High School or Equivalent Experience: 2-5 years of risk adjustment coding E/M procedures and diagnosis experience required Credentials: Certified Professional Coder (CPC) and Certified Risk ...
High School or Equivalent Experience: 2-5 years of risk adjustment coding E/M procedures and diagnosis experience required Credentials: Certified Professional Coder (CPC) and Certified Risk ...
High School Experience: 2-5 years of risk adjustment coding E/M procedures and diagnosis experience required. Credentials: Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC ...
High School Experience: 2-5 years of risk adjustment coding E/M procedures and diagnosis experience required. Credentials: Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC ...
The ideal candidate will have a strong understanding of CMS risk adjustment and quality initiatives, exceptional attention to coding quality, and experience managing the provider query process. This ...
The ideal candidate will have a strong understanding of CMS risk adjustment and quality initiatives, exceptional attention to coding quality, and experience managing the provider query process. This ...
The ideal candidate will have a strong understanding of CMS risk adjustment and quality initiatives, exceptional attention to coding quality, and experience managing the provider query process. This ...
Quick apply
The ideal candidate will have a strong understanding of CMS risk adjustment and quality initiatives, exceptional attention to coding quality, and experience managing the provider query process. This ...
Certified Medical Coder - Risk Adjustment
Pompano Beach, FL · On-site
$50K - $54K/yr
The ideal candidate will have a strong understanding of CMS risk adjustment and quality initiatives, exceptional attention to coding quality, and experience managing the provider query process. This ...
Certified Medical Coder - Risk Adjustment
Pompano Beach, FL · On-site
$50K - $54K/yr
The ideal candidate will have a strong understanding of CMS risk adjustment and quality initiatives, exceptional attention to coding quality, and experience managing the provider query process. This ...
The ideal candidate will have a strong understanding of CMS risk adjustment and quality initiatives, exceptional attention to coding quality, and experience managing the provider query process. This ...
The ideal candidate will have a strong understanding of CMS risk adjustment and quality initiatives, exceptional attention to coding quality, and experience managing the provider query process. This ...
Certified Medical Coder - Risk Adjustment (HCC)
Pompano Beach, FL · On-site
$50K - $54K/yr
The ideal candidate will have a strong understanding of CMS risk adjustment and quality initiatives, exceptional attention to coding quality, and experience managing the provider query process. This ...
Certified Medical Coder - Risk Adjustment (HCC)
Pompano Beach, FL · On-site
$50K - $54K/yr
The ideal candidate will have a strong understanding of CMS risk adjustment and quality initiatives, exceptional attention to coding quality, and experience managing the provider query process. This ...
The ideal candidate will have a strong understanding of CMS risk adjustment and quality initiatives, exceptional attention to coding quality, and experience managing the provider query process. This ...
Quick apply
The ideal candidate will have a strong understanding of CMS risk adjustment and quality initiatives, exceptional attention to coding quality, and experience managing the provider query process. This ...
Auditor, Risk Adjustment
Miami, FL · Remote
$82K - $108K/yr
Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ... You will report into the Manager, Risk Adjustment. Work Location: This is a remote position, open ...
Quick apply
Auditor, Risk Adjustment
Miami, FL · Remote
$82K - $108K/yr
Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ... You will report into the Manager, Risk Adjustment. Work Location: This is a remote position, open ...
Education: High School Experience: 2-5 years of risk adjustment coding, E/M, procedures and diagnosis experience required. Credentials: Certified Professional Coder (CPC) and Certified Risk ...
Education: High School Experience: 2-5 years of risk adjustment coding, E/M, procedures and diagnosis experience required. Credentials: Certified Professional Coder (CPC) and Certified Risk ...
Certified Risk Adjustment Coder
$20.50 - $27.75/hr
Demonstrates knowledge of coding and documentation standards as well as CMS risk adjustment ... Maintains positive working relationship with Physician Practices, Managed Care and all other ...
Certified Risk Adjustment Coder
$20.50 - $27.75/hr
Demonstrates knowledge of coding and documentation standards as well as CMS risk adjustment ... Maintains positive working relationship with Physician Practices, Managed Care and all other ...
Risk Adjustment Coder
Jupiter, FL · On-site
Provide coding support, education and training related to, quality of documentation, level of ... Notifies Patient Experience Manager if annual wellness visits for patients have not been scheduled.
Risk Adjustment Coder
Jupiter, FL · On-site
Provide coding support, education and training related to, quality of documentation, level of ... Notifies Patient Experience Manager if annual wellness visits for patients have not been scheduled.
Certified Risk Adjustment Coder
Hialeah, FL · On-site
$20.50 - $27.75/hr
Demonstrates knowledge of coding and documentation standards as well as CMS risk adjustment ... Maintains positive working relationship with Physician Practices, Managed Care and all other ...
