ZipRecruiter

Log In

2

Remote Hcc Risk Adjustment Coding Jobs in Florida

Ascension

Coding Auditor

Jacksonville, FL · On-site +1

$31.35 - $42.40/hr

Remote Facility: Jacksonville - Offsite Department: HIM Coding Documentation Schedule: Day shift ... risk compliance areas across AMG practice operations. What minimum qualifications you'll need ...

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 ...

YO AI Labs

Pharmacovigilance Expert - Remote

Miami, FL · Remote

$70 - $80/hr

Remote Job Overview We are seeking experienced Pharmacovigilance Experts to contribute their drug ... Benefit-Risk Assessment * MedDRA Coding * Seriousness & Causality Assessment * Expectedness ...

previous pagenext page

Showing results 21-40

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

Remote Hcc Risk Adjustment Coding information

See Florida salary details

$12

$16

$17

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

As of Aug 21, 2026, the average hourly pay for remote hcc risk adjustment coding in Florida is $16.07, according to ZipRecruiter salary data. Most workers in this role earn between $13.46 and $17.07 per hour, depending on experience, location, and employer.

What is remote HCC risk adjustment coding?

Remote HCC risk adjustment coding involves reviewing patient medical records from a remote location to identify and assign Hierarchical Condition Category (HCC) codes. These codes help determine the risk score of patients, which affects healthcare reimbursements for organizations. HCC coders must have a strong understanding of medical terminology, coding guidelines, and compliance regulations. They typically work from home, using secure software to ensure patient data privacy and accuracy in coding.

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 in-depth knowledge of ICD-10-CM coding guidelines, HCC risk adjustment models, and a coding certification such as CPC, CRC, or CCS. Familiarity with electronic health record (EHR) systems, coding software, and secure remote work platforms is essential. Attention to detail, analytical thinking, and strong organizational skills help coders ensure accuracy and compliance. These skills are vital for precise diagnosis coding, optimizing risk scores, and supporting reimbursement and quality initiatives in healthcare organizations.

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

Remote HCC Risk Adjustment Coders often encounter challenges such as interpreting complex medical records without direct access to providers for clarification, staying updated on frequent coding guideline changes, and managing productivity expectations in a home-based environment. To address these, coders benefit from strong communication skills to clarify documentation through digital channels, participating in ongoing education and training, and utilizing coding software or company-provided resources efficiently. Employers typically support coders with regular team meetings, access to compliance specialists, and robust knowledge-sharing platforms to help overcome these hurdles.

What is the difference between Remote Hcc Risk Adjustment Coding vs Remote Hcc Risk Adjustment Coding?

AspectRemote Hcc Risk Adjustment Coding

Since the comparison is with itself, the roles are identical. Both involve coding for HCC risk adjustment, require similar credentials like coding certifications, and are performed remotely within healthcare insurance environments. The primary difference lies in specific employer requirements or specialization, but generally, these roles are the same in scope and industry usage.

Is Remote Hcc Risk Adjustment Coding a good career?

Remote HCC Risk Adjustment Coding is a growing field within healthcare revenue cycle management, requiring knowledge of medical coding, diagnoses, and risk adjustment models. It offers opportunities for remote work, stable employment, and potential certification through programs like AHIMA or AAPC. The role is suitable for individuals interested in healthcare data analysis and coding accuracy, with demand expected to increase as healthcare payers focus on risk-based reimbursement.

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 Remote Hcc Risk Adjustment Coding jobs in Florida?

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

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

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

What cities in Florida are hiring for Remote Hcc Risk Adjustment Coding jobs?

Cities in Florida with the most Remote Hcc Risk Adjustment Coding job openings:

Remote Hcc Risk Adjustment Coding jobs near you
Infographic showing various Remote Hcc Risk Adjustment Coding job openings in Florida as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 10% Part Time, and 3% Contract. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution, with an average salary of $33,422 per year, or $16.1 per hour.

Director, Actuarial Services (Tampa)

Avalon Administrative Services LLC

Tampa, FL • On-site, Remote

Part-time

Posted 7 days ago

Job description

About Avalon Healthcare Solutions:

Avalon Healthcare Solutions is the nation’s leader in diagnostic intelligence, uniquely focused on transforming the role of diagnostic testing across the healthcare ecosystem. Our proprietary Diagnostic Insights Platform delivers evidence-based policies, curated lab networks, and real-time analytics that simplify complex diagnostics, accelerate innovation adoption, and optimize diagnostic investments.

