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Optum Health Coding Risk Adjustment Jobs in Florida

Cano Health

Risk Adjustment Coder

Jupiter, FL · On-site

We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us. Job Summary The Risk Adjustment coder will identify, collect, assess ...

Oscar Health

Auditor, Risk Adjustment

Miami, FL · Remote

$82K - $108K/yr

Oscar is the first health insurance company built around a full stack technology platform and a ... Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ...

Msmc

Certified Risk Adjustment Coder

Hialeah, FL · On-site

$20.50 - $27.75/hr

As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai ... Demonstrates knowledge of coding and documentation standards as well as CMS risk adjustment ...

Centrum Health

Risk Adjustment Data Analyst

Doral, FL · On-site

SCOPE OF ROLE The Risk Adjustment and Analytics Team is working to push boundaries to redefine Risk ... Using SQL code, mine data on medical spend, clinical data and population health data and derive ...

Centrum Health

Risk Adjustment Data Analyst

Doral, FL · On-site

The Risk Adjustment Analyst will be the lead in the design, implementation, and maintenance of all ... Using SQL code, mine data on medical spend, clinical data and population health data and derive ...

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Optum Health Coding Risk Adjustment information

What is an Optum Health Coding Risk Adjustment?

An Optum Health Coding Risk Adjustment job involves reviewing medical records to assign appropriate diagnosis codes that impact risk adjustment programs. These coders ensure accurate documentation of chronic conditions to support healthcare reimbursement models. They work with providers to improve coding accuracy and compliance with regulatory guidelines. Strong knowledge of ICD-10-CM coding, risk adjustment models, and healthcare regulations is essential.

What are the typical daily responsibilities of an Optum Health Coding Risk Adjustment specialist?

On a daily basis, Optum Health Coding Risk Adjustment specialists review medical records to identify and accurately code diagnoses, ensuring completeness and compliance with risk adjustment requirements. They collaborate closely with clinical teams and other coders to clarify documentation and resolve discrepancies. The role often involves conducting chart audits, submitting coding queries, and staying updated on the latest coding guidelines and regulatory changes. Attention to deadlines and maintaining data quality are key parts of the job, making it both detail-oriented and highly collaborative.

What are the key skills and qualifications needed to thrive in the Optum Health Coding Risk Adjustment position?

To thrive as an Optum Health Coding Risk Adjustment professional, you need a strong understanding of ICD-10-CM coding, risk adjustment methodologies, and medical terminology, often supported by certifications like CPC, CRC, or CCS-P. Familiarity with electronic medical record (EMR) systems, coding software, and compliance tools is essential. Attention to detail, analytical thinking, and effective communication are valuable soft skills in this role. These competencies ensure accurate coding, regulatory compliance, and optimal risk adjustment, directly impacting healthcare quality and reimbursement.

What are the most commonly searched types of Optum Health Coding Risk Adjustment jobs in Florida?

The most popular types of Optum Health Coding Risk Adjustment jobs in Florida are:

What are popular job titles related to Optum Health Coding Risk Adjustment jobs in Florida?

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

What job categories do people searching Optum Health Coding Risk Adjustment jobs in Florida look for?

The top searched job categories for Optum Health Coding Risk Adjustment jobs in Florida are:

Optum Health Coding Risk Adjustment jobs near you
Infographic showing various Optum Health Coding Risk Adjustment job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, and 4% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

PBO Risk Adjustment Coding

BHC ISC

Fort Lauderdale, FL • On-site

Other

Re-posted 18 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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