Certified Risk Adjustment Coder
Hialeah, FL · On-site
$20.50 - $27.75/hr
Demonstrates knowledge of coding and documentation standards as well as CMS risk adjustment ... Maintains positive working relationship with Physician Practices, Managed Care and all other ...
High School or Equivalent Experience: 2-5 years of risk adjustment coding, E/M, procedures and diagnosis experience required Credentials: Certified Professional Coder (CPC) and Certified Risk ...
High School or Equivalent Experience: 2-5 years of risk adjustment coding, E/M, procedures and diagnosis experience required Credentials: Certified Professional Coder (CPC) and Certified Risk ...
Risk Adjustment Coder
Jupiter, FL · On-site
Provide coding support, education and training related to, quality of documentation, level of ... Notifies Patient Experience Manager if annual wellness visits for patients have not been scheduled.
Risk Adjustment Coder
Jupiter, FL · On-site
Provide coding support, education and training related to, quality of documentation, level of ... Notifies Patient Experience Manager if annual wellness visits for patients have not been scheduled.
Manager Risk Adjustment Program
Tampa, FL · On-site +1
M-F, 8:00 am - 5:00 pm The Manager Risk Adjustment Program: * Leads and implements risk adjustment ... Certified Professional Coder (CPC); Certified Risk Adjustment Coder (CRC); Certified Coding ...
Manager Risk Adjustment Program
Tampa, FL · On-site +1
M-F, 8:00 am - 5:00 pm The Manager Risk Adjustment Program: * Leads and implements risk adjustment ... Certified Professional Coder (CPC); Certified Risk Adjustment Coder (CRC); Certified Coding ...
Medical Risk Adjustment Coder- VBC
Winter Park, FL · On-site
$17.50 - $23.50/hr
... coding reports for all providers participating in the Managed Medicare Program and Accountable Care Organization Programs. • Places emphasis on compliance with Risk Adjustment procedures and ...
Medical Risk Adjustment Coder- VBC
Winter Park, FL · On-site
$17.50 - $23.50/hr
... coding reports for all providers participating in the Managed Medicare Program and Accountable Care Organization Programs. • Places emphasis on compliance with Risk Adjustment procedures and ...
Medicare Risk Adjustment Specialist - Medical Assistant
Jacksonville, FL · On-site
$16.50 - $20.75/hr
... coders to improve coding documentation techniques. * Help with special projects within our Risk Adjustment Department KNOWLEDGE/SKILLS/ABILITIES: * Critical Thinking * Excellent time management ...
Medicare Risk Adjustment Specialist - Medical Assistant
Jacksonville, FL · On-site
$16.50 - $20.75/hr
... coders to improve coding documentation techniques. * Help with special projects within our Risk Adjustment Department KNOWLEDGE/SKILLS/ABILITIES: * Critical Thinking * Excellent time management ...
Medical Risk Adjustment Coder- VBC
$17.50 - $23.50/hr
... coding reports for all providers participating in the Managed Medicare Program and Accountable Care Organization Programs. • Places emphasis on compliance with Risk Adjustment procedures and ...
Medical Risk Adjustment Coder- VBC
$17.50 - $23.50/hr
... coding reports for all providers participating in the Managed Medicare Program and Accountable Care Organization Programs. • Places emphasis on compliance with Risk Adjustment procedures and ...
SCOPE OF ROLE The Risk Adjustment and Analytics Team is working to push boundaries to redefine Risk ... Using SQL code, mine data on medical spend, clinical data and population health data and derive ...
SCOPE OF ROLE The Risk Adjustment and Analytics Team is working to push boundaries to redefine Risk ... Using SQL code, mine data on medical spend, clinical data and population health data and derive ...
Risk Adjustment Coding Manager information
What are some common challenges faced by Risk Adjustment Coding Managers, and how can they effectively address them?
Risk Adjustment Coding Managers often encounter challenges such as ensuring coding accuracy, keeping up with regulatory changes, and coordinating across multidisciplinary teams. To address these, effective managers implement rigorous quality assurance processes, provide ongoing coder education, and maintain open communication with clinical, compliance, and data analytics teams. Staying updated on CMS guidelines and fostering a culture of continuous improvement are also key strategies for success in this role.
What are the key skills and qualifications needed to thrive as a Risk Adjustment Coding Manager, and why are they important?
To thrive as a Risk Adjustment Coding Manager, you need expertise in medical coding (CPT, ICD-10), risk adjustment methodologies, and a background in healthcare management, often supported by a coding certification such as CPC, CRC, or CCS. Familiarity with coding software, EHR systems, and data analytics tools is typically required. Strong leadership, attention to detail, and the ability to communicate compliance standards effectively are crucial soft skills. These skills ensure accurate risk adjustment coding, regulatory compliance, and improved financial outcomes for healthcare organizations.
