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Optum Health Coding Risk Adjustment Jobs in Florida

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 ...

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 ...

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 ...

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 ...

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 ...

Certified Risk Adjustment Coder

Hialeah, FL

$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 ...

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Optum Health Coding Risk Adjustment information

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 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 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:

Infographic showing various Optum Health Coding Risk Adjustment job openings in Florida as of August 2026, with employment types broken down into 90% Full Time, and 10% Contract. Highlights an 52% In-person, and 48% Remote job distribution.

PBO Risk Adjustment Coding

Broward Health

Fort Lauderdale, FL • On-site

Other

Posted 12 days ago


Broward Health rating

6.9

Company rating: 6.9 out of 10

Based on 91 frontline employees who took The Breakroom Quiz

459th of 887 rated healthcare providers


Job description

Coding Specialist

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