Promote patient self-management. Assist with coordinating health care services and site of care ... Works in a team environment with risk adjustment coders, RNs, and analysts to ensure providers are ...
Promote patient self-management. Assist with coordinating health care services and site of care ... Works in a team environment with risk adjustment coders, RNs, and analysts to ensure providers are ...
Primary Care Physician
Bradenton, FL · On-site
Utilize virtual care tools to monitor and manage high-risk patients between visits * Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate ...
Quick apply
Primary Care Physician
Bradenton, FL · On-site
Utilize virtual care tools to monitor and manage high-risk patients between visits * Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate ...
Primary Care Physician
Bradenton, FL · On-site
Utilize virtual care tools to monitor and manage high-risk patients between visits * Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate ...
Primary Care Physician
Bradenton, FL · On-site
Utilize virtual care tools to monitor and manage high-risk patients between visits * Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate ...
Utilize virtual care tools to monitor and manage high-risk patients between visits * Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate ...
Utilize virtual care tools to monitor and manage high-risk patients between visits * Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate ...
Primary Care Physician
Fort Myers, FL · On-site
Utilize virtual care tools to monitor and manage high-risk patients between visits * Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate ...
Primary Care Physician
Fort Myers, FL · On-site
Utilize virtual care tools to monitor and manage high-risk patients between visits * Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate ...
Primary Care Physician
Arcadia, FL · On-site
Utilize virtual care tools to monitor and manage high-risk patients between visits * Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate ...
Primary Care Physician
Arcadia, FL · On-site
Utilize virtual care tools to monitor and manage high-risk patients between visits * Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate ...
Utilize virtual care tools to monitor and manage high-risk patients between visits * Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate ...
Utilize virtual care tools to monitor and manage high-risk patients between visits * Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate ...
Utilize virtual care tools to monitor and manage high-risk patients between visits * Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate ...
Utilize virtual care tools to monitor and manage high-risk patients between visits * Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate ...
Primary Care Physician
Arcadia, FL · On-site
Utilize virtual care tools to monitor and manage high-risk patients between visits * Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate ...
Quick apply
Primary Care Physician
Arcadia, FL · On-site
Utilize virtual care tools to monitor and manage high-risk patients between visits * Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate ...
Primary Care Physician
Fort Myers, FL · On-site
$190 - $270/hr
Utilize virtual care tools to monitor and manage high-risk patients between visits * Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate ...
New
Primary Care Physician
Fort Myers, FL · On-site
$190 - $270/hr
Utilize virtual care tools to monitor and manage high-risk patients between visits * Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate ...
New
Primary Care Physician
Cape Coral, FL · On-site
Utilize virtual care tools to monitor and manage high-risk patients between visits * Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate ...
Primary Care Physician
Cape Coral, FL · On-site
Utilize virtual care tools to monitor and manage high-risk patients between visits * Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate ...
Promote patient self-management. Assist with coordinating health care services and site of care ... Works in a team environment with risk adjustment coders, RNs, and analysts to ensure providers are ...
Promote patient self-management. Assist with coordinating health care services and site of care ... Works in a team environment with risk adjustment coders, RNs, and analysts to ensure providers are ...
Promote patient self-management. Assist with coordinating health care services and site of care ... Works in a team environment with risk adjustment coders, RNs, and analysts to ensure providers are ...
Promote patient self-management. Assist with coordinating health care services and site of care ... Works in a team environment with risk adjustment coders, RNs, and analysts to ensure providers are ...
HCC Coder - Fully Remote
Jacksonville, FL · Remote
$32 - $37/hr
... the risk adjustment process and diagnosis coding for risk adjustment Additional Skills ... manage multiple projects and perform in a deadline driven environment High school diploma (or ...
HCC Coder - Fully Remote
Jacksonville, FL · Remote
$32 - $37/hr
... the risk adjustment process and diagnosis coding for risk adjustment Additional Skills ... manage multiple projects and perform in a deadline driven environment High school diploma (or ...
Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Ninth Revision (ICD-9) for CMS risk adjustment purposes. Codes, abstracts and ...
Codes, abstracts and analyzes inpatient and/or outpatient medical records using International Classification of Diseases, Ninth Revision (ICD-9) for CMS risk adjustment purposes. Codes, abstracts and ...
