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Seasonal Hcc Risk Adjustment Coding Jobs in Florida

DaMar Staffing

HCC Coder

Yankeetown, FL · On-site

$13.50 - $18/hr

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 ...

DaMar Staffing

Senior Medical Coder- Risk Adjustment

Tampa, FL · On-site

$20.50 - $28/hr

Knowledge of Risk Adjustment and HCC coding methodologies * Experience reviewing physician documentation and assigning accurate diagnosis codes * Strong understanding of medical terminology, anatomy ...

DaMar Staffing

HCC Coder

Bushnell, FL · On-site

$17.25 - $23/hr

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 ...

Cano Health

Risk Adjustment Coder III

Miami, FL · On-site

$18 - $24/hr

Apply CMS-HCC and other risk adjustment coding guidelines in daily work activities. * Follow established compliance protocols to ensure coding meets regulatory and internal standards. * Participate ...

New

Cano Health

Risk Adjustment Coder III

Miami, FL · On-site

$18 - $24/hr

Apply CMS-HCC and other risk adjustment coding guidelines in daily work activities. * Follow established compliance protocols to ensure coding meets regulatory and internal standards. * Participate ...

New

Cano Health

Risk Adjustment Coder III

Miami, FL · On-site

$18 - $24/hr

Apply CMS-HCC and other risk adjustment coding guidelines in daily work activities. * Follow established compliance protocols to ensure coding meets regulatory and internal standards. * Participate ...

New

Cano Health

Risk Adjustment Coder III

Miami, FL · On-site

$18 - $24/hr

Apply CMS-HCC and other risk adjustment coding guidelines in daily work activities. * Follow established compliance protocols to ensure coding meets regulatory and internal standards. * Participate ...

New

Cano Health

Risk Adjustment Coder III

Miami, FL · On-site

$18 - $24/hr

Apply CMS-HCC and other risk adjustment coding guidelines in daily work activities. * Follow established compliance protocols to ensure coding meets regulatory and internal standards. * Participate ...

New

Pedim

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

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 ...

PedIM Healthcare

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

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 ...

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Seasonal Hcc Risk Adjustment Coding information

What is a seasonal HCC risk adjustment coder?

A Seasonal HCC Risk Adjustment Coder is a healthcare professional who reviews medical records to identify and code diagnoses that impact risk adjustment scores, typically during peak periods such as the Medicare Advantage sweep season. HCC stands for Hierarchical Condition Category, a coding system used by Medicare to predict healthcare costs based on patient diagnoses. These coders ensure accurate documentation, which directly affects insurance reimbursement and compliance. Seasonal roles are common due to the cyclical nature of risk adjustment reporting deadlines.

What are the key skills and qualifications needed to thrive as a seasonal HCC risk adjustment coder?

To thrive as a Seasonal HCC Risk Adjustment Coder, you need a strong understanding of ICD-10-CM coding, risk adjustment methodologies, and a certification such as CPC, CRC, or CCS. Proficiency in coding software, electronic health records (EHRs), and risk adjustment platforms is typically required. Attention to detail, analytical thinking, and strong organizational skills help ensure accuracy and compliance in reviewing medical records. These skills are essential to accurately capture patient risk profiles, support healthcare reimbursement, and maintain regulatory compliance.

What are the most common challenges faced by professionals in seasonal HCC risk adjustment coding roles, and how can they be managed?

Seasonal HCC Risk Adjustment Coders often face the challenge of managing high volumes of medical records within tight deadlines, especially during peak audit or submission periods. Ensuring coding accuracy and compliance with evolving CMS guidelines can also be demanding, as even minor errors may impact reimbursement and risk scores. Staying organized, regularly participating in training updates, and leveraging coding software tools can help manage workloads and maintain accuracy. Collaborating closely with clinical teams and other coders is vital for clarifying documentation and sharing best practices.

What is the difference between Seasonal Hcc Risk Adjustment Coding vs Hcc Risk Adjustment Coding?

AspectSeasonal Hcc Risk Adjustment CodingHcc Risk Adjustment Coding
CredentialsCertifications in coding and risk adjustmentCertifications in coding and risk adjustment
Work EnvironmentHealthcare facilities, insurance companies, remoteHealthcare facilities, insurance companies, remote
Industry UsageUsed seasonally for specific risk adjustmentsUsed year-round for ongoing risk management
Search IntentUnderstanding seasonal coding differencesGeneral risk adjustment coding practices

Seasonal Hcc Risk Adjustment Coding focuses on coding practices during specific times of the year, often related to seasonal health trends. In contrast, Hcc Risk Adjustment Coding involves continuous coding to manage patient risk profiles throughout the year. Both roles require similar certifications and work environments but differ mainly in their temporal focus and application.

What are the most commonly searched types of Hcc Risk Adjustment Coding jobs in Florida?

The most popular types of Hcc Risk Adjustment Coding jobs in Florida are:

What are popular job titles related to Seasonal Hcc Risk Adjustment Coding jobs in Florida?

For Seasonal Hcc Risk Adjustment Coding jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Seasonal Hcc Risk Adjustment Coding jobs in Florida look for?

The top searched job categories for Seasonal Hcc Risk Adjustment Coding jobs in Florida are:

What cities in Florida are hiring for Seasonal Hcc Risk Adjustment Coding jobs?

Cities in Florida with the most Seasonal Hcc Risk Adjustment Coding job openings:

Seasonal Hcc Risk Adjustment Coding jobs near you

HCC Coder

Yankeetown, FL • On-site

DaMar Staffing
Recruiting and Staffing Services • 1 - 10 employees
Learn more about DaMar Staffingexternal

$13.50 - $18/hr

Other

Posted 7 days 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, womens 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 understandand 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 spanfrom 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
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