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Part Time Hcc Risk Adjustment Coding Jobs in Florida

Sage Clinical RCM, LLC

Inpatient Coding Auditor

Gulfport, FL · On-site

$26 - $29.50/hr

Strong understanding of methodologies to validate documentation impacting severity, risk, and ... Standard production aligned to client or project needs. * Part-Time / PRN / Project-Based: Flexible ...

Better Health Group Services

LPN

Fort Mccoy, FL

$21.75 - $29.75/hr

Support Annual Wellness Visits (AWVs) by facilitating Health Risk Assessments (HRAs), reviewing and ... HCC) coding support, and Medicare Advantage Star Ratings improvement activities. Perform other ...

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All JobsHcc Risk Adjustment Coding JobsPart Time Hcc Risk Adjustment Coding JobsPart Time Hcc Risk Adjustment Coding Jobs in Florida

Part Time Hcc Risk Adjustment Coding information

What is the difference between Part Time Hcc Risk Adjustment Coding vs Part Time Medical Biller?

AspectPart Time Hcc Risk Adjustment CodingPart Time Medical Biller
CertificationsHCC coding certifications, CPC or CCSMedical billing and coding certifications, CPC
Work EnvironmentHealthcare facilities, insurance companies, remoteMedical offices, billing companies, remote
Industry UsageHealth plans, risk adjustment programsHospitals, clinics, insurance billing
Job FocusAnalyzing clinical documentation for risk scoresProcessing insurance claims and payments

Part Time Hcc Risk Adjustment Coding involves analyzing clinical data to ensure accurate risk scores for health plans, requiring specialized coding certifications. In contrast, Part Time Medical Biller focuses on processing claims and payments, often with general billing certifications. Both roles are essential in healthcare finance but differ in their primary responsibilities and work environments.

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

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

What are popular job titles related to Part Time Hcc Risk Adjustment Coding jobs in Florida?

For Part Time Hcc Risk Adjustment Coding jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Part Time Hcc Risk Adjustment Coding jobs in Florida look for?

The top searched job categories for Part Time Hcc Risk Adjustment Coding jobs in Florida are:

Part Time Hcc Risk Adjustment Coding jobs near you
Infographic showing various Part Time Hcc Risk Adjustment Coding job openings in Florida as of September 2026, with employment types broken down into 1% As Needed, 88% Full Time, 9% Part Time, and 2% Contract. Highlights an 81% Physical, 4% Hybrid, and 15% Remote job distribution.

Certified Coding Specialist II | Part-Time | Hybrid WFH

Jacksonville, FL • On-site

Alivia Care, Inc.
Health Care and Social Assistance • 51 - 200 employees
Learn more about Alivia Care, Inc.external

$24 - $26/hr

Part-time

This job post has expired today. Applications are no longer accepted.

Key responsibilities

  • Reviews, analyzes, abstracts, and codes diagnostic and procedural provider documentation to assign accurate codes.

  • Performs coding-related audits and supports provider education to ensure documentation accuracy and compliance.

  • Supports departmental operations by developing reports, maintaining knowledge of coding guidelines, and assuming leadership in the absence of the manager.

Job description

Awarded Best Quality of Care - Once Again!
Behind every award is a story, and ours is written every day by more than 900 dedicated employees and hundreds of compassionate volunteers who walk alongside patients and families when they need us most.
At Community Hospice & Palliative Care, we're honored to be recognized with the Hospice Honors Elite award, a testament not just to our clinical excellence, but to the compassion we bring to every bedside, every home, every conversation. Every day, we serve approximately 1,500 patients living with advanced illness, wherever they call home, be it a private residence, a long-term care or assisted living facility, a hospital, or in one of our nine inpatient care centers.
We're here to improve quality of life, to ease pain and lift burdens, and to be the Compassionate Guide that families need when time matters most. And most importantly, as the only non-profit hospice provider in the region, we never turn anyone away due to an inability to pay.
The Certified Coding Specialist II reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid, and private insurance reimbursement. This position serves as an advanced coding subject matter expert, supports provider education, performs audits, supports risk adjustment initiatives, and may assume departmental leadership in the absence of the Medical Coding Manager.
Position Details
  • Work Location: Hybrid, local Work from Home position. In-person company orientation and occasional in-person department meetings required at main company location: Community Hospice and Palliative Care, 4266 Sunbeam Road Jacksonville FL.
  • Hours: Part-Time, 20-25 hours per week
  • Days: Between Monday - Friday, 8:00am - 5:00pm; actual work days/hours TBD worked out with manager/candidate at time of hire
  • Compensation: $24.00 - $26.00 hour

Primary Responsibilities:
  • Reviews, analyzes, abstracts, and translates provider documentation to assign accurate CPT, HCPCS, E/M, and modifier codes.
  • Reviews, analyzes, abstracts, and sequences of ICD-10-CM diagnosis codes.
  • Identifies and captures applicable Hierarchical Condition Categories (HCCs), chronic conditions, and risk-adjusted diagnoses in accordance with CMS and payer-specific guidelines.
  • Performs HCC (Hierarchical Condition Category) risk adjustment coding activities for PACE (Program of All-Inclusive Care for the Elderly), Advanced Illness Program (AIP), and other applicable organizational programs.
  • Provides coding support for Hospice, inpatient and outpatient Palliative Care, Alivia Supportive Care (ASC), Chronic Care Management (CCM) GUIDE, and future organizational programs.
  • Extracts MIPS quality measures and other value-based reporting elements from provider documentation.
  • Queries providers when documentation is incomplete, ambiguous, or insufficient for coding, compliance, or quality reporting.
  • Conducts coding-related audits including prospective audits for Palliative Care, GUIDE, and other programs to ensure documentation accuracy, coding integrity, and risk adjustment capture.
  • Identifies high-performing providers who may qualify for temporary audit exemption based on sustained documentation accuracy while continuing periodic monitoring.
  • Develops, implements, and delivers provider documentation education for physicians and Advanced Practice Registered Nurses (APRNs), including:
    • Orientation and annual training
    • One-on-one education in clinical settings
    • Identification of documentation improvement opportunities
    • Monitoring effectiveness through follow-up audits
    • Reporting outcomes to leadership
  • Serves as a coding and compliance subject matter expert for Certified Coding Specialist I staff and providers.
  • Works closely with Charge Entry and Billing teams to ensure timely and accurate charge submission.
  • Reviews Additional Documentation Requests (ADRs) and payer audit requests from Medicare, Medicaid, and commercial payers.
  • Assists with development of weekly and monthly departmental reports (coding, audit, productivity, and compliance).
  • Maintains knowledge of CMS regulations, coding guidelines, payer policies, NCCI edits, and reimbursement requirements.
  • Supports compliance, revenue integrity, and quality improvement initiatives.
  • Provides mentoring and support to Certified Coding Specialist I staff.
  • In the absence of the Medical Coding Manager, assumes departmental oversight includes workflow coordination and staff supervision as assigned.
  • Performs special projects and other duties supporting Medical Coding, Compliance, and Revenue Cycle operations.

Required Licenses/Certifications:
  • Certified Professional Coder (CPC) required
  • Certified Risk Adjustment Coder (CRC) required
  • Current Florida Driver's License (acceptable driving record)
  • AHCA Level 2 Background Screening (eligible status required)

Education/Experience:
A combination of education and experience that would provide required skills and knowledge for successful job performance would be considered. Typical qualifications would be equivalent to:
  • Associate degree preferred
  • Coding program or CPC prep required
  • 3-5 years coding experience required
  • Experience with auditing and provider education preferred
  • Experience with risk adjustment/HCC coding strongly preferred
  • Experience in Hospice, Palliative Care, ASC, or value-based programs preferred
  • Leadership or mentoring experience preferred

Skills/Competencies:
• Advanced CPT, ICD-10-CM, HCPCS, and E/M coding proficiency
• Strong understanding of CMS regulations, HCC/risk adjustment, and MIPS
• Strong auditing and analytical skills
• Provider education and communication skills
• Microsoft Office (advanced Excel preferred)
• Strong organizational and critical thinking skills
• Ability to manage multiple priorities and work independently
Community Hospice & Palliative Care, including all of its subsidiaries and affiliated companies, is committed to complying with all applicable provisions of the Americans with Disabilities Act (ADA), as amended. We provide reasonable accommodations to qualified individuals with disabilities to ensure equal access to employment opportunities and the ability to perform the essential functions of a position. If you require an accommodation to complete the application process, interview, or perform the essential functions of a role, please contact Human Resources at humanresources@aliviacare.com.
We participate in E-Verify to confirm the employment eligibility of all newly hired employees. Where applicable, and as required by law, employment with Community Hospice & Palliative Care may be contingent upon successful completion of a background screening initiated by the organization through the Florida Agency for Health Care Administration (AHCA) Background Screening Clearinghouse. More information about the Clearinghouse, including positions that require screening, can be found here: https://info.flclearinghouse.com. Equal Opportunity Employer

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