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Trainee Hcc Risk Adjustment Coding Jobs in Florida

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

$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

$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)

Lecanto, FL

$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 ...

Msmc

Certified Risk Adjustment Coder

Hialeah, FL

$20.50 - $27.75/hr

Demonstrates knowledge of coding and documentation standards as well as CMS risk adjustment ... Regularly reviews Epic HCC and payor CSI (Clinically Suspect Conditions) reports * Queries and ...

Lee Health

HCC Coding Educator

Fort Myers, FL · Remote

$27.57 - $35.84/hr

Shift 1/ to Minimum to Midpoint Pay Rate: $27.57 - $35.84 / hour Summary The HCC Coding Educator is responsible for improving the accuracy, completeness, and compliance of risk-adjustment ...

Lee Health

HCC Coding Educator

Fort Myers, FL · On-site +1

$27.57 - $35.84/hr

Shift 1/ to Minimum to Midpoint Pay Rate: $27.57 - $35.84 / hour Summary The HCC Coding Educator is responsible for improving the accuracy, completeness, and compliance of risk-adjustment ...

Cano Health

Risk Adjustment Coder

Jupiter, FL · On-site

The Risk Adjustment Coder is required to follow procedures and documentation policies regarding ... Review medical record information to identify all appropriate coding based on CMS HCC categories

Cano Health

Risk Adjustment Coder

Jupiter, FL · On-site

The Risk Adjustment Coder is required to follow procedures and documentation policies regarding ... Review medical record information to identify all appropriate coding based on CMS HCC categories

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Trainee Hcc Risk Adjustment Coding information

Can I get a job as a medical coder with no experience?

Entry-level medical coding positions, including trainee HCC risk adjustment coding roles, often do not require prior experience but do require knowledge of medical terminology, coding systems like ICD-10, and attention to detail. Completing a coding certification or training program can improve job prospects, and some employers offer on-the-job training for beginners.

Is HCC coding a good career?

HCC coding for risk adjustment is a growing field in healthcare, offering stable employment opportunities and the potential for certification as a Certified Professional Coder (CPC) or similar credential. It requires attention to detail, knowledge of medical terminology, and familiarity with coding software, making it a viable career path for those interested in healthcare administration and medical billing.

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

Trainee HCC Risk Adjustment Coders often encounter challenges such as interpreting complex medical documentation, staying up-to-date with changing coding guidelines, and accurately assigning codes that reflect patients' true risk profiles. Overcoming these challenges involves continuous learning, seeking mentorship from experienced coders, and utilizing resources like coding manuals and online forums. Collaborating with clinical staff and participating in regular training sessions can also enhance accuracy and confidence in the coding process.

What is the difference between Trainee Hcc Risk Adjustment Coding vs Hcc Risk Adjustment Coder?

AspectTrainee Hcc Risk Adjustment CodingHcc Risk Adjustment Coder
CertificationsNone or entry-level certificationsCertified Professional Coder (CPC) or equivalent
Work EnvironmentTraining programs, supervised settingsIndependent coding in healthcare facilities
Job ResponsibilitiesLearning coding processes, assisting with documentationAccurate coding, claim submission, compliance

The main difference is that Trainee Hcc Risk Adjustment Coders are in training or entry-level roles, focusing on learning and assisting, while Hcc Risk Adjustment Coders are experienced professionals responsible for independent coding and compliance tasks.

What is a Trainee HCC Risk Adjustment Coder?

A Trainee HCC Risk Adjustment Coder is an entry-level professional who is learning how to review and assign medical codes for diagnoses in patient records, specifically for the Hierarchical Condition Category (HCC) risk adjustment model. This role involves training in medical coding standards, healthcare regulations, and compliance requirements to ensure accurate coding for insurance and Medicare/Medicaid reimbursement. Trainees typically work under supervision and are expected to develop a strong understanding of ICD-10-CM coding, clinical documentation improvement, and the principles of risk adjustment. The position is ideal for those starting a career in medical coding and offers a pathway to becoming a certified HCC coder.

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

To thrive as a Trainee HCC Risk Adjustment Coder, you need a foundational understanding of medical coding, anatomy, and healthcare terminology, often supported by a relevant certification or coursework. Familiarity with ICD-10-CM coding systems, electronic health records (EHRs), and risk adjustment software is typically required. Strong attention to detail, analytical thinking, and effective communication are important soft skills in this role. These skills ensure accurate coding, which directly impacts proper reimbursement, compliance, and the quality of patient care data.

How to become a risk adjustment coder?

To become a risk adjustment coder, typically one needs a coding certification such as CPC or CCS, along with knowledge of medical coding and healthcare documentation. Training programs or courses in risk adjustment coding are often recommended, and experience with coding tools and electronic health records can enhance job prospects.

How much do HCC coders make in the US?

HCC risk adjustment coders typically earn between $50,000 and $80,000 annually in the US, depending on experience, certification, and location. Entry-level positions may start lower, while experienced coders with certifications like CPC or CCS can earn higher salaries, especially in healthcare hubs or with specialized skills.
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:
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Trainee Hcc Risk Adjustment Coding jobs near you

HCC Coder

Pedim

Lecanto, FL • On-site

$13.75 - $18.50/hr

Full-time

Medical, Life, Retirement, PTO

Posted 20 days ago

Job description

Job Type
Full-time
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, women's 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 understand-and 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 span-from 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
  • Experience performing pre and post -visit RAF reviews preferred
  • Strong analytical skills and attention to detail
  • Experience with EHR systems required
  • Value-based care experience strongly preferred

Benefits Available To You:
Joining our team means more than just a job-it means access to benefits designed to support your health, well-being, and work-life balance.
  • Health coverage + Sick-N-Well membership
  • Health Savings Account (HSA)
  • Life insurance
  • Paid time off
  • 401(k) plan + 4% company match
  • Relax Scofa membership
  • Employee Assistance Program (EAP)
  • Employee Recognition Program
  • And more!

All employment offers at PedIM Healthcare are contingent upon the successful completion of applicable background checks, verification of credentials, and compliance with health and safety requirements.
Compliance & Equal Opportunity Notice
PedIM Healthcare is proud to be an Equal Opportunity Employer and is fully committed to compliance with all federal, state, and local employment laws. We believe every team member deserves a workplace built on respect, fairness, and opportunity.
We do not discriminate on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, gender identity, and sexual orientation), national origin, age, disability, genetic information, marital status, veteran status, or any other protected characteristic under applicable law.
In alignment with the Americans with Disabilities Act (ADA), PedIM Healthcare provides reasonable accommodations to qualified individuals with disabilities to ensure equal access to employment opportunities and participation in all aspects of our hiring and employment processes.
Employment at PedIM Healthcare is offered on an at-will basis and is contingent upon the successful completion of all required background checks, credential verifications, and health or safety screenings consistent with healthcare regulatory standards. Certain roles may also require proof of immunizations or other health compliance documentation.
We are dedicated to fostering a diverse, inclusive environment where every employee feels valued, supported, and empowered to contribute to our mission of delivering exceptional, compassionate care to our community.
EOE
PM20

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