Porter is hiring a Risk Adjustment Coder to join our Team! Porter combines the power of analytics ... Proficiency in utilizing coding clinics for provider education and feedback is essential. This role ...
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Porter is hiring a Risk Adjustment Coder to join our Team! Porter combines the power of analytics ... Proficiency in utilizing coding clinics for provider education and feedback is essential. This role ...
Certified Medical Coder - Risk Adjustment
Pompano Beach, FL · On-site
$50K - $54K/yr
Porter is hiring a Risk Adjustment Coder to join our Team! Porter combines the power of analytics ... Proficiency in utilizing coding clinics for provider education and feedback is essential. This role ...
Certified Medical Coder - Risk Adjustment
Pompano Beach, FL · On-site
$50K - $54K/yr
Porter is hiring a Risk Adjustment Coder to join our Team! Porter combines the power of analytics ... Proficiency in utilizing coding clinics for provider education and feedback is essential. This role ...
Certified Medical Coder - Risk Adjustment
Pompano Beach, FL · On-site
$50K - $54K/yr
Porter is hiring a Risk Adjustment Coder to join our Team! Porter combines the power of analytics ... Proficiency in utilizing coding clinics for provider education and feedback is essential. This role ...
Certified Medical Coder - Risk Adjustment
Pompano Beach, FL · On-site
$50K - $54K/yr
Porter is hiring a Risk Adjustment Coder to join our Team! Porter combines the power of analytics ... Proficiency in utilizing coding clinics for provider education and feedback is essential. This role ...
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
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
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
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
Auditor, Risk Adjustment
Miami, FL · Remote
$82K - $108K/yr
The Associate, Risk Adjustment Auditor conducts internal and external quality audits ... Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ...
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Auditor, Risk Adjustment
Miami, FL · Remote
$82K - $108K/yr
The Associate, Risk Adjustment Auditor conducts internal and external quality audits ... Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ...
Works in a team environment with risk adjustment coders, RNs, and analysts to ensure providers are following proven processes to appropriately increase their quality ratings and HCC risk scores.
Quick apply
Works in a team environment with risk adjustment coders, RNs, and analysts to ensure providers are following proven processes to appropriately increase their quality ratings and HCC risk scores.
Medical Risk Adjustment Coder- VBC
Winter Park, FL · On-site
$17.50 - $23.50/hr
... HCC coding reports for all providers participating in the Managed Medicare Program and Accountable Care Organization Programs. • Places emphasis on compliance with Risk Adjustment procedures and ...
Medical Risk Adjustment Coder- VBC
Winter Park, FL · On-site
$17.50 - $23.50/hr
... HCC coding reports for all providers participating in the Managed Medicare Program and Accountable Care Organization Programs. • Places emphasis on compliance with Risk Adjustment procedures and ...
Works in a team environment with risk adjustment coders, RNs, and analysts to ensure providers are following proven processes to appropriately increase their quality ratings and HCC risk scores.
Works in a team environment with risk adjustment coders, RNs, and analysts to ensure providers are following proven processes to appropriately increase their quality ratings and HCC risk scores.
Medical Risk Adjustment Coder- VBC
$17.50 - $23.50/hr
... HCC coding reports for all providers participating in the Managed Medicare Program and Accountable Care Organization Programs. • Places emphasis on compliance with Risk Adjustment procedures and ...
Medical Risk Adjustment Coder- VBC
$17.50 - $23.50/hr
... HCC coding reports for all providers participating in the Managed Medicare Program and Accountable Care Organization Programs. • Places emphasis on compliance with Risk Adjustment procedures and ...
... HCC risk adjustment model Ability to meet productivity and accuracy standards Ability to defend coding decisions to both internal and external audits Qualifications A High School or GED Required 2+ ...
... HCC risk adjustment model Ability to meet productivity and accuracy standards Ability to defend coding decisions to both internal and external audits Qualifications A High School or GED Required 2+ ...