Supporting over 30 health plans and 100 million members nationwide, Avalon partners with payers and providers to ensure diagnostic testing is performed appropriately, efficiently, and at the right time. Our flexible solutions span routine and genetic testing management, automated adherence, and end-to-end diagnostics support—driving measurable value, reduced waste, and improved clinical outcomes.

With unmatched scientific rigor, deep clinical expertise, and a performance-based model, Avalon is redefining how diagnostics power personalized care and healthcare value. You will be part of a team that shapes a new market and business. Most importantly, you will help Avalon to achieve its mission and improve clinical outcomes and health care affordability for the people we serve.

For more information about Avalon, please visit www.avalonhcs.com

Avalon Healthcare Solutions is an Equal Opportunity Employer - Vet/Disability.

This position description is subject to change at any time. As determined by the company based upon business needs, an employee in this position may be required to perform duties and take responsibility for work other than as described in this document.

About the Director, Actuarial Services Position:

The Director, Actuarial Services is responsible for leading the organization's actuarial and healthcare analytics functions in support of strategic, financial, and operational objectives. This role directs the development and maintenance of actuarial models, financial forecasts, reserving methodologies, and risk analyses that support business performance and informed decision-making. Leveraging deep actuarial expertise and healthcare industry knowledge, the Director evaluates emerging trends, utilization patterns, medical cost drivers, and financial risks to provide actionable insights and recommendations.  

The Director, Actuarial Services partners closely with executive leadership and cross-functional stakeholders, including Finance, Health Analytics, Network Management, and Product teams, to support pricing strategies, financial forecasting, risk adjustment initiatives, and regulatory compliance. This position is responsible for communicating actuarial findings, financial risk exposure, and strategic recommendations to leadership while driving continuous improvement of actuarial methodologies, tools, data infrastructure, and reporting capabilities. Through the application of advanced analytics and actuarial principles, the Director supports organizational performance, financial sustainability, and data-driven decision-making.

This position is eligible for remote work, but quarterly travel will be required to Avalon's corporate office located in Tampa, Florida.

Director, Actuarial Services – Essential Functions and Responsibilities:

  • Direct the development and maintenance of actuarial models for all lines of businesses and products
  • Monitor program performance, researching reasons for variances and providing/implementing actionable plans
  • Oversee medical cost trend analysis, utilization reviews, and per-member-per-month (PMPM) projections
  • Own the reserving process, including incurred but not reported (IBNR) liability estimates, claims development triangles, and variance analyses
  • Ensure actuarial compliance with state and federal regulatory requirements
  • Partner with finance, health analytics, network management, and product teams to support pricing strategy and financial forecasting
  • Serve as the primary actuarial liaison with internal and external auditors
  • Direct the development of risk adjustment strategies and analytics
  • Provide executive leadership with clear, concise communication of actuarial findings, financial risk exposure, and strategic recommendations
  • Drive continuous improvement of actuarial models, tools, data infrastructure, and team workflows
  • Monitor industry trends, regulatory changes, and emerging healthcare cost drivers and communicate implications to leadership
  • Lead ad hoc analyses and deep dives as required.

    • Director, Actuarial Services – Minimum Qualifications:

  • Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related quantitative field
  • Associate of the Society of Actuaries (ASA) designation is required at minimum
  • Member in good standing with the American Academy of Actuaries (MAAA) required
  • 5+ years of actuarial experience, with at least 5 years in a health plan or managed care setting
  • Demonstrated expertise in healthcare actuarial pricing, reserving, or risk adjustment
  • Strong proficiency in actuarial and analytical tools (e.g., Excel/VBA, Tableau, SAS, R, Python, or similar)
  • Deep understanding of ACA regulations, CMS programs (Medicare Advantage, Medicaid)
  • Exceptional communication and presentation skills with the ability to convey complex actuarial concepts to non-actuarial executives and board members
  • Understanding of medical coding systems (ICD-10, CPT, HCPCS, DRG)
  • Strong analytical, critical thinking, and problem-solving skills
  • Excellent written and verbal communication skills

    • Director, Actuarial Services – Preferred Qualifications:

  • 10+ years of actuarial experience in health insurance, managed care environment
  • Experience with risk adjustment and risk transfer
  • Exposure to predictive modeling, machine learning applications in actuarial contexts, or health risk scoring
  • Experience working with large-scale data platforms (Snowflake, Databricks, AWS)
  • Experience with Tableau, Python or R for statistical analysis
  • Knowledge of value-based care models (ACOs, PCMH, bundled payments)
  • Understanding of HIPAA regulations and healthcare data governance practices


    • PM18


    PI7c32aed2f8a4-38003-41268727

    Apply