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Risk Adjustment Coding Manager Jobs in Florida (NOW HIRING)

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 ...

Certified Risk Adjustment Coder

Hialeah, FL

$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 ...

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.

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.

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Risk Adjustment Coding Manager information

What is a risk adjustment coding manager?

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 key skills and qualifications needed to thrive as a risk adjustment coding manager?

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 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 is the difference between Risk Adjustment Coding Manager vs Risk Adjustment Coder?

AspectRisk Adjustment Coding ManagerRisk Adjustment Coder
CertificationsAHIMA or AAPC credentials, management experienceAHIMA or AAPC credentials, coding certification
Work EnvironmentSupervisory role, overseeing coding teamsPerforming coding tasks directly on patient records
Employer & IndustryHealth plans, healthcare providers, insurance companiesHospitals, 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 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 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:

Infographic showing various Risk Adjustment Coding Manager job openings in Florida as of August 2026, with employment types broken down into 87% Full Time, 12% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution.

PBO Risk Adjustment Coding

Broward Health

Fort Lauderdale, FL • On-site

Other

Posted 18 days ago


Broward Health rating

6.9

Company rating: 6.9 out of 10

Based on 91 frontline employees who took The Breakroom Quiz

456th of 891 rated healthcare providers


Job description

Coding Specialist

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.

High School or Equivalent

2-5 years of risk adjustment coding E/M procedures and diagnosis experience required. 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.

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.


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About Broward Health

Sourced by ZipRecruiter

A career with Broward Health means endless opportunities to grow through a wide range of experiences across the healthcare system. You will be part of a team that is continually raising the bar for patient care. Our competitive benefits package includes healthcare coverage, a matching retirement program, pension plan, and wellness programs.

Industry

Hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Fort Lauderdale, FL, US

Year founded

1938