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Trainee Hcc Risk Adjustment Coding Jobs in Florida

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

Oscar Health

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 ...

Miami Jewish Health

HCC Risk Adjuster and Coder

Miami, FL · On-site

$21.75 - $29/hr

A minimum of 1 year of coding experience in Risk Adjustment models and Hierarchical Condition Category (HCC) and ICD-10-CM coding guidelines and coding system Licenses/Certifications: * N/A Abilities ...

Miami Jewish Health

HCC Risk Adjuster and Coder

Miami, FL · On-site

$22 - $29.25/hr

A minimum of 1 year of coding experience in Risk Adjustment models and Hierarchical Condition Category (HCC) and ICD-10-CM coding guidelines and coding system Licenses/Certifications: * N/A Abilities ...

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Trainee Hcc Risk Adjustment Coding information

How to get into risk adjustment coding?

To become a Trainee HCC Risk Adjustment Coder, individuals typically need a high school diploma or equivalent, followed by completing specialized training or certification in risk adjustment coding, such as the AHIMA Certified Risk Adjustment Coder (CRC) credential. Gaining proficiency in medical coding, understanding of diagnosis coding systems like ICD-10, and familiarity with healthcare data are essential for entry-level roles in this field.

Is HCC coding a good career?

HCC risk adjustment coding is a growing field within healthcare, focusing on accurately documenting patient health conditions for insurance reimbursement and risk management. It requires knowledge of medical coding, attention to detail, and often certification, making it a stable career with demand across healthcare organizations. Many professionals find it a rewarding career due to its specialized nature and opportunities for remote work.

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 much does a certified risk adjustment coder make?

A certified risk adjustment coder typically earns between $50,000 and $80,000 annually, depending on experience, certification level, and geographic location. Entry-level positions may start lower, while experienced coders with advanced certifications can earn higher salaries, especially in healthcare settings that emphasize accurate risk adjustment coding.

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 Coding Educator - Physician Education

HCC Coding Educator - Physician Education

Lee Health

Fort Myers, FL • Remote

$27.57 - $35.84/hr

Full-time

Re-posted 19 days ago

Lee Health rating

6.9

Company rating: 6.9 out of 10

Based on 194 frontline employees who took The Breakroom Quiz

447th of 884 rated healthcare providers

Job description

Location:Lee Health -6630 Orion DrFort Myers FL 33912

Department: RBE-MPG-LH

Work Type: Full Time

Shift: 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 documentation through targeted provider education, documentation review, and performance monitoring. This role supports Medicare Advantage, ACO, and other risk-based contracts by ensuring Hierarchical Condition Category (HCC) capture accurately reflects patient acuity while remaining fully compliant with CMS and payer audit standards. The position serves as a clinical documentation and coding subject-matter expert, partnering with providers, care management teams, and compliance leadership to optimize risk adjustment outcomes and reduce audit exposure.

Requirements

Education: Associates degree in health information management, nursing, healthcare administration or related field required.

Experience: Minimum of 3 years experience in HCC coding and risk adjustment. Minimum of 3 years experience in Medicare Advantage, MSSP, ACO or other value-based care models. Demonstrated experience providing provider education or coding feedback. Experience reviewing outpatient clinical documentation for risk adjustment.

Certification: CRC, CPC, CCS, COC, RHIA or RHIT required.

License: N/A

Other:

US:FL:Fort Myers

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About Lee Health

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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

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