Manager Risk Adjustment Program
Tampa, FL · On-site +1
... and HCC (Hierarchical Condition Category) and ICD-10 coding practices. * As a subject matter expert and preceptor, provides on-going supervision, education and training of risk adjustment team ...
Manager Risk Adjustment Program
Tampa, FL · On-site +1
... and HCC (Hierarchical Condition Category) and ICD-10 coding practices. * As a subject matter expert and preceptor, provides on-going supervision, education and training of risk adjustment team ...
Works in a team environment with risk adjustment coders, RNs, and analysts to ensure providers are following proven processes to appropriately increase their quality ratings and HCC risk scores.
Works in a team environment with risk adjustment coders, RNs, and analysts to ensure providers are following proven processes to appropriately increase their quality ratings and HCC risk scores.
Works in a team environment with risk adjustment coders, RNs, and analysts to ensure providers are following proven processes to appropriately increase their quality ratings and HCC risk scores.
Works in a team environment with risk adjustment coders, RNs, and analysts to ensure providers are following proven processes to appropriately increase their quality ratings and HCC risk scores.
HCC Coding Educator - Physician Education
Fort Myers, FL · Hybrid
$27.57 - $35.84/hr
Minimum 3 years of experience in HCC coding and risk adjustment * Minimum 3 years of experience in Medicare Advantage, MSSP, ACO, or other value-based care models * Demonstrated experience providing ...
HCC Coding Educator - Physician Education
Fort Myers, FL · Hybrid
$27.57 - $35.84/hr
Minimum 3 years of experience in HCC coding and risk adjustment * Minimum 3 years of experience in Medicare Advantage, MSSP, ACO, or other value-based care models * Demonstrated experience providing ...
Ensure compliance with ICD-10-CM, HCC guidelines, and CMS risk adjustment methodologies * Oversee quality outcomes from chart reviews and coding audits * Identify documentation gaps and implement ...
Ensure compliance with ICD-10-CM, HCC guidelines, and CMS risk adjustment methodologies * Oversee quality outcomes from chart reviews and coding audits * Identify documentation gaps and implement ...
Ensure compliance with ICD-10-CM, HCC guidelines, and CMS risk adjustment methodologies * Oversee quality outcomes from chart reviews and coding audits * Identify documentation gaps and implement ...
Ensure compliance with ICD-10-CM, HCC guidelines, and CMS risk adjustment methodologies * Oversee quality outcomes from chart reviews and coding audits * Identify documentation gaps and implement ...
HCC Coder - Fully Remote
Jacksonville, FL · Remote
$32 - $37/hr
... coding for risk adjustment Additional Skills & Qualifications Required skills and experiences 7+ years of related professional experience. All relevant experience including work, education ...
HCC Coder - Fully Remote
Jacksonville, FL · Remote
$32 - $37/hr
... coding for risk adjustment Additional Skills & Qualifications Required skills and experiences 7+ years of related professional experience. All relevant experience including work, education ...
HCC Coding Educator - Physician Education
Fort Myers, FL · On-site
$27.57 - $35.84/hr
As the HCC Coding Educator, you won't be stepping into a role that's already been defined for years ... Ongoing training and guidance from the Risk Adjustment team , IT Education team , and the Center ...
HCC Coding Educator - Physician Education
Fort Myers, FL · On-site
$27.57 - $35.84/hr
As the HCC Coding Educator, you won't be stepping into a role that's already been defined for years ... Ongoing training and guidance from the Risk Adjustment team , IT Education team , and the Center ...
Trainee Hcc Risk Adjustment Coding information
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?
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.
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?
| Aspect | Trainee Hcc Risk Adjustment Coding | Hcc Risk Adjustment Coder |
|---|---|---|
| Certifications | None or entry-level certifications | Certified Professional Coder (CPC) or equivalent |
| Work Environment | Training programs, supervised settings | Independent coding in healthcare facilities |
| Job Responsibilities | Learning coding processes, assisting with documentation | Accurate 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 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:
What are popular job titles related to Trainee Hcc Risk Adjustment Coding jobs in Florida?
For Trainee Hcc Risk Adjustment Coding jobs in Florida, the most frequently searched job titles are:
- Day Remote Emergency Room Coder
- Flexible Remote Ancillary Coding
- From Home Optum Health Coding Risk Adjustment
- Remote Hcc Risk Adjustment
- Remote Volunteer Medical Coder
- Contractual Remote Hcc Coder
- Saturday Sunday Remote Outpatient Coder
- Full Time Remote Risk Adjustment Coder
- Outpatient Coder
- Seasonal Remote Hcc Medical Coder
What job categories do people searching Trainee Hcc Risk Adjustment Coding jobs in Florida look for?
The top searched job categories for Trainee Hcc Risk Adjustment Coding jobs in Florida are:
What cities in Florida are hiring for Trainee Hcc Risk Adjustment Coding jobs?
Cities in Florida with the most Trainee Hcc Risk Adjustment Coding job openings:
$50K - $54K/yr
Full-time
Re-posted 28 days ago
Job description
Porter is hiring a Risk Adjustment Coder to join our Team!
Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member’s specific needs, and directs Porter’s team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience.
Position Overview
We are seeking a certified coder with expertise in risk adjustment coding and a specialization in in-home health assessments. The ideal candidate will have a strong understanding of CMS risk adjustment and quality initiatives, exceptional attention to coding quality, and experience managing the provider query process. This role also requires the ability to handle multiple clients, each with unique coding requirements, while ensuring accuracy and compliance. Proficiency in utilizing coding clinics for provider education and feedback is essential. This role will be instrumental in ensuring the accuracy of coding and improving the efficiency of our assessment workflows. A key expectation is that the Risk Adjustment Coder will maintain 98% coding accuracy.
Schedule: Monday - Friday (some weekends and overtime)
Start: 8am-8:30am ET
Hybrid: Pompano Beach, FL
*This is not a lead or manager position
Key Responsibilities
▪️Assign accurate ICD-10, CPT, and CPT II codes based on documentation from in-home assessments, ensuring compliance with CMS risk adjustment and quality guidelines.
▪️Manage the provider query process to clarify documentation and ensure the completeness and accuracy of patient diagnoses, particularly related to chronic conditions.
▪️Handle multiple clients with varying coding requirements, maintaining high standards of accuracy and adapting to specific client guidelines.
▪️Utilize coding clinics and other reference materials to provide providers with targeted feedback and education on improving documentation and coding accuracy.
▪️Maintain a minimum of 98% coding accuracy to meet performance expectations and ensure compliance.
▪️Stay current with coding standards, risk adjustment methodologies, and CMS regulatory changes to ensure ongoing compliance and optimal coding practices.
▪️Collaborate with clinical teams to review documentation and provide insights on areas for improvement in coding and documentation.
▪️Support coding education initiatives by creating and delivering training materials to providers, particularly focused on improving documentation practices.
▪️Maintain confidentiality and ensure full compliance with HIPAA regulations.
This is not a leadership or senior position.
Qualifications
- Certification Required - CPC or CSS
- Minimum 5 years of experience in risk adjustment coding, with specific experience in in-home assessments.
- Expertise in managing provider queries and improving provider documentation through coding feedback.
- Proficiency in using coding clinics and reference tools for accurate coding and provider education.
- Strong knowledge of CMS risk adjustment and quality initiatives, including Hierarchical Condition Categories (HCCs).
- Experience with electronic medical records (EMR) and coding tools.
- Excellent communication skills, with the ability to collaborate with providers and clinical teams to drive coding improvements.
- Strong attention to detail, prioritizing coding quality and compliance.
Preferred Qualifications
Experience in coding audits and providing actionable feedback to providers.
Knowledge of healthcare reimbursement models and regulations impacting risk adjustment coding.
Prior experience in telehealth or in-home care settings.
Benefits
Competitive wage and benefits package.
Opportunities for professional growth and continuing education.
A supportive, collaborative work environment.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.