing Medicare regulations and coding requirements, which directly affect risk scoring and patient documentation. Handling large volumes of patient data while ensuring accuracy and compliance can also be demanding, as errors may impact reimbursement and care outcomes. Collaboration with clinicians, billing teams, and administrators is often necessary to clarify complex cases and ensure complete, compliant documentation. Successfully navigating these challenges requires ongoing learning, keen attention to detail, and effective communication skills.
What are the key skills and qualifications needed to thrive in the Medicare Risk Assessment position, and why are they important?
To thrive in a Medicare Risk Assessment role, you need a strong understanding of healthcare regulations, Medicare guidelines, data analysis, and clinical assessment—often supported by a background in nursing, healthcare administration, or a related field. Proficiency with health risk assessment tools, electronic health records (EHRs), and data management systems is important, and certification such as Certified Risk Adjustment Coder (CRC) can be beneficial. Attention to detail, analytical thinking, and effective communication stand out as key soft skills in this position. These skills are crucial for accurately evaluating patient risk, ensuring compliance, and supporting optimal Medicare plan outcomes.
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Full-time
Posted 4 days ago
Job description
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.