ZipRecruiter

Log In

1

Senior Hcc Risk Adjustment Coder Jobs in Florida

Pathways Health Partners

HCC Risk Coder

Leesburg, FL · On-site

$16.75 - $22.25/hr

An active CRC (certified risk adjustment coder) or CPC (certified professional coder) preferred. 2. ... MRA), HCC coding documentation guidelines, rules, and regulation. 4. Two years' demonstrated ...

Pathways Health Partners

HCC Risk Coder

Leesburg, FL · On-site +1

$16.75 - $22.25/hr

An active CRC (certified risk adjustment coder) or CPC (certified professional coder) preferred. 2. ... MRA), HCC coding documentation guidelines, rules, and regulation. 4. Two years' demonstrated ...

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

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 ...

Pedim

HCC Coder

Lecanto, FL · On-site

$13.75 - $18.50/hr

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 ...

PedIM Healthcare

HCC Coder

Lecanto, FL

$13.75 - $18.50/hr

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 ...

next page

Showing results 1-20

All JobsSenior Hcc Risk Adjustment Coder JobsSenior Hcc Risk Adjustment Coder Jobs in Florida

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 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 key skills and qualifications needed to thrive as a Senior HCC Risk Adjustment Coder, and why are they important?

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 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
HCC Risk Coder

HCC Risk Coder

Pathways Health Partners

Leesburg, FL • On-site

$16.75 - $22.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Job description

Description
Welcome to Pathways Health Partners, the Accountable Care Organization (ACO) that's leading the charge in helping independent providers transition to Value-Based Care.
What We Do:
Medicare REACH ACO: We're at the forefront of Medicare innovation.
Medicare Advantage MSO: Providing top-notch services to our Medicare Advantage patients.
Commercial MSO: Managing care for approximately 16,000 patients across North-West/Central Florida.
Where We Operate: From The Villages to St. Petersburg, and across to Mount Dora, we've got you covered!
Our Services:
Hospital Medicine Group: Delivering exceptional care in hospitals.
Affiliated Medical Practices: Managing several top-tier medical practices.
Insurance Agency: Offering comprehensive insurance solutions.
Join us on our journey to better health and value-based care!
Job Summary
The HCC Risk Coder plays a vital role in coordinating and supporting retrospective and concurrent chart reviews while providing education and facilitating chart retrieval for Health Plan audits and reports. This position requires a comprehensive understanding of Hierarchical Condition Categories (HCC) coding to accurately translate, input, extract, and validate medical record data.
Position Responsibilities:
• Review and assess documentation to accurately translate chronic conditions into the appropriate diagnosis codes from outpatient medical records.
• Extract data for Health Plan reports and input data collected from HCC programs.
• Assist in obtaining medical records from Providers to support audits requested by Health Plans.
• Help coordinate training sessions for Physicians and staff on relevant coding guidelines and compliance standards.
• Review provider documentation to verify that HCC codes are accurate and meet required documentation guidelines.
• Assign appropriate ICD-10-CM codes that map to risk adjustment models and identify documentation discrepancies, querying providers for clarity when necessary.
• Participate in clinical documentation improvement initiatives and maintain regular attendance at team meetings.
• Handle special projects as assigned and perform other duties as needed.
Qualifications and Education Requirements
  1. High School Diploma or GED. An active CRC (certified risk adjustment coder) or CPC (certified professional coder) preferred.

2. Understanding of regulations regarding medical coding and documentation; Administrative responsibilities, professional written and verbal communication, typing skills.
3. Documented training in Medicare Risk Adjustment (MRA), HCC coding documentation guidelines, rules, and regulation.
4. Two years' demonstrated experience in a medical or health plan environment
5. Excellent computer skills with experience in Outlook, MS Office, MS Excel, MS Word
Pathways Health Partners is a growing company based in Leesburg, FL. We are proud of our professional yet family culture with the executive team working daily alongside our team members. We provide competitive salaries and a benefits package that is second to none.
  • Medical Insurance for Employee and Spouse/Significant Other paid up to 100% by Pathways!
  • Addition of family coverage for dependents at a fraction of the cost
  • 25K life insurance for employees 100% paid by Pathways!
  • Increasing Employee coverage or adding spouse/dependents at a fraction of the cost
  • Vision and Dental Coverage available at a very low cost for employees, spouses, and family
  • 401K retirement plan with 100% match up to 4% of annual pay
  • Paid holidays
  • Ample Paid Time Off (PTO) for vacation/sick/personal days

We look forward to speaking with you about this opportunity!

Apply