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Remote Hcc Risk Adjustment Coder Jobs in Florida

Monogram Health

Market Physician Executive

Naples, FL · Remote

This position will be remote within the designated market with occasional in-home patient treatment ... risk adjustment. * Current state medical license without restrictions to practice and free of ...

Monogram Health

Market Physician Executive

Tampa, FL · Remote

This position will be remote within the designated market with occasional in-home patient treatment ... risk adjustment. * Current state medical license without restrictions to practice and free of ...

Phsorg

Remote: Open to applicants in the United States, excluding CA, IL, ND, NY, OH, WA, and WY. Hybrid ... Strong understanding of claims data, risk adjustment methodologies, and Health Plan financial ...

BNY

Senior Vice President, Credit Risk

Lake Mary, FL · On-site +1

$143K - $190K/yr

Remote work may be permitted within a commutable distance from the worksite. REQUIREMENTS: Bachelor ... Qualified applicants please apply online at and utilize reference code #75880. Please indicate ...

Phsorg

Remote: Open to applicants in the United States, excluding CA, IL, ND, NY, OH, WA, and WY. Hybrid ... Health, Risk Adjustment, Provider Relations, Customer Service, Network Management, and Care ...

New

USAA

Data Scientist (Mid-level) - Risk Modeling

Tampa, FL · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Experience writing code that is easy to follow, well documented, and commented where necessary to ...

New

USAA

Data Scientist (Mid-level) - Risk Modeling

Tampa, FL · On-site +1

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Experience writing code that is easy to follow, well documented, and commented where necessary to ...

New

Imagenet

Claims Examiner - Remote

Tampa, FL · Remote

Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of ... claim adjustments is highly preferred. * Understanding of health claims processing/adjudication

Imagenet

Claims Examiner - Remote

Tampa, FL · On-site +1

Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of ... claim adjustments is highly preferred. * Understanding of health claims processing/adjudication

Imagenet

Claims Examiner - Remote (Alameda)

Tampa, FL · Remote

Review and adjudicate medical claims, ensuring accurate coding, data entry, and application of ... claim adjustments is highly preferred. * Understanding of health claims processing/adjudication

RELX

Senior Site Reliability Engineer II

Gainesville, FL · On-site +1

$125K - $209K/yr

LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business ... If not, this role is fully remote. We do not restrict applicants based on job site or posting ...

RELX

Senior Site Reliability Engineer II

Gainesville, FL · On-site +1

$125K - $209K/yr

LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business ... If not, this role is fully remote. We do not restrict applicants based on job site or posting ...

RELX

Senior Site Reliability Engineer II

Boca Raton, FL · On-site +1

$125K - $209K/yr

LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business ... If not, this role is fully remote. We do not restrict applicants based on job site or posting ...

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All JobsHcc Risk Adjustment Coder JobsRemote Hcc Risk Adjustment Coder JobsRemote Hcc Risk Adjustment Coder Jobs in Florida

Remote Hcc Risk Adjustment Coder information

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$12

$17

$27

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

As of Aug 11, 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 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 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 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:
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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, 87% Full Time, 9% Part Time, and 3% Contract. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution, with an average salary of $36,558 per year, or $17.6 per hour.

Market Physician Executive

Monogram Health

Cape Coral, FL • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted yesterday

Job description

Monogram Health is seeking a mission-driven Market Physician Executive (MPE) to lead its in-home multi-specialty polychronic care model within an assigned market. This role involves overseeing daily clinical and business operations, delivering direct patient care, and collaborating with community partners to improve patient well-being and health outcomes. The MPE will leverage Monogram Health's proprietary AI algorithms and risk-based model to ensure health equity and deliver exceptional outcomes through evidence-based clinical pathways.

Practice Info

  • Lead an in-home multi-specialty polychronic care model in an assigned market.
  • Each market comprises 5-10 practices led by local APPs, RNs, LCSWs, and pharmacists.
  • Collaborate with Monogram Health's Multi Specialty Platform to leverage employed specialists for in-home specialty care.
  • Deploy a proven risk-based model using proprietary next-generation AI algorithms to predict appropriate care levels.
  • Focus on improving patient experience, population health outcomes, provider satisfaction, and lowering costs, aligning with the Quadruple AIM.
  • Oversee daily clinical and business operations through direct patient care, care management services, social worker support, and pharmacy services within the market.

Responsibilities

  • Know, understand, and deliver on Monogram Health's proprietary evidenced-based clinical pathways.
  • Review and approve APP, RN, SW, and PharmD plans of care, and co-sign APP encounters.
  • Provide direct and indirect patient care, including diagnosis and treatment of disease.
  • Engage with patients on treatment plans, community provider collaboration, and direct evidence-based care pathways.
  • Order labs, referrals, and complete actions to drive patient outcomes, close care gaps, and clinical intervention closure.
  • Provide clinical guidance and direction to Market teams to drive Population Health Management activities.
  • Collaborate with Medical Economics, Finance, and other stakeholders to root cause and action against utilization trends.
  • Participate in Monogram On-Call activities (7 days on call minimum once/quarter) and provide coverage for other MPEs as needed.

Compensation

  • Competitive compensation
  • 401k with employer match

Benefits

  • Medical, dental, and vision insurance
  • Employee assistance program
  • Employer-paid and voluntary life insurance
  • Disability insurance
  • Health and flexible spending accounts
  • Paid holidays
  • Flexible vacation time/PSSL
  • Paid parental leave
  • Work life assistance resources
  • Physical wellness perks
  • Mental health support
  • Employee referral program
  • BenefitHub for employee discounts

Shift & Schedule

  • 7 days on call minimum once/quarter

Requirements

  • Must be willing and able to obtain hospital privileges at required facilities.
  • This position will be remote within the designated market with occasional in-home patient treatment visits and occasional domestic travel.
  • Demonstrated experience applying evidence-based clinical criteria.
  • Experience in renal care and geriatrics.
  • Strong management and communication skills.
  • Active, unrestricted state medical license required in each state within the market.
  • Experience with high need Medicare Advantage and managed Medicaid populations.
  • Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment.
  • Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare.
  • Willingness to become licensed in multiple states.
  • MD or DO degree from an accredited medical school.
  • BC or BE in an ACGME approved specialty such as Nephrology, Internal Medicine, Family Practice, Emergency Medicine, Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics.

Apply