... Medicare Risk Adjustment, Medical Coding and Billing compliance, Healthcare auditing of ... Special Training: Hierarchical Condition Category (HCC), Medical Loss Ratio (MLR), Risk ...
... Medicare Risk Adjustment, Medical Coding and Billing compliance, Healthcare auditing of ... Special Training: Hierarchical Condition Category (HCC), Medical Loss Ratio (MLR), Risk ...
... 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 ...
... 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 ...
Provider Education Specialist
Miami, FL · On-site
This role serves as a clinical subject matter expert in HCC documentation, CMS risk adjustment ... The Provider Education Specialist partners closely with Clinical Affairs, Quality, Coding, and ...
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Provider Education Specialist
Miami, FL · On-site
This role serves as a clinical subject matter expert in HCC documentation, CMS risk adjustment ... The Provider Education Specialist partners closely with Clinical Affairs, Quality, Coding, and ...
Coder I - E/M
Cape Coral, FL · Remote
$20 - $25.45/hr
Responsible for Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and ... Coding Specialist)RequiredorAdditional Requirements CRC (Certified Risk Adjustment Coder) required ...
Coder I - E/M
Cape Coral, FL · Remote
$20 - $25.45/hr
Responsible for Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and ... Coding Specialist)RequiredorAdditional Requirements CRC (Certified Risk Adjustment Coder) required ...
Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process improvement * Familiarity with Patient-Centered Medical Home models * Knowledge of MIPS, Promoting ...
Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process improvement * Familiarity with Patient-Centered Medical Home models * Knowledge of MIPS, Promoting ...
Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process improvement * Familiarity with Patient-Centered Medical Home models * Knowledge of MIPS, Promoting ...
Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process improvement * Familiarity with Patient-Centered Medical Home models * Knowledge of MIPS, Promoting ...
Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process improvement * Familiarity with Patient-Centered Medical Home models * Knowledge of MIPS, Promoting ...
Certified Risk Adjustment Coder (HCC coding) * Experience with practice transformation or process improvement * Familiarity with Patient-Centered Medical Home models * Knowledge of MIPS, Promoting ...
Coder I - E/M
Cape Coral, FL · On-site +1
$20 - $25.45/hr
Responsible for Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and ... Coding Specialist)Requiredor Additional Requirements CRC (Certified Risk Adjustment Coder) required ...
Coder I - E/M
Cape Coral, FL · On-site +1
$20 - $25.45/hr
Responsible for Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and ... Coding Specialist)Requiredor Additional Requirements CRC (Certified Risk Adjustment Coder) required ...
... accurate diagnostic coding and risk adjustment capture. Location: Orange City, FL 32763 ... HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ...
... accurate diagnostic coding and risk adjustment capture. Location: Orange City, FL 32763 ... HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ...
... accurate diagnostic coding and risk adjustment capture. Location: West Palm Beach 33406 ... HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ...
... accurate diagnostic coding and risk adjustment capture. Location: West Palm Beach 33406 ... HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ...
... accurate diagnostic coding and risk adjustment capture. Location: West Palm Beach 33406 ... HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ...
... accurate diagnostic coding and risk adjustment capture. Location: West Palm Beach 33406 ... HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ...
... coding and risk adjustment capture. Location: Palm Beach Gardens, FL 33410 Relationship Management ... HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ...
... coding and risk adjustment capture. Location: Palm Beach Gardens, FL 33410 Relationship Management ... HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ...
... coding and risk adjustment capture. Location: Palm Beach Gardens, FL 33410 Relationship Management ... HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ...
... coding and risk adjustment capture. Location: Palm Beach Gardens, FL 33410 Relationship Management ... HCC Outage and Recapture Support * Support HCC outage management through structured reviews of ...
Geriatric Primary Care Physician
$250K - $260K/yr
Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate effectively with patients, caregivers, and other providers across the continuum of care
Geriatric Primary Care Physician
$250K - $260K/yr
Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate effectively with patients, caregivers, and other providers across the continuum of care
Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate effectively with patients, caregivers, and other providers across the continuum of care
Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate effectively with patients, caregivers, and other providers across the continuum of care
Ongoing training in risk adjustment coding and Medicare quality programs (e.g., STARS) * Light call schedule (approximately 1 week every 6 weeks) Key Responsibilities * Provide comprehensive primary ...
Ongoing training in risk adjustment coding and Medicare quality programs (e.g., STARS) * Light call schedule (approximately 1 week every 6 weeks) Key Responsibilities * Provide comprehensive primary ...
Primary Care Physician
Fort Myers, FL · On-site
$180 - $220/hr
Ongoing training in risk adjustment coding and Medicare quality programs (e.g., STARS) * Light call schedule (approximately 1 week every 6 weeks) Key Responsibilities * Provide comprehensive primary ...
Primary Care Physician
Fort Myers, FL · On-site
$180 - $220/hr
Ongoing training in risk adjustment coding and Medicare quality programs (e.g., STARS) * Light call schedule (approximately 1 week every 6 weeks) Key Responsibilities * Provide comprehensive primary ...
Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate effectively with patients, caregivers, and other providers across the continuum of care
Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate effectively with patients, caregivers, and other providers across the continuum of care
Ongoing training in risk adjustment coding and Medicare quality programs (e.g., STARS) * Light call schedule (approximately 1 week every 6 weeks) Key Responsibilities * Provide comprehensive primary ...
Ongoing training in risk adjustment coding and Medicare quality programs (e.g., STARS) * Light call schedule (approximately 1 week every 6 weeks) Key Responsibilities * Provide comprehensive primary ...
Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate effectively with patients, caregivers, and other providers across the continuum of care
Ensure accurate and compliant documentation, including risk adjustment and quality metrics coding * Communicate effectively with patients, caregivers, and other providers across the continuum of care
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?
| 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 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:
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:
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:
Full-time
Posted 22 days ago
Broward Health rating
6.9
Based on 91 frontline employees who took The Breakroom Quiz
449th of 885 rated healthcare providers
Job description
Broward Health Point
Shift: Shift 1
FTE: 1.000000
Summary:
The value base director is responsible for leading and implementing strategies that drive value-based care initiatives. This includes overseeing projects, developing workflows, and ensuring alignment with performance-based reimbursement models to improve patient outcomes and reduce costs for the Ambulatory Division. The role also involves collaