Broward Health Corporate ISC Shift: Shift 1 FTE: 1.000000 Requisition: 31881 Summary: Ensures ... Education: High School or Equivalent Experience: 2-5 years of risk adjustment coding, E/M ...
Broward Health Corporate ISC Shift: Shift 1 FTE: 1.000000 Requisition: 31881 Summary: Ensures ... Education: High School or Equivalent Experience: 2-5 years of risk adjustment coding, E/M ...
Risk Adjustment Coordinator, Hybrid, Palm Beach, Baptist Health Integrated Care, FT, 08A-4:30P
Boca Raton, FL · Hybrid
$25.37 - $32.22/hr
The Risk coding Regional Auditor must support the Director of risk coding along with other team ... AAPC Certified Risk Adjustment Coder. * AAPC Certified Professional Coder. * AAPC Certified ...
Risk Adjustment Coordinator, Hybrid, Palm Beach, Baptist Health Integrated Care, FT, 08A-4:30P
Boca Raton, FL · Hybrid
$25.37 - $32.22/hr
The Risk coding Regional Auditor must support the Director of risk coding along with other team ... AAPC Certified Risk Adjustment Coder. * AAPC Certified Professional Coder. * AAPC Certified ...
Company Description Why You Should Work For Us: HealthCare Support Staffing, Inc. (HSS), is a ... CMS risk adjustment purposes. Codes, abstracts and analyzes inpatient and/or outpatient medical ...
Company Description Why You Should Work For Us: HealthCare Support Staffing, Inc. (HSS), is a ... CMS risk adjustment purposes. Codes, abstracts and analyzes inpatient and/or outpatient medical ...
Physician Pulmonology - Competitive Salary
Fort Myers, FL · On-site
$280K - $373K/yr
... coding - Risk adjustment - HCCs - Credentialing/billing - Population health - Monthly Educational meeting (Pods) - Provider relations - 24/7 nurse triage line - Case managers - Hospitalists ...
Physician Pulmonology - Competitive Salary
Fort Myers, FL · On-site
$280K - $373K/yr
... coding - Risk adjustment - HCCs - Credentialing/billing - Population health - Monthly Educational meeting (Pods) - Provider relations - 24/7 nurse triage line - Case managers - Hospitalists ...
Consulting Actuary - ACA Risk Adjustment
Jacksonville, FL · On-site
$143K - $229K/yr
Manage external partnerships with vendors, auditors, regulators, and health care providers ... Strong understanding of diagnosis coding (ICD-10-CM) , provider documentation practices, and their ...
Consulting Actuary - ACA Risk Adjustment
Jacksonville, FL · On-site
$143K - $229K/yr
Manage external partnerships with vendors, auditors, regulators, and health care providers ... Strong understanding of diagnosis coding (ICD-10-CM) , provider documentation practices, and their ...
Documentation Integrity & Coding Compliance Specialist - Full-Time (80 hours per pay period) (Hyb...
Bronson, FL · Hybrid
Experience in clinical documentation integrity, coding compliance, risk adjustment, provider education, revenue cycle, medical record auditing, or related healthcare operations required. Strong ...
Documentation Integrity & Coding Compliance Specialist - Full-Time (80 hours per pay period) (Hyb...
Bronson, FL · Hybrid
Experience in clinical documentation integrity, coding compliance, risk adjustment, provider education, revenue cycle, medical record auditing, or related healthcare operations required. Strong ...
Risk Adjustment Coordinator, Hybrid, Palm Beach, Baptist Health Integrated Care, FT, 08A-4:30P
Boca Raton, FL · On-site
$25.37 - $32.22/hr
Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals ... Description The Risk coding Regional Auditor must support the Director of risk coding along with ...
Risk Adjustment Coordinator, Hybrid, Palm Beach, Baptist Health Integrated Care, FT, 08A-4:30P
Boca Raton, FL · On-site
$25.37 - $32.22/hr
Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals ... Description The Risk coding Regional Auditor must support the Director of risk coding along with ...
Are you a healthcare leader who enjoys improving clinic performance, developing staff, and driving ... Strong knowledge of HEDIS, MRA coding, risk adjustment, quality metrics, and data analytics
Are you a healthcare leader who enjoys improving clinic performance, developing staff, and driving ... Strong knowledge of HEDIS, MRA coding, risk adjustment, quality metrics, and data analytics
MEDICAL CODING SPECIALIST
Coral Gables, FL · On-site
$20 - $25/hr
Familiarity with CMS guidelines, HCC coding, and risk adjustment This is an excellent opportunity to join a growing healthcare organization focused on quality, compliance, and operational excellence.
Quick apply
MEDICAL CODING SPECIALIST
Coral Gables, FL · On-site
$20 - $25/hr
Familiarity with CMS guidelines, HCC coding, and risk adjustment This is an excellent opportunity to join a growing healthcare organization focused on quality, compliance, and operational excellence.
Auditor, ACO Coding
Miami, FL · On-site
$26 - $29.75/hr
Job Summary The ACO Coding Auditor is responsible for reviewing medical records and identifying ... Risk Adjustment experience * Experience working in health care and insurance Industry. Education ...
Auditor, ACO Coding
Miami, FL · On-site
$26 - $29.75/hr
Job Summary The ACO Coding Auditor is responsible for reviewing medical records and identifying ... Risk Adjustment experience * Experience working in health care and insurance Industry. Education ...
Auditor, ACO Coding
Miami, FL · On-site
$26 - $29.75/hr
Job Summary The ACO Coding Auditor is responsible for reviewing medical records and identifying ... Risk Adjustment experience * Experience working in health care and insurance Industry. Education ...
Auditor, ACO Coding
Miami, FL · On-site
$26 - $29.75/hr
Job Summary The ACO Coding Auditor is responsible for reviewing medical records and identifying ... Risk Adjustment experience * Experience working in health care and insurance Industry. Education ...
Are you a healthcare leader who enjoys improving clinic performance, developing staff, and driving ... Strong knowledge of HEDIS, MRA coding, risk adjustment, quality metrics, and data analytics
Quick apply
Are you a healthcare leader who enjoys improving clinic performance, developing staff, and driving ... Strong knowledge of HEDIS, MRA coding, risk adjustment, quality metrics, and data analytics
Are you a healthcare leader who enjoys improving clinic performance, developing staff, and driving ... Strong knowledge of HEDIS, MRA coding, risk adjustment, quality metrics, and data analytics
Are you a healthcare leader who enjoys improving clinic performance, developing staff, and driving ... Strong knowledge of HEDIS, MRA coding, risk adjustment, quality metrics, and data analytics
Coding & Documentation Educator
Maitland, FL · Remote
$25.50 - $29/hr
Registered Health Information Technician (RHIT) [Required] OR Certified Coding Specialist (CCS) [Required] OR Certified Risk Adjustment Coder (CRC) [Required] OR Certified Documentation Improvement ...
Coding & Documentation Educator
Maitland, FL · Remote
$25.50 - $29/hr
Registered Health Information Technician (RHIT) [Required] OR Certified Coding Specialist (CCS) [Required] OR Certified Risk Adjustment Coder (CRC) [Required] OR Certified Documentation Improvement ...
Quality/coding * Risk adjustment * HCCs * Credentialing/billing * Population health * Monthly Educational meeting (Pods) * Provider relations * 24/7 nurse triage line * Case managers * Hospitalists
Quality/coding * Risk adjustment * HCCs * Credentialing/billing * Population health * Monthly Educational meeting (Pods) * Provider relations * 24/7 nurse triage line * Case managers * Hospitalists
Quality/coding * Risk adjustment * HCCs * Credentialing/billing * Population health * Monthly Educational meeting (Pods) * Provider relations * 24/7 nurse triage line * Case managers * Hospitalists
Quality/coding * Risk adjustment * HCCs * Credentialing/billing * Population health * Monthly Educational meeting (Pods) * Provider relations * 24/7 nurse triage line * Case managers * Hospitalists
HCC Coder
$13.75 - $18.50/hr
Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk ... Health coverage + Sick-N-Well membership * Health Savings Account (HSA) * Life insurance * Paid ...
HCC Coder
$13.75 - $18.50/hr
Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk ... Health coverage + Sick-N-Well membership * Health Savings Account (HSA) * Life insurance * Paid ...
Certified Coding Specialist II | Part-Time | Hybrid WFH
Jacksonville, FL · On-site
$24 - $26/hr
Performs HCC (Hierarchical Condition Category) risk adjustment coding activities for PACE (Program ... Health Care Administration (AHCA) Background Screening Clearinghouse. More information about the ...
Certified Coding Specialist II | Part-Time | Hybrid WFH
Jacksonville, FL · On-site
$24 - $26/hr
Performs HCC (Hierarchical Condition Category) risk adjustment coding activities for PACE (Program ... Health Care Administration (AHCA) Background Screening Clearinghouse. More information about the ...
\n \n \n Are you a healthcare leader who enjoys improving clinic performance, developing staff, and ... Strong knowledge of HEDIS, MRA coding, risk adjustment, quality metrics, and data analytics \n
\n \n \n Are you a healthcare leader who enjoys improving clinic performance, developing staff, and ... Strong knowledge of HEDIS, MRA coding, risk adjustment, quality metrics, and data analytics \n
HCC Coder
Lecanto, FL · On-site
$13.75 - $18.50/hr
Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk ... Health coverage + Sick-N-Well membership * Health Savings Account (HSA) * Life insurance * Paid ...
HCC Coder
Lecanto, FL · On-site
$13.75 - $18.50/hr
Minimum 2+ years of HCC/Risk Adjustment coding experience (required) * Strong knowledge of CMS risk ... Health coverage + Sick-N-Well membership * Health Savings Account (HSA) * Life insurance * Paid ...
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:
PBO Risk Adjustment Coding - BHC - FT - Finance/Accounting - Days
Fort Lauderdale, FL • On-site
Full-time
Re-posted 16 days ago
Broward Health rating
6.9
Based on 91 frontline employees who took The Breakroom Quiz
454th of 898 rated healthcare providers
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.
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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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