What is the difference between Risk Adjustment Coding Manager vs Risk Adjustment Coder?
| Aspect | Risk Adjustment Coding Manager | Risk Adjustment Coder |
|---|---|---|
| Certifications | AHIMA or AAPC credentials, management experience | AHIMA or AAPC credentials, coding certification |
| Work Environment | Supervisory role, overseeing coding teams | Performing coding tasks directly on patient records |
| Employer & Industry | Health plans, healthcare providers, insurance companies | Hospitals, clinics, health plans |
The Risk Adjustment Coding Manager oversees coding teams and ensures compliance, while the Risk Adjustment Coder focuses on accurately coding patient records. Both roles require similar certifications but differ in responsibilities and work environment, with managers handling supervision and coders performing detailed coding tasks.
What are Risk Adjustment Coding Managers?
Risk Adjustment Coding Managers are professionals responsible for overseeing the medical coding process related to risk adjustment in healthcare organizations. They ensure accurate coding of diagnoses and procedures to reflect the health status of patients, which is essential for proper reimbursement from Medicare Advantage and other insurance plans. These managers lead teams of coders, maintain compliance with regulations, and implement quality assurance processes to optimize coding accuracy and organizational performance.
What are the most commonly searched types of Risk Adjustment Coding jobs in Florida? The most popular types of Risk Adjustment Coding jobs in Florida are:
What are popular job titles related to Risk Adjustment Coding Manager jobs in Florida? For Risk Adjustment Coding Manager jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Risk Adjustment Coding Manager jobs in Florida look for? The top searched job categories for Risk Adjustment Coding Manager jobs in Florida are:
What cities in Florida are hiring for Risk Adjustment Coding Manager jobs? Cities in Florida with the most Risk Adjustment Coding Manager job openings:
Full-time
Posted 13 days ago
Job description
Broward Health Corporate ISC
Shift: Shift 1
FTE: 1.000000
Requisition: 31881
Summary: Ensures procedures E&M and diagnoses are coded as documented in the medical records according to ICD-10-CM CPT-4 and HCPCS in an effort to maintain accurate coding and obtain reimbursement all within the professional coding guidelines Centers for Medicare and Medicaid (CMS) guidelines and Broward Health policies. Review and audit documentation for appropriate capture of CAT II coding Medicare Annual Wellness Visits Medicare Risk HRA/HCC Assessment forms Medicare Advantage plans suspect HCC condition forms prior to submission to the payer.
Education: High School or Equivalent
Experience: 2-5 years of risk adjustment coding E/M procedures and diagnosis experience required
Credentials: Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC). Proficient in Microsoft Word Excel and PowerPoint. Competent in Electronic Health Records NextGen and Cerner experience preferred.
Visit us online at www.BrowardHealth.org or contact Talent Acquisition
*Bonus Exclusions may apply in accordance with policy HR-004-026
Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race color national origin gender gender identity or gender expression pregnancy sexual orientation religion age disability military status genetic information or any other characteristic protected under applicable federal or state law.
At Broward Health the dedication and contributions of veterans are valued. Supporting the military community and giving back to those who served is a priority. Broward Health is proud to offer veteran's preference in the hiring process to eligible veterans and other individuals as defined by applicable law.
Shift: Shift 1
FTE: 1.000000
Requisition: 31881
Summary: Ensures procedures E&M and diagnoses are coded as documented in the medical records according to ICD-10-CM CPT-4 and HCPCS in an effort to maintain accurate coding and obtain reimbursement all within the professional coding guidelines Centers for Medicare and Medicaid (CMS) guidelines and Broward Health policies. Review and audit documentation for appropriate capture of CAT II coding Medicare Annual Wellness Visits Medicare Risk HRA/HCC Assessment forms Medicare Advantage plans suspect HCC condition forms prior to submission to the payer.
Education: High School or Equivalent
Experience: 2-5 years of risk adjustment coding E/M procedures and diagnosis experience required
Credentials: Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC). Proficient in Microsoft Word Excel and PowerPoint. Competent in Electronic Health Records NextGen and Cerner experience preferred.
Visit us online at www.BrowardHealth.org or contact Talent Acquisition
*Bonus Exclusions may apply in accordance with policy HR-004-026
Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race color national origin gender gender identity or gender expression pregnancy sexual orientation religion age disability military status genetic information or any other characteristic protected under applicable federal or state law.
At Broward Health the dedication and contributions of veterans are valued. Supporting the military community and giving back to those who served is a priority. Broward Health is proud to offer veteran's preference in the hiring process to eligible veterans and other individuals as defined by applicable law.