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 ...
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)
Quick apply
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)
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 ...
Quick apply
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 ...
Lead internal audits and risk assessments to identify potential areas of compliance, vulnerability ... Deep understanding of regulatory frameworks including CMS, HIPAA, and state Medicaid/Medicare ...
Lead internal audits and risk assessments to identify potential areas of compliance, vulnerability ... Deep understanding of regulatory frameworks including CMS, HIPAA, and state Medicaid/Medicare ...
Conduct clinical, operational, and financial risk assessments across all facilities and pharmacies ... Lead billing compliance audits, including Medicare, Medicaid, and commercial payer claims.
Conduct clinical, operational, and financial risk assessments across all facilities and pharmacies ... Lead billing compliance audits, including Medicare, Medicaid, and commercial payer claims.
Senior Director, Compliance and Internal Audit (Healthcare & Pharmacy)
Fort Lauderdale, FL · On-site
$150 - $210/hr
Conduct clinical, operational, and financial risk assessments across all facilities and pharmacies ... Lead billing compliance audits, including Medicare, Medicaid, and commercial payer claims.
Senior Director, Compliance and Internal Audit (Healthcare & Pharmacy)
Fort Lauderdale, FL · On-site
$150 - $210/hr
Conduct clinical, operational, and financial risk assessments across all facilities and pharmacies ... Lead billing compliance audits, including Medicare, Medicaid, and commercial payer claims.
Senior Director, Compliance and Internal Audit (Healthcare & Pharmacy)
Fort Lauderdale, FL · On-site
$180 - $260/hr
Conduct clinical, operational, and financial risk assessments across all facilities and pharmacies ... Lead billing compliance audits, including Medicare, Medicaid, and commercial payer claims.
Senior Director, Compliance and Internal Audit (Healthcare & Pharmacy)
Fort Lauderdale, FL · On-site
$180 - $260/hr
Conduct clinical, operational, and financial risk assessments across all facilities and pharmacies ... Lead billing compliance audits, including Medicare, Medicaid, and commercial payer claims.
Senior Director, Compliance and Internal Audit (Healthcare & Pharmacy)
Fort Lauderdale, FL · On-site +1
Conduct clinical, operational, and financial risk assessments across all facilities and pharmacies ... Lead billing compliance audits, including Medicare, Medicaid, and commercial payer claims.
Senior Director, Compliance and Internal Audit (Healthcare & Pharmacy)
Fort Lauderdale, FL · On-site +1
Conduct clinical, operational, and financial risk assessments across all facilities and pharmacies ... Lead billing compliance audits, including Medicare, Medicaid, and commercial payer claims.
Advanced Practice Registered Nurse - Orthopedics - Full Time
Miami, FL · On-site
$83K - $114K/yr
... current Medicare requirements for billing. Experience Minimum of 1 year of relevant experience ... risk assessment, completes progress notes, and plan for surgery and/or post operative care in ...
New
Advanced Practice Registered Nurse - Orthopedics - Full Time
Miami, FL · On-site
$83K - $114K/yr
... current Medicare requirements for billing. Experience Minimum of 1 year of relevant experience ... risk assessment, completes progress notes, and plan for surgery and/or post operative care in ...
New
Clinical RN
Miami, FL · On-site
... and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline ... Risk Assessments * Support facilities with coordination of care and follow-up * Participate in ...
Clinical RN
Miami, FL · On-site
... and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline ... Risk Assessments * Support facilities with coordination of care and follow-up * Participate in ...
POPULATION HEALTH COMPLIANCE TECHNICIAN
Miami, FL · On-site
$15 - $19.50/hr
Medical Terminology, Keyboard, Knowledge of Medicare, Medicaid, and Managed Care coverage benefits ... health risk assessments, preventative visits and chronic care management. Participate in ...
