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Remote Hcc Risk Adjustment Coder Jobs in Florida

Lee Health

Coder I - E/M

Cape Coral, FL · Remote

$20 - $25.45/hr

Remote - Florida Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00AM to 4:30:00PM ... Risk Adjustment Coder) required -or- CIC (Certified Inpatient Coder) required -or- RHIT (Registered ...

Lee Health

Coder I - E/M

Cape Coral, FL · On-site +1

$20 - $25.45/hr

Remote - Florida Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00 AM to 4:30:00 PM ... Risk Adjustment Coder) required -or- CIC (Certified Inpatient Coder) required -or- RHIT (Registered ...

Lee Health

Coder II - ProFee

Cape Coral, FL · Remote

$20.50 - $27.85/hr

Location: Remote - Florida Department: Coding Work Type: Full Time Shift: Shift 1/ to Minimum to ... Risk Adjustment Coder) CIC (Certified Inpatient Coder) CCS (Certified Coding Specialist) RHIT ...

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Lee Health

Coder II - E/M

Cape Coral, FL · Remote

$20.50 - $27.85/hr

Remote - FL Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00AM to 4:30:00PM Minimum ... Risk Adjustment Coder) CIC (Certified Inpatient Coder) CCS (Certified Coding Specialist) RHIT ...

Lee Health

Coder II - E/M

Cape Coral, FL · On-site +1

$20.50 - $27.85/hr

Remote - FL Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00 AM to 4:30:00 PM Minimum ... Risk Adjustment Coder) • CIC (Certified Inpatient Coder) • CCS (Certified Coding Specialist ...

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Remote Hcc Risk Adjustment Coder information

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How much do remote hcc risk adjustment coder jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for remote hcc risk adjustment coder in Florida is $17.58, according to ZipRecruiter salary data. Most workers in this role earn between $14.23 and $18.75 per hour, depending on experience, location, and employer.

What is a Remote HCC Risk Adjustment Coder?

A Remote HCC Risk Adjustment Coder is a medical coding professional who works from home or another remote location, reviewing patient medical records to assign Hierarchical Condition Category (HCC) codes. These codes are used by healthcare organizations to accurately reflect the severity of patient illnesses for risk adjustment and reimbursement purposes, especially in Medicare Advantage programs. The coder analyzes clinical documentation to ensure that diagnoses are coded correctly and in compliance with regulatory guidelines. Their work is essential for ensuring healthcare providers receive appropriate compensation and for maintaining accurate patient risk profiles.

What are the key skills and qualifications needed to thrive as a remote HCC risk adjustment coder?

To thrive as a Remote HCC Risk Adjustment Coder, you need a solid understanding of ICD-10-CM coding guidelines, risk adjustment models, and extensive experience in medical record review, typically supported by a relevant coding certification such as CPC or CRC. Proficiency with electronic health record (EHR) systems, coding software, and risk adjustment platforms is essential. Exceptional attention to detail, analytical thinking, and strong communication skills help coders excel in remote settings and ensure coding accuracy. These skills and qualifications are vital for optimizing risk scores, ensuring compliance, and supporting accurate reimbursement in healthcare organizations.

What are some common challenges faced by remote HCC risk adjustment coders and how can they be managed?

Remote HCC Risk Adjustment Coders often encounter challenges such as interpreting incomplete or ambiguous medical documentation, staying updated with evolving coding guidelines, and managing communication across dispersed teams. To address these challenges, it's important to proactively seek clarification from providers, participate in ongoing training, and utilize collaboration tools to stay connected with peers and supervisors. Establishing a structured daily workflow and leveraging available resources can also help maintain coding accuracy and productivity in a remote setting.

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

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

What are popular job titles related to Remote Hcc Risk Adjustment Coder jobs in Florida?

For Remote Hcc Risk Adjustment Coder jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Remote Hcc Risk Adjustment Coder jobs in Florida look for?

