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Risk Adjustment Coder Jobs in Florida (NOW HIRING)

MRA Coder

Miami, FL · On-site

$18 - $24/hr

Ensure compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment. * Educate Physicians regarding proper ...

Coder II - E/M

Cape Coral, FL · Remote

$20.50 - $27.85/hr

CPC (Certified Professional Coder) COC (Certified Outpatient Coding) CPC-P (Certified Professional Coder-Payer) CRC (Certified Risk Adjustment Coder) CIC (Certified Inpatient Coder) CCS (Certified ...

The Risk Adjustment Analyst will be the lead in the design, implementation, and maintenance of all ... Using SQL code, mine data on medical spend, clinical data and population health data and derive ...

Coder II - E/M

Cape Coral, FL · On-site +1

$20.50 - $27.85/hr

... Risk Adjustment Coder) • CIC (Certified Inpatient Coder) • CCS (Certified Coding Specialist) • RHIT (Registered Health Information Technician) • RHIA (Registered Health Information ...

Evaluates risk adjustment codes to ensure accuracy, consistency, and alignment with coding standards and best practices Protects patient records and audit information by ensuring compliance with ...

Medical Coder I

Miami, FL · On-site

$18 - $24/hr

CRC - Certified Risk Adjustment Coder, preferred. * Maintain coding certification and attend in-service training as required. * Two (2) years of medical coding experience, preferably. * Understanding ...

Medical Coder I

Miami, FL

$18 - $24/hr

CRC - Certified Risk Adjustment Coder, preferred. * Maintain coding certification and attend in-service training as required. * Two (2) years of medical coding experience, preferably. * Understanding ...

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ... Track coding trends and identify performance improvement opportunities * Collaborate closely with ...

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ... Track coding trends and identify performance improvement opportunities * Collaborate closely with ...

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ... Track coding trends and identify performance improvement opportunities * Collaborate closely with ...

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance ... Track coding trends and identify performance improvement opportunities * Collaborate closely with ...

Showing results 21-40

Risk Adjustment Coder information

See Florida salary details

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$32

How much do risk adjustment coder jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for risk adjustment coder in Florida is $20.54, according to ZipRecruiter salary data. Most workers in this role earn between $14.18 and $25.87 per hour, depending on experience, location, and employer.

What is a risk adjustment coder?

Risk Adjustment Coders are healthcare professionals who review and analyze patient medical records to ensure accurate coding of diagnoses and procedures for risk adjustment purposes. Their work is crucial for health plans and providers, as it affects reimbursement rates and compliance with government programs like Medicare Advantage and the Affordable Care Act. These coders use specialized knowledge of coding systems, such as ICD-10, to assign appropriate codes that reflect patients’ health status and help organizations receive proper funding for patient care.

What are the key skills and qualifications needed to thrive as a risk adjustment coder, and why are they important?

To thrive as a Risk Adjustment Coder, you need a solid understanding of medical coding (especially ICD-10-CM), healthcare regulations, and risk adjustment methodologies, typically supported by certifications like CRC or CPC. Proficiency with coding software, electronic health records (EHR) systems, and auditing tools is essential. Attention to detail, analytical thinking, and strong organizational skills set top performers apart in this role. These competencies ensure accurate coding, compliance, and optimal reimbursement for healthcare organizations.

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

Risk Adjustment Coders often encounter challenges such as interpreting complex medical documentation and ensuring accurate code assignment to reflect patient risk profiles. Keeping up with frequent updates to coding guidelines and payer requirements can also be demanding. To overcome these challenges, coders should engage in continuous education, actively participate in team discussions to clarify ambiguities, and utilize available coding resources or auditing tools. Strong communication with providers and attention to detail are key to maintaining compliance and high-quality coding standards.

What is the difference between Risk Adjustment Coder vs Medical Coder?

AspectRisk Adjustment CoderMedical Coder
CertificationsCPR, RHIT, CCS, or CPC often preferredCCS, CPC, or CPC-H
Work EnvironmentHealthcare facilities, insurance companies, remoteHospitals, clinics, physician offices
Industry UsageHealth plans, risk adjustment programsGeneral medical billing and coding

Both Risk Adjustment Coders and Medical Coders require similar certifications and work in healthcare settings. However, Risk Adjustment Coders focus on coding for risk adjustment models used by insurance companies, while Medical Coders handle broader medical billing and coding tasks. Understanding these differences helps professionals choose the right career path and employers.

How much do risk adjustment coders make in the US?

Risk adjustment coders in the US typically earn between $50,000 and $75,000 annually, depending on experience, certification, and location. Experienced coders with certifications like CPC or CCS may earn higher salaries, especially in healthcare hubs or with specialized skills in coding software and compliance.

How to become a risk adjustment coder?

To become a risk adjustment coder, individuals typically need a high school diploma or equivalent, followed by specialized training in medical coding and risk adjustment principles. Certification through organizations like the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA) is often required or preferred, and proficiency with coding tools and medical record review is essential.

Is risk adjustment coding a good career?

Risk adjustment coding is a growing field within healthcare that involves reviewing medical records and assigning codes to accurately reflect patient health status for insurance purposes. It requires knowledge of medical terminology, coding systems like ICD-10, and often certification such as CPC, making it a stable career with opportunities for advancement and specialization.

What are the most commonly searched types of Risk Adjustment Coder jobs in Florida?

The most popular types of Risk Adjustment Coder jobs in Florida are:

What are popular job titles related to Risk Adjustment Coder jobs in Florida?

For Risk Adjustment Coder jobs in Florida, the most frequently searched job titles are:

What cities in Florida are hiring for Risk Adjustment Coder jobs?

Cities in Florida with the most Risk Adjustment Coder job openings:

Infographic showing various Risk Adjustment Coder 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 $42,732 per year, or $20.5 per hour.

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

Baptist Health South Florida

Boca Raton, FL • On-site, Remote

$25.37 - $32.22/hr

Full-time

Medical

Posted 15 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

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 high-performing honors.
What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients' shoes ourselves and that shared experience fuels out commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact - because when it comes to caring for people, we're all in.
At Baptist Health, we're committed to supporting our employees at every stage of their journey, both personally and professionally. Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including:
  • Career growth and development opportunities, with clear pathways and ongoing support
  • Comprehensive health and wellness resources that go beyond traditional benefits
  • A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs
  • Tuition reimbursement to support continued learning and advancement
  • And so much more
Together, these benefits and others reflect our commitment to caring for our people, so they can build fulfilling careers with us while making a meaningful impact every day.
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.
Qualifications:
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 YearsDegrees:
  • 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