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Remote Hcc Risk Adjustment Coder Jobs in Brooksville, FL

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

ImagenetLLC

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

ImageNetLLC

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

USAA

Tax Analyst Senior

Tampa, FL · On-site +1

$93K - $179K/yr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... adjustments, and completing required forms and schedules. * Leads high-risk tax audit issues in ...

paradigm

Clinical Budgeting Specialist

Tampa, FL · Remote

... remote Clinical Budgeting Specialist. This position is responsible for the accuracy of risk-based ... Medical coding certification preferred. * Medical billing in workers compensation industry ...

paradigm

Clinical Budgeting Specialist

Tampa, FL · Remote

... remote Clinical Budgeting Specialist. This position is responsible for the accuracy of risk-based ... Medical coding certification preferred. * Medical billing in workers compensation industry ...

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Remote Hcc Risk Adjustment Coder information

See Brooksville, FL salary details

$13

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$28

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

As of Aug 3, 2026, the average hourly pay for remote hcc risk adjustment coder in Brooksville, FL is $18.40, according to ZipRecruiter salary data. Most workers in this role earn between $14.81 and $19.71 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, and why are they important?

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 popular job titles related to Remote Hcc Risk Adjustment Coder jobs in Brooksville, FL? For Remote Hcc Risk Adjustment Coder jobs in Brooksville, FL, the most frequently searched job titles are:
What cities near Brooksville, FL are hiring for Remote Hcc Risk Adjustment Coder jobs? Cities near Brooksville, FL with the most Remote Hcc Risk Adjustment Coder job openings:
Remote Hcc Risk Adjustment Coder jobs near you

Manager Risk Adjustment Program

BayCare Health System

Tampa, FL • On-site, Remote

Full-time

Re-posted 16 days ago

BayCare Health System rating

7.5

Company rating: 7.5 out of 10

Based on 398 frontline employees who took The Breakroom Quiz

233rd of 887 rated healthcare providers

Job description

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence.
Position details:
Location: Tampa, FL (Remote - Must Reside in the State of Florida)
Status: Full Time, Salaried
Shift Hours: M-F, 8:00 am - 5:00 pm
The Manager Risk Adjustment Program:
  • Leads and implements risk adjustment strategies, operations and program development across BayCare PHSO and BayCare Plus consistent with BayCare goals and objectives.
  • Uses provider performance metrics and data to identify program/provider opportunities and gaps.
  • Works with physician/facility practices and key stakeholders to provide measurable and actionable solutions to meet and maintain best-practice documentation and HCC (Hierarchical Condition Category) and ICD-10 coding practices.
  • As a subject matter expert and preceptor, provides on-going supervision, education and training of risk adjustment team members related to coding and documentation responsibilities.
  • Works with BayCare Leadership to evaluate and adopt risk adjustment technology solutions.

Minimum Qualifications:
Required Education and Credentials: Bachelor's degree in business, technology, healthcare OR related disciplines required; and at least one of the following active certifications: Certified Professional Coder (CPC); Certified Risk Adjustment Coder (CRC); Certified Coding Specialist (CCS); or Registered Health Information Technician (RHIT).
Preferred Education and Credentials: Master's degree in business, technology, healthcare OR related disciplines
Required Experience: Minimum of three (3) years of relevant experience managing a risk adjustment program OR department with direct supervisory responsibility and budgetary accountability required, and minimum of five (5) years of management/leadership experience for a healthcare organization.
Preferred Experience: Two (2) or more years of experience in a lead risk adjustment role working with OR for Medicare Advantage health plans.
*Any equivalent combination of education and experience that provides the required knowledge, skills, and abilities to perform the essential duties and responsibilities of the position.
BayCare Values: Demonstrate a consistent commitment to BayCare Health System's core values of trust, respect, and dignity in all interactions with patients, families, team members, and the community, supporting our shared responsibility to achieve excellence in the communities we serve.
Leadership Competencies
  • Communication: Communicates in a clear, authentic, and transparent manner to meet the needs of others to ensure messages are received and mutually understood.
  • Emotional Intelligence: Demonstrates self-awareness and manages one's emotions. Recognizes and responds constructively to others' emotions and builds meaningful relationships.
  • Talent and Team Development: Develops team members and teams by empowering them, setting clear expectations, providing learning opportunities, and supporting ongoing growth.
  • Change Champion: Demonstrates a commitment to enhance performance by engaging and promoting change, continuous improvement, adaptability, and innovation.
  • Collaboration: Collaborates by sharing responsibility, transparent exchange of information, and collective problem-solving to achieve mutually beneficial solutions.
  • Results Driven: Takes ownership of outcomes by setting clear, measurable goals and aligning team efforts and resources to achieve them.
  • Inclusion and Belonging: Creates an inclusive environment that values all perspectives, respects individuality, and fosters an environment where all feel a sense of belonging.

Equal Opportunity Employer Veterans/Disabled

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