Manage the full lifecycle of client projects, from kickoff to completion * Develop customized work ... Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process ...
Manage the full lifecycle of client projects, from kickoff to completion * Develop customized work ... Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process ...
Manage the full lifecycle of client projects, from kickoff to completion * Develop customized work ... Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process ...
Manage the full lifecycle of client projects, from kickoff to completion * Develop customized work ... Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process ...
Manage the full lifecycle of client projects, from kickoff to completion * Develop customized work ... Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process ...
Manage the full lifecycle of client projects, from kickoff to completion * Develop customized work ... Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process ...
Manage the full lifecycle of client projects, from kickoff to completion * Develop customized work ... Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process ...
Manage the full lifecycle of client projects, from kickoff to completion * Develop customized work ... Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process ...
HCC Coding Educator - Physician Education
Fort Myers, FL · Hybrid
$27.57 - $35.84/hr
Associate's degree in Health Information Management, Nursing, Healthcare Administration, or a related field required. Experience: * Minimum 3 years of experience in HCC coding and risk adjustment
HCC Coding Educator - Physician Education
Fort Myers, FL · Hybrid
$27.57 - $35.84/hr
Associate's degree in Health Information Management, Nursing, Healthcare Administration, or a related field required. Experience: * Minimum 3 years of experience in HCC coding and risk adjustment
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?
| 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 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:
- Freelance Remote Risk Adjustment Coder
- Manager Hcc Risk Adjustment
- Associate Healthcare Analyst
- Optum Health Coding Risk Adjustment
- Remote Hcc Risk Adjustment Coding
- From Home Optum Health Coding Risk Adjustment
- Healthcare Risk Manager
- Remote Chart Review Physician
- Healthcare Risk Management Consultant
- Temporary Gotham Healthcare Partners
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 16 days ago
Watson Clinic rating
6.6
Based on 40 frontline employees who took The Breakroom Quiz
569th of 891 rated healthcare providers
Job description
Description
Summary/Objective
The Clinical Reviewer uses their medical knowledge to identify and address quality gaps and assist with the coordination of care for the Clinic's patients. This role produces, abstracts, and submits data, and works from portals, spreadsheets, and databases to support quality projects and Value Based Services contracts. Clinical Reviewers are responsible for contacting patients telephonically to schedule needed care or perform monitoring.
Essential Functions
- Accurately abstracts data from Watson Clinic's EHR and hospital EHR to support quality initiatives and projects with both internal and external entities.
- Accurately enter clinical data into payer portals, spreadsheets, and/or the database to track status of data abstraction projects and close care gaps.
- Accurately utilizes Watson Clinic protocols, care coordination guidelines, and patient-specific provider treatment plans to: Ensure patients have access to clinic providers and needed appointments. Educate Watson Clinic patients on managing conditions/diseases. Promote patient self-management. Assist with coordinating health care services and site of care concerns, and communicate with physician-lead Care Teams.
- Follow program guidelines to assist physicians with documentation of patient interactions in an electronic platform for risk adjustment coding purposes.
- Works in a team environment with risk adjustment coders, RNs, and analysts to ensure providers are following proven processes to appropriately increase their quality ratings and HCC risk scores.
- Maintains excellent communication skills with patients to promote adherence to each patient's specific provider treatment plan
Requirements
Required Education and Experience: High school diploma or GED. Completion of an accredited Medical Assistant program. Medical Assistant Certification must be obtained within 90 days of employment. Ability to use filters, attach documents, and work with a variety of Microsoft applications is required.
Preferred Education and Experience: Coding experience or certification, or some college is preferred. Experience and understanding of quality metrics in an outpatient clinic setting is highly preferred.
Additional Eligibility Qualifications: Ability and initiative to become familiar with industry and individual health plan incentive program quality measurement specifications related to group practices, e.g., National Committee for Quality Assurance (NCQA) Health Effectiveness Data Information Set (HEDIS).
What Watson Clinic employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Watson Clinic
Sourced by ZipRecruiter
Industry
Outpatient health care
Company size
1,001 - 5,000 Employees
Headquarters location
Lakeland, FL, US
Year founded
1941