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Remote Hcc Risk Adjustment Coder Jobs in Coral Springs, FL

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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Remote Hcc Risk Adjustment Coder information

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$15

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$32

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

As of Aug 20, 2026, the average hourly pay for remote hcc risk adjustment coder in Coral Springs, FL is $21.35, according to ZipRecruiter salary data. Most workers in this role earn between $17.16 and $22.88 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 popular job titles related to Remote Hcc Risk Adjustment Coder jobs in Coral Springs, FL?

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

What cities near Coral Springs, FL are hiring for Remote Hcc Risk Adjustment Coder jobs?

Cities near Coral Springs, FL with the most Remote Hcc Risk Adjustment Coder job openings:

Infographic showing various Remote Hcc Risk Adjustment Coder job openings in Coral Springs, FL as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 10% Part Time, and 3% Contract. Highlights an 90% Physical, 4% Hybrid, and 6% Remote job distribution, with an average salary of $44,416 per year, or $21.4 per hour.

Risk Adjustment Coordinator, Remote, Baptist Health Integrated Care, FT, 08A-4:30P

Baptist Health South Florida

Boca Raton, FL • Remote

$25.37 - $32.22/hr

Full-time

Posted 9 days ago


Baptist Health South Florida rating

8.1

Company rating: 8.1 out of 10

Based on 99 frontline employees who took The Breakroom Quiz

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Job description

The Risk coding Regional Auditor must support the Director of risk coding along with other team professionals working to provide pre and post visit review analysis for provider practices while providing risk coding education to healthcare providers to improve practice risk scores. He or she must relate in a professional manner to co-workers, hospital administrators, physicians, Medicare beneficiaries, and others to represent the department and the health system while working closely with other departments to achieve favorable outcomes. This position is responsible for chart review and up-coding workflows. The position will also require coordination of projects to ensure the success of the goals within the CIN organization. Supports the mission, vision, values and strategic goals of Baptist South Florida.Estimated pay range for this position is $25.37 - $32.22 / hour depending on experience.Degrees:
  • High School,Cert,GED,Trn,Exper.
Licenses & Certifications:
  • AAPC Certified Risk Adjustment Coder.
  • AAPC Certified Professional Coder.
  • AAPC Certified Professional Medical Auditor.
Additional Qualifications:
  • Bachelors of Science degree preferred.
  • Certified Professional Coder and/ or Certified Risk Adjustment Coder (CRC).
  • CPMA certification must be obtained within 1 year of Hire.
  • Required completion of an accredited certified coding specialist program.
  • 2 years of clinic or hospital experience and/ or managed care experience.
  • 1 years of experience in Risk Adjustment and HEDIS/Stars.
  • Ability to interpret, analyze and abstract data/documentation.
  • Comprehensive Knowledge of ICD-10-CM codes, Category II codes, COA measures, CMS documentation requirements, state and federal regulations including compliance and reimbursement and the impact of diagnosis coding on risk adjustment payment models.
  • Ability to identify HCC improvement opportunities and educate clinical providers on proper clinical documentation, compliance, and coding guidelines.
  • Intermediate level of proficiency in MS Office - Excel, PowerPoint, and Word.
  • Ability to defend coding decisions to both internal and external audits.
  • Strong organizational skills in multiple settings, as well as the ability to exercise judgement and initiative.
  • Ability to work in a continuously changing environment.
Minimum Required Experience: 5 Years

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About Baptist Health South Florida

Sourced by ZipRecruiter

Baptist Health South Florida is the largest healthcare organization in the region, with 12 hospitals, more than 27,000 employees, 4,000 physicians and 100 outpatient centers, urgent care facilities and physician practices spanning across Miami-Dade, Monroe, Broward and Palm Beach counties. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. A not-for-profit organization supported by philanthropy and committed to its faith-based charitable mission of medical excellence, Baptist Health has been recognized by Fortune as one of the 100 Best Companies to Work For in America and by Ethisphere as one of the World's Most Ethical Companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Miami, FL, US