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Risk Adjustment Coder Jobs in Spring Hill, FL (NOW HIRING)

PedIM Healthcare

HCC Coder

Lecanto, FL

$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 ...

Pedim

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 ...

Pedim

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 ...

Evara Health

Certified Coder

Clearwater, FL · On-site

$21 - $28/hr

Medical Coding & Charge Review * Review and validate diagnosis and procedure codes to ensure accuracy, compliance, and appropriate reimbursement. * Audit patient encounters across departments for ...

BayCare Health System

Specialty Coder II (REMOTE)

Tampa, FL · On-site +1

$17.75 - $23.50/hr

Monday through Friday This Specialty Coder II opportunity is a full-time remote position. This team member must reside in the state of Florida, George, North Carolina, or South Carolina.

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All JobsRisk Adjustment Coder JobsRisk Adjustment Coder Jobs in Spring Hill, FL

Risk Adjustment Coder information

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$13

$23

$36

How much do risk adjustment coder jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for risk adjustment coder in Spring Hill, FL is $23.32, according to ZipRecruiter salary data. Most workers in this role earn between $16.11 and $29.38 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 popular job titles related to Risk Adjustment Coder jobs in Spring Hill, FL?

For Risk Adjustment Coder jobs in Spring Hill, FL, the most frequently searched job titles are:

What job categories do people searching Risk Adjustment Coder jobs in Spring Hill, FL look for?

The top searched job categories for Risk Adjustment Coder jobs in Spring Hill, FL are:

What cities near Spring Hill, FL are hiring for Risk Adjustment Coder jobs?

Cities near Spring Hill, FL with the most Risk Adjustment Coder job openings:

Risk Adjustment Coder jobs near you
Infographic showing various Risk Adjustment Coder job openings in Spring Hill, FL as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 12% Part Time, and 2% Contract. Highlights an 83% Physical, 5% Hybrid, and 12% Remote job distribution, with an average salary of $48,513 per year, or $23.3 per hour.

HCC Coder

Lecanto, FL

PedIM Healthcare
Fitness and Sports Centers • 51 - 200 employees
Learn more about PedIM Healthcareexternal

$13.75 - $18.50/hr

Full-time

Medical, Life, Retirement, PTO

Re-posted 4 hours ago

Job description

Description

Join the Team at PedIM Healthcare!

Delivering exceptional care, together.
 

Who We Are
PedIM Healthcare is the first private medical office of its kind in Citrus County - offering top-quality care for children, adults, and seniors all under one roof. We provide pediatric, adult internal medicine, family practice, geriatrics, women's care, medical weight-loss, sleep-medicine services and more. 


Our dedicated, community-focused team is committed to excellence, pride in service, and making a real difference for patients and families across Citrus County. 


Why Work With Us?

  • A broad, multi-discipline practice where you can grow: pediatrics, internal medicine, weight-loss & sleep medicine specialties.
  • A values-driven environment: we listen, we help, we understand-and we care.
  • Community-oriented and recognized: voted "best of the best" in the region.
  • Opportunity to make a meaningful impact by supporting patients over their full life span-from children to seniors.
  • A workplace committed to employee development and delivering holistic care.


The Role

We are seeking a proactive and compassionate HCC Coder to join our Primary Care team! 


This role is critical to ensuring accurate risk adjustment, complete documentation, and compliance with CMS guidelines while supporting high-quality patient outcomes. You will be responsible for reviewing medical records, identifying appropriate HCC diagnoses, ensuring documentation integrity, and collaborating closely with providers and clinical teams to optimize RAF scores and coding accuracy.


What You'll Do:

  • Conduct pre-visit and chart reviews to identify known and suspected RAF/HCC conditions prior to patient appointments
  • Conduct post-visit chart reviews to ensure all RAF/HCC opportunities have been captured by the medical provider prior to claims submission/billing
  • Conduct post claims submission reconciliation from payer to ensure all codes have been properly accounted for through files such as MOA004, MOR and MMR
  • Review provider documentation and assign accurate ICD-10 and HCC codes
  • Identify documentation gaps and provide clear, actionable feedback to providers
  • Track coding trends and identify performance improvement opportunities
  • Collaborate closely with Clinical Integrity, Outreach, and Provider Teams
  • Maintain established productivity and quality benchmarks
  • Stay current with CMS risk adjustment guidelines and regulatory updates

Requirements

Qualities That Make You A Great Fit:

  • Minimum 2+ years of HCC/Risk Adjustment coding experience (required)
  • Strong knowledge of CMS risk adjustment methodology and Medicare Advantage models
  • Active coding credential preferred (CRC, CPC, CCS, or equivalent)
  • Proven experience with chart audits and provider education
  • Experience performing pre and post -visit RAF reviews preferred
  • Strong analytical skills and attention to detail
  • Experience with EHR systems required
  • Value-based care experience strongly preferred

Benefits Available To You:

Joining our team means more than just a job-it means access to benefits designed to support your health, well-being, and work-life balance.

  • Health coverage + Sick-N-Well membership
  • Health Savings Account (HSA) 
  • Life insurance
  • Paid time off 
  • 401(k) plan + 4% company match
  • Relax Scofa membership
  • Employee Assistance Program (EAP)
  • Employee Recognition Program
  • And more!

All employment offers at PedIM Healthcare are contingent upon the successful completion of applicable background checks, verification of credentials, and compliance with health and safety requirements. 



Compliance & Equal Opportunity Notice 

PedIM Healthcare is proud to be an Equal Opportunity Employer and is fully committed to compliance with all federal, state, and local employment laws. We believe every team member deserves a workplace built on respect, fairness, and opportunity.


We do not discriminate on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, gender identity, and sexual orientation), national origin, age, disability, genetic information, marital status, veteran status, or any other protected characteristic under applicable law.


In alignment with the Americans with Disabilities Act (ADA), PedIM Healthcare provides reasonable accommodations to qualified individuals with disabilities to ensure equal access to employment opportunities and participation in all aspects of our hiring and employment processes.


Employment at PedIM Healthcare is offered on an at-will basis and is contingent upon the successful completion of all required background checks, credential verifications, and health or safety screenings consistent with healthcare regulatory standards. Certain roles may also require proof of immunizations or other health compliance documentation.


We are dedicated to fostering a diverse, inclusive environment where every employee feels valued, supported, and empowered to contribute to our mission of delivering exceptional, compassionate care to our community.




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