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Senior Hcc Risk Adjustment Coder Jobs in Florida

Lee Health

Coder II - ProFee

Cape Coral, FL · Remote

$20.50 - $27.85/hr

CPC (Certified Professional Coder) COC (Certified Outpatient Coding) CPC-P (Certified Professional Coder-Payer) CRC (Certified Risk Adjustment Coder) CIC (Certified Inpatient Coder) CCS (Certified ...

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Lee Health

Coder II - E/M

Cape Coral, FL · Remote

$20.50 - $27.85/hr

CPC (Certified Professional Coder) COC (Certified Outpatient Coding) CPC-P (Certified Professional Coder-Payer) CRC (Certified Risk Adjustment Coder) CIC (Certified Inpatient Coder) CCS (Certified ...

Lee Health

Coder II - E/M

Cape Coral, FL · On-site +1

$20.50 - $27.85/hr

... Risk Adjustment Coder) • CIC (Certified Inpatient Coder) • CCS (Certified Coding Specialist) • RHIT (Registered Health Information Technician) • RHIA (Registered Health Information ...

CLAREMEDICA HEALTH PARTNERS LLC

Medical Coder I

Miami, FL · On-site

$18 - $24/hr

CRC - Certified Risk Adjustment Coder, preferred. * Maintain coding certification and attend in-service training as required. * Two (2) years of medical coding experience, preferably. * Understanding ...

CLAREMEDICA HEALTH PARTNERS LLC

Medical Coder I

Miami, FL · On-site

$18 - $24/hr

CRC - Certified Risk Adjustment Coder, preferred. * Maintain coding certification and attend in-service training as required. * Two (2) years of medical coding experience, preferably. * Understanding ...

Cano Health

Auditor, ACO Coding

Miami, FL · On-site

$26 - $29.75/hr

... CMS HCC categories. * Analyzes and translates medical and clinical diagnoses, procedures, and ... Required Certified Coder; CPC, CRC, CCS-P, CCS-H, RHIT * 3+ years of Medicare Risk Adjustment ...

Cano Health

Auditor, ACO Coding

Miami, FL · On-site

$26 - $29.75/hr

... CMS HCC categories. * Analyzes and translates medical and clinical diagnoses, procedures, and ... Required Certified Coder; CPC, CRC, CCS-P, CCS-H, RHIT * 3+ years of Medicare Risk Adjustment ...

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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

Provider Performance & Coding Consultant

HealthARCH

Maitland, FL • Remote

Full-time

Re-posted 29 days ago

Job description

Provider Performance & Coding Consultant

Transform healthcare. Empower providers. Improve lives.

Position Description

Are you passionate about improving healthcare delivery and helping providers succeed in a changing landscape? As a Provider Performance & Coding Consultant, you play a key role in guiding medical practices toward better performance, accurate coding, and optimized workflows. You will help providers transition from traditional fee-for-service models to value-based care, ensuring they deliver high-quality care while maintaining financial health.

This is a hands-on, client-facing role where you lead projects, educate providers, and support healthcare transformation. Youll work with a diverse team of professionals who are committed to making a difference in patient outcomes and provider success.

Job Functions and Duties

Client Engagement and Project Leadership

  • Manage the full lifecycle of client projects, from kickoff to completion
  • Develop customized work plans with clear goals, timelines, and deliverables
  • Coordinate resources and activities across multiple practices
  • Ensure projects meet quality standards and deadlines

Provider Education and Support

  • Train providers and staff on documentation, coding, and billing best practices
  • Prepare practices for audits and regulatory reviews
  • Present performance insights and improvement strategies
  • Serve as a trusted advisor on healthcare regulations and payer requirements

Workflow Optimization and Technology Integration

  • Act as liaison between practices and electronic health record (EHR) vendors
  • Support EHR adoption, configuration, and optimization
  • Recommend workflow improvements to enhance efficiency and compliance
  • Help practices align with MIPS, Promoting Interoperability, and other programs

Regulatory and Program Guidance

  • Stay current with healthcare regulations, trends, and payer programs
  • Educate clients on changes affecting coding, billing, and performance metrics
  • Support practices in meeting public health agency requirements

Reporting and Communication

  • Create and maintain weekly/monthly performance dashboards and reports
  • Communicate project updates and recommendations clearly and professionally
  • Collaborate with supervisors to review goals, progress, and challenges

Business Development and Revenue Support

  • Assist with client acquisition and retention strategies
  • Support Fee-for-Service consulting and other revenue-generating activities
  • Promote services and solutions that enhance client performance

Knowledge, Skills, and Abilities

Required Knowledge and Experience

  • Medical coding experience (certification from AAPC or AHIMA required)
  • HEDIS knowledge and Medicare Advantage familiarity
  • Experience with EHR systems and chart auditing
  • Understanding of healthcare revenue cycles and quality improvement methods

Preferred Knowledge and Experience

  • Certified Risk Adjustment Coder (HCC coding)
  • Experience with practice transformation or process improvement
  • Familiarity with Patient-Centered Medical Home models
  • Knowledge of MIPS, Promoting Interoperability, and clinical operations
  • Bachelors degree in Health Informatics, Health Services Administration, or related field

Skills and Abilities

  • Strong project management and organizational skills
  • Ability to work independently and manage multiple priorities
  • Excellent written and verbal communication skills
  • Comfortable with public speaking and client presentations
  • Proficient in Microsoft Office (Outlook, Excel, PowerPoint, Word)
  • Self-motivated, proactive, and adaptable in a fast-paced environment
  • Knowledge of medical terminology and ability to apply it appropriately

Licenses, Certifications, and Legal Requirements

  • Certified Professional Coder (CPC), Certified Coding Specialist (CCS)
  • Certified Risk Adjustment Coder (CRC) preferred
  • Must meet all legal requirements for healthcare consulting roles

Work Schedule

  • Monday to Friday, 8:00 AM 5:00 PM
  • Occasional variations may include early mornings, evenings, or overnight travel based on client location/needs

Apply