Quick apply
POPULATION HEALTH COMPLIANCE TECHNICIAN
Miami, FL · On-site
$15 - $19.50/hr
Medical Terminology, Keyboard, Knowledge of Medicare, Medicaid, and Managed Care coverage benefits ... health risk assessments, preventative visits and chronic care management. Participate in ...
Job Summary The Career Medicare Insurance Agent plays a critical role in maintaining and growing ... Initiate and manage targeted outbound campaigns to engage at-risk members and retain their business.
Job Summary The Career Medicare Insurance Agent plays a critical role in maintaining and growing ... Initiate and manage targeted outbound campaigns to engage at-risk members and retain their business.
Agent Sales-2
Fort Lauderdale, FL · On-site
Job Summary The Career Medicare Insurance Agent plays a critical role in maintaining and growing ... Initiate and manage targeted outbound campaigns to engage at-risk members and retain their business.
Agent Sales-2
Fort Lauderdale, FL · On-site
Job Summary The Career Medicare Insurance Agent plays a critical role in maintaining and growing ... Initiate and manage targeted outbound campaigns to engage at-risk members and retain their business.
Job Summary The Career Medicare Insurance Agent plays a critical role in maintaining and growing ... Initiate and manage targeted outbound campaigns to engage at-risk members and retain their business.
Job Summary The Career Medicare Insurance Agent plays a critical role in maintaining and growing ... Initiate and manage targeted outbound campaigns to engage at-risk members and retain their business.
Agent Sales-2
Fort Lauderdale, FL · On-site
Job Summary The Career Medicare Insurance Agent plays a critical role in maintaining and growing ... Initiate and manage targeted outbound campaigns to engage at-risk members and retain their business.
Agent Sales-2
Fort Lauderdale, FL · On-site
Job Summary The Career Medicare Insurance Agent plays a critical role in maintaining and growing ... Initiate and manage targeted outbound campaigns to engage at-risk members and retain their business.
OB Case Manager RN
Sunrise, FL · On-site
This role focuses on intake assessments, individualized care planning, discharge coordination, and ... Apply knowledge of Medicaid and Medicare regulations to ensure compliance in case management ...
OB Case Manager RN
Sunrise, FL · On-site
This role focuses on intake assessments, individualized care planning, discharge coordination, and ... Apply knowledge of Medicaid and Medicare regulations to ensure compliance in case management ...
Medicare Risk Assessment information
See Miami, FL salary details
$22.09 is the 25th percentile. Wages below this are outliers.
$19.08 - $23.22
34% of jobs
The median wage is $25.81 / hr.
$23.22 - $27.36
25% of jobs
$27.36 - $31.50
0% of jobs
$31.50 - $35.64
0% of jobs
$35.64 - $39.78
6% of jobs
$39.77 - $43.91
2% of jobs
$43.91 - $48.05
5% of jobs
$49.43 is the 75th percentile. Wages above this are outliers.
$48.05 - $52.19
6% of jobs
$52.19 - $56.33
8% of jobs
$56.33 - $60.47
10% of jobs
$60.47 - $64.61
2% of jobs
$19
$36
$64
How much do medicare risk assessment jobs pay per hour?
What is a Medicare Risk Assessment?
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.
What are popular job titles related to Medicare Risk Assessment jobs in Miami, FL?
For Medicare Risk Assessment jobs in Miami, FL, the most frequently searched job titles are:
What job categories do people searching Medicare Risk Assessment jobs in Miami, FL look for?
The top searched job categories for Medicare Risk Assessment jobs in Miami, FL are:
What cities near Miami, FL are hiring for Medicare Risk Assessment jobs?
Cities near Miami, FL with the most Medicare Risk Assessment job openings:

Broward Health rating
6.9
Based on 91 frontline employees who took The Breakroom Quiz
456th of 888 rated healthcare providers
Job description
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.
High School or Equivalent
2-5 years of risk adjustment coding E/M procedures and diagnosis experience required. 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.
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
Sourced by ZipRecruiter
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