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Senior Hcc Risk Adjustment Coder Jobs in Florida

Cano Health

Risk Adjustment Coder

Jupiter, FL · On-site

The Risk Adjustment Coder is required to follow procedures and documentation policies regarding ... Work HCC suspect reports * Accurately code and submit encounters on a timely basis * Researching ...

Cano Health

Risk Adjustment Coder

Jupiter, FL · On-site

The Risk Adjustment Coder is required to follow procedures and documentation policies regarding ... Work HCC suspect reports * Accurately code and submit encounters on a timely basis * Researching ...

Cano Health

Risk Adjustment Coder

Jupiter, FL · On-site

The Risk Adjustment Coder is required to follow procedures and documentation policies regarding ... Work HCC suspect reports * Accurately code and submit encounters on a timely basis * Researching ...

Msmc

Certified Risk Adjustment Coder

Hialeah, FL

$20.50 - $27.75/hr

Regularly reviews Epic HCC and payor CSI (Clinically Suspect Conditions) reports * Queries and ... risk adjustment coding * Demonstrates understanding of risk adjustment payment models * Uses ...

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Senior Hcc Risk Adjustment Coder information

What does a Senior HCC Risk Adjustment Coder do?

A Senior HCC Risk Adjustment Coder reviews medical records and assigns appropriate ICD-10 codes to ensure accurate risk adjustment for healthcare organizations. Their work supports proper reimbursement and compliance by identifying and coding Hierarchical Condition Categories (HCCs) based on clinical documentation. Senior coders typically have advanced knowledge of coding guidelines, risk adjustment models, and relevant regulations such as Medicare Advantage requirements. They may also audit coding work, provide training, and help implement best practices within their teams.

What are the key skills and qualifications needed to thrive as a Senior HCC Risk Adjustment Coder?

To thrive as a Senior HCC Risk Adjustment Coder, you need in-depth knowledge of ICD-10-CM coding, risk adjustment methodologies, and a relevant credential such as CPC, CRC, or CCS. Familiarity with coding software, EHR systems, and risk adjustment analytics platforms is essential. Attention to detail, analytical thinking, and strong communication skills distinguish top performers in this role. These skills ensure accurate documentation and coding, directly impacting healthcare organizations' compliance and financial outcomes.

What are some common challenges faced by Senior HCC Risk Adjustment Coders, and how can they be addressed?

Senior HCC Risk Adjustment Coders often encounter challenges such as keeping up with frequent coding guideline updates, navigating complex electronic health record systems, and ensuring accurate documentation to support risk adjustment scores. To address these, staying current with industry training and certification requirements is essential, as is developing strong communication skills to collaborate effectively with providers and other coding professionals. Regular auditing and feedback can also help maintain high accuracy and compliance, contributing to both individual and team success.

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

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

What cities in Florida are hiring for Senior Hcc Risk Adjustment Coder jobs?

Cities in Florida with the most Senior Hcc Risk Adjustment Coder job openings:

Senior Hcc Risk Adjustment Coder jobs near you

Certified Medical Coder

Physicians Primary Care of Southwest Florida

Fort Myers, FL • On-site

$21 - $28.75/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago

Job description

Hcc Risk Adjustment Coder

Physicians' Primary Care of Southwest Florida is a premier physician-owned and managed multi-specialty practice with locations in Cape Coral, Estero, Fort Myers, and Lehigh Acres. We are currently seeking an in-house HCC Risk Adjustment Coder for our Compliance and Coding department located in Fort Myers. This is not a remote coding position, must reside in Lee County Florida. Schedule is Monday through Friday, Day Shift.

Are you a coding enthusiast who enjoys solving documentation puzzles and ensuring medical services are accurately translated into codes? Our medical practice is looking for a Certified Medical Coder who is detailed-oriented, organized and passionate about compliance and accuracy. In this role, you will help bridge the gap between clinical care and reimbursement by ensuring medical records are coded correctly and claims are submitted cleanly.

Sample of Responsibilities:

  • Review provider documentation and assign accurate ICD-10 CM, CPT and HCPCS codes
  • Ensure coding aligns with payer guidelines and documentation standards
  • Identify chronic conditions via HCC Risk Adjustment coding
  • Identify documentation gaps and communicate with providers when clarification is needed
  • Support clean claims and assist with resolving coding-related denials
  • Stay current on coding updates and payer policy changes
  • Maintain compliance with privacy and security regulations including HIPAA

Position Requirements:

  • Certification such as Certified Professional Coder (CPC or CPC-A)
  • Strong knowledge of ICD-10 CM, CPT and HCPCS coding guidelines
  • Attention to detail and strong analytical skills
  • Ability to work independently while collaborating with providers and billing staff
  • Experience with electronic health records

Why You'll Love working Here:

  • Supportive, team-oriented environment
  • Opportunity to make a direct impact in the success of the practice
  • A role that combines healthcare knowledge with problem solving skills
  • Continuous learning in an ever-evolving field

PPC Offers:

  • Over 30 years of serving our Southwest Florida community
  • Award-winning physicians
  • Ability to advance and grow within our organization
  • Health, dental, vision, disability and life insurances
  • 401(k) with company match
  • Free financial advising
  • Paid Time Off (PTO)
  • Paid holidays
  • Company paid CE courses with Relias
  • Reimbursement for position required certifications and/or license
  • Employee Assistance Program (EAP)
  • Employee Resource Assistance Program (ERAP)
  • Discounted legal and document services
  • Milestone gifts
  • Employee appreciation events and gifts

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