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Remote Hcc Risk Adjustment Coding Jobs in Florida

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

Senior Site Reliability Engineer II

Gainesville, FL ยท 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 ...

Senior Site Reliability Engineer II

Boca Raton, FL ยท 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 ...

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

CareIQ Billing Specialist I

Orlando, FL ยท Remote

$15.61 - $23.82/hr

This is a remote role but for continuity of business with our management team, candidate must ... Completes administrative review of medical notes and bills (Bill Review or Coding experience is not ...

Showing results 41-60

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 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:

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.

PhysicianBillingComplianceAnly | Downtown/Remote - FL, GA, TN, NH, NC ONLY | Days | Full Time

UF Health

Jacksonville, FL โ€ข Remote

Full-time

Posted 22 days ago


Job description

Overview

Job Duties

Under limited supervision, the Physician Billing Compliance Analyst (โ€œAnalystโ€) will perform physician coding/documentation audits for providers of the University of Florida College of Medicine - Jacksonville (โ€œCOM-Jaxโ€) and the University of Florida Jacksonville Physicians Group (โ€œUFJPIโ€). Analyst will also perform abbreviated reviews on newly hired providersโ€™ documentation outside of the regular compliance audit cycle. Audit focus will be on physician/advanced practice professional coding and chart documentation to include review of E&M, CPT, ICD-10-CM, HCPCS Level II, teaching physician guidelines and carrier specific policies. The Analyst will utilize medical management systems as well as auditing software applications to perform reviews. The Analyst will prepare and present accurate reports of audit findings to appropriate personnel. The Analyst will coordinate with various COM-Jax and UFJPI representatives to process any resulting refunds and address educational needs from the audit findings.


Responsibilities

Essential Functions

โ€ข Within designated timeframes and by utilizing medical management systems, audit chart documentation and professional billing for compliance with E&M, CPT procedure coding, ICD-10-CM diagnosis coding, teaching physician guidelines, payer specific polices and regulatory requirements.

โ€ข Perform analysis of audit findings and summarize for placement in the Physician Billing Compliance Services (โ€œPBCโ€) central database.

โ€ข Participate in opening and closing audit conferences with representatives of the COM-Jax and UFJPI.

โ€ข Identify remedial training needs through audit process and if necessary, conduct remedial training with providers and/or UFJPI billing staff.

โ€ข Assist in the development of policies and procedures to complete work in accordance with the COM โ€“ Jax Billing Compliance Plan.

โ€ข Problem solve issues identified during the audit process.

โ€ข Assist with creation and performance of audits through the utilization of various auditing software programs.

โ€ข Assist Manager and Director of PBC with research and analysis for special projects and other duties as assigned.


Qualifications

Experience Requirements

2 years     Medical billing                                                                                                                      required

4 years     Medical coding (procedural and diagnosis) for multi-specialty providers                required

3 years     Medicare, Medicaid, and Tricare payment and reimbursement rules                      required

3 years     Medical record chart auditing for professional billing                                                 required

1 year       Medical management information systems (EPIC preferred)                                    required

1 year      Auditing software applications (e.g. MDaudit, Compliance Risk Analyzer)            preferred

Education Requirements 

High School Diploma or GED                                                                                              required

Associates Business or health care industry related field                                             preferred

Certification/Licensure/Training

Certified Coding Specialist                                                                                required or at time of hire

Certified Coding Specialist - Physician Based(CCS-P) - AHIMA                   required or at time of hire

Certified Professional Coder (CPC)                                                                  required or at time of hire

Certified Professional Medical Auditor (CPMA)                                            required within 6 months

           UFJPI is an Equal Opportunity Employer and Drug Free Workplace