The top searched job categories for Remote Hcc Risk Adjustment Coder jobs in Florida are:

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Remote Hcc Risk Adjustment Coder jobs near you
Infographic showing various Remote Hcc Risk Adjustment Coder job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 88% Full Time, 9% Part Time, and 2% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution, with an average salary of $36,558 per year, or $17.6 per hour.

HCC Risk Coder (CDIS) - Remote in FL

Pathways Health Partners

Leesburg, FL • On-site, Remote

$16.75 - $22.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 25 days ago

Key responsibilities

  • Review and assess documentation to accurately translate chronic conditions into the appropriate diagnosis codes from outpatient medical records.

  • Extract data for Health Plan reports and input data collected from HCC programs.

  • Assist in obtaining medical records from Providers to support audits requested by Health Plans.

Job description

Description
Welcome to Pathways Health Partners, the Accountable Care Organization (ACO) that's leading the charge in helping independent providers transition to Value-Based Care.
What We Do:
Medicare REACH ACO: We're at the forefront of Medicare innovation.
Medicare Advantage MSO: Providing top-notch services to our Medicare Advantage patients.
Commercial MSO: Managing care for approximately 16,000 patients across North-West/Central Florida.
Where We Operate: From The Villages to St. Petersburg, and across to Mount Dora, we've got you covered!
Our Services:
Hospital Medicine Group: Delivering exceptional care in hospitals.
Affiliated Medical Practices: Managing several top-tier medical practices.
Insurance Agency: Offering comprehensive insurance solutions.
Join us on our journey to better health and value-based care!
Job Summary
The HCC Risk Coder plays a vital role in coordinating and supporting retrospective and concurrent chart reviews while providing education and facilitating chart retrieval for Health Plan audits and reports. This position requires a comprehensive understanding of Hierarchical Condition Categories (HCC) coding to accurately translate, input, extract, and validate medical record data.
Position Responsibilities:
• Review and assess documentation to accurately translate chronic conditions into the appropriate diagnosis codes from outpatient medical records.
• Extract data for Health Plan reports and input data collected from HCC programs.
• Assist in obtaining medical records from Providers to support audits requested by Health Plans.
• Help coordinate training sessions for Physicians and staff on relevant coding guidelines and compliance standards.
• Review provider documentation to verify that HCC codes are accurate and meet required documentation guidelines.
• Assign appropriate ICD-10-CM codes that map to risk adjustment models and identify documentation discrepancies, querying providers for clarity when necessary.
• Participate in clinical documentation improvement initiatives and maintain regular attendance at team meetings.
• Handle special projects as assigned and perform other duties as needed.
Qualifications and Education Requirements
  1. High School Diploma or GED. An active CRC (certified risk adjustment coder) or CPC (certified professional coder) preferred.

2. Understanding of regulations regarding medical coding and documentation; Administrative responsibilities, professional written and verbal communication, typing skills.
3. Documented training in Medicare Risk Adjustment (MRA), HCC coding documentation guidelines, rules, and regulation.
4. Two years' demonstrated experience in a medical or health plan environment
5. Excellent computer skills with experience in Outlook, MS Office, MS Excel, MS Word
Pathways Health Partners is a growing company based in Leesburg, FL. We are proud of our professional yet family culture with the executive team working daily alongside our team members. We provide competitive salaries and a benefits package that is second to none.
  • Medical Insurance for Employee and Spouse/Significant Other paid up to 100% by Pathways!
  • Addition of family coverage for dependents at a fraction of the cost
  • 25K life insurance for employees 100% paid by Pathways!
  • Increasing Employee coverage or adding spouse/dependents at a fraction of the cost
  • Vision and Dental Coverage available at a very low cost for employees, spouses, and family
  • 401K retirement plan with 100% match up to 4% of annual pay
  • Paid holidays
  • Ample Paid Time Off (PTO) for vacation/sick/personal days

We look forward to speaking with you about this opportunity!

Apply