1

Senior Hcc Risk Adjustment Coder Jobs in Florida

Coder II - ProFee Surgery

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 ...

Coder II - ProFee Surgery

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 ...

Medical Coder I

Miami, FL

$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 ...

... risk adjustment coding for the ambulatory division. This includes all specialty and primary care ... Hierarchical Condition Category (HCC) Medical Loss Ratio (MLR) Risk Certification Risk Auditor ...

Inpatient Coder

Orlando, FL · Remote

$19 - $23/hr

Join our team as an Inpatient Coder! Role responsibilities include assessing documentation for each ... HCC), and risk adjustment factors (RAF). * Demonstrates an excellent working knowledge of hospital ...

Inpatient Coder

Orlando, FL · On-site

$19 - $23/hr

Join our team as an Inpatient Coder! Role responsibilities include assessing documentation for each ... HCC), and risk adjustment factors (RAF). * Demonstrates an excellent working knowledge of hospital ...

Payer contracting, quality and coding, HCC risk adjustment, credentialing, billing, and population health management - all handled. Clinical support team: * 24/7 nurse triage line, case managers ...

next page

Showing results 1-20

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:
Coder II - ProFee Surgery

Coder II - ProFee Surgery

Lee Health

Cape Coral, FL • Remote

$20.50 - $27.85/hr

Full-time

Posted 15 days ago


Key responsibilities

  • Abstracts data from medical records into Epic and 3M 360 to provide a detailed case summary of medical, demographic, and statistical information.

  • Identifies and codes diagnoses and procedures for medical records according to ICD-10-CM and CPT-4 guidelines, including department modifications.

  • Follows procedures mandated by government and other payers for completion of coded data including APC assignments.


Lee Health rating

6.9

Company rating: 6.9 out of 10

Based on 191 frontline employees who took The Breakroom Quiz

444th of 877 rated healthcare providers


Job description

Location: Remote - Florida

Department: Coding

Work Type: Full Time

Shift: Shift 1/8:00:00AM to 4:30:00PM

Minimum to Midpoint Pay Rate:$20.50 - $27.85 / hour

Summary

Abstracts data from medical records into Epic and 3M 360 to provide a detailed case summary of medical, demographic, and statistical information. Identifies and codes diagnoses and procedures for medical records according to ICD-10-CM and CPT-4 guidelines, including department modifications. Identifies primary diagnosis and procedure as well as pertinent secondary diagnoses and procedures Follows procedures mandated by government and other payers for completion of coded data including APC assignments.

Facility Specific: Responsible for coding SDS, Observation, and as needed ED, Diagnostic, and Ancillary records.

Professional Fee Specific: Responsible for coding Surgical Records, Evaluation & Management Encounters, ED (with E&M) and as needed Diagnostic, Documentation Quality Assurance, and Ancillary records.

Requirements

Education:High School diploma or equivalent required.

Experience:Minimum of 1 Year of outpatient multidisciplinary coding and or Provider E&M Level of Service Coding (Professional Fee Only) experience required.

Certification:Minimum one coding certification required (listed below). Other specialty certifications from AAPC or AHIMA will be considered.

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 Coding Specialist)

RHIT (Registered Health Information Technician)

RHIA (Registered Health Information Administrator)

License:N/A

US:FL:Cape Coral


What Lee Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


Lee Health logo

About Lee Health

Sourced by ZipRecruiter

Lee Health is one of the largest public health systems in the U.S. and one of the largest not-for-profit public health systems in Florida. With 4 acute care hospitals; Lee Memorial, Healthpark Medical Center, Cape Coral Hospital and Gulf Coast Medical Center, two specialty hospitals; Gaisano Children's Hospital and The Rehab Hospital. Lee Physician Group with over 80 practices throughout Southwest Florida, a Regional Cancer Center, seven outpatient centers, three walk-in clinics and two pediatric outpatient facilities. HEALTHGRADES ranks Lee Healths four acute care hospitals in the top 5% in the nation for overall clinical excellence in 2019, 2020, 2021 AND 2022 and is included in America's 250 Best Hospitals

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Fort Myers, FL, US

Year founded

1916