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

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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Showing results 21-40

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

Risk Adjustment Coder information

See Spring Hill, FL salary details

$13

$23

$36

How much do risk adjustment coder jobs pay per hour?

As of Aug 10, 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 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.

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 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, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 79% Physical, 3% Hybrid, and 18% Remote job distribution, with an average salary of $48,513 per year, or $23.3 per hour.

Certified Coder

Evara Health

Clearwater, FL • On-site

$21 - $28/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 5 days ago

Evara Health rating

4.0

Company rating: 4.0 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

Join Evara Health-Driven by Purpose, Powered by People.
Evara Health provides essential, high-quality care to the communities who need it most through 17 centers and mobile units offering primary care, dental, behavioral health, pediatrics, and more. Evara Health is recognized for its innovative, team-based approach, commitment to community health, and dedication to making healthcare accessible for all. Our people fuel our impact. Team members come for the purpose and stay for the supportive culture and strong, community-focused teams.
Build a career that goes beyond a job-it changes lives.
About this Role:

  • Medical Coding & Charge Review
    • Review and validate diagnosis and procedure codes to ensure accuracy, compliance, and appropriate reimbursement.
    • Audit patient encounters across departments for completeness and coding accuracy before claims submission.
    • Verify ICD, CPT, and HCPCS code assignments using coding guidelines, reference materials, and industry best practices.
    • Review provider documentation and clinical records to ensure coding supports services rendered and quality measures.
  • Claims Processing & Revenue Integrity
    • Post claims from the Electronic Health Record (EHR) and correct coding discrepancies as needed.
    • Research, correct, and rebill rejected or unbilled charges to support timely reimbursement.
    • Utilize payer guidelines and reimbursement knowledge to maximize claim accuracy and revenue capture.
    • Ensure authorizations, modifiers, units, and specialty billing requirements are coded correctly.
  • Provider & Team Collaboration
    • Partner with providers, nurses, and health center staff to clarify documentation and coding questions.
    • Request and obtain missing information necessary to complete the billing process.
    • Serve as a coding resource and provide guidance on coding standards and best practices.
  • Quality Assurance & Compliance
    • Monitor coding quality and report questionable coding practices or charge entries to leadership.
    • Maintain current knowledge of coding regulations, payer requirements, and industry updates.
    • Meet established daily, weekly, and monthly productivity and accuracy standards.
Education & Experience:
  • High School diploma or GED and completion of a medical coding program
  • 1-3 years' experience in medical coding or billing field preferred
  • Proficient in medical terminology
  • Third party payer knowledge gained through experience or education required
  • Working knowledge of medical billing systems like Medicare, Medicaid, EMR, etc.
Licenses, Certification or Registration:
  • Certified Professional Coder with AAPC (American Academy of Professional Coders) or AHIMA (American Health Information Management Association)
Why You'll Love Working Here:
  • Impact: Every day, you'll make a significant impact on our patients' lives, leading efforts that go beyond healthcare to ensure community wellbeing.
  • Growth: We support your professional development through continuous learning and opportunities to grow within Evara Health.
  • Recognition: As part of our team, your hard work will be recognized and rewarded, contributing to your professional fulfillment and job satisfaction.
Culture and Benefits:
What sets Evara Health apart is our amazing culture and team spirit. We've set record engagement scores this year, creating an environment where our staff thrives and feels truly valued. We are able to do this through our team-based approach to work, but also in our unique benefit offerings such as:
  • Generous Time Off: 15 days of paid time off with an option to cash out unused day
  • Holidays: 10 paid holidays and an additional day off for your birthday.
  • Wellness Perks: Enjoy a free gym membership to support your health and fitness goals.
  • Retirement Planning: 403(b) with 2% employer contribution up to 4% match
  • Continuing Education: Tuition reimbursement eligibility which includes $1,500 per year.
  • Comprehensive Insurance Plans: Medical, Dental, Vision, Life, Short & Long-Term Disability + extra coverage options.
  • Employee Assistance Program (EAP): Confidential counseling, legal & financial advice through EAP

At Evara Health, your career goes beyond a job. Thrive, grow, and help deliver life-changing care to the people who need it most.
**This position requires a Level 2 background screening through the Florida Care Provider Background Screening Clearinghouse. For more information about the background screening process, visit https://info.flclearinghouse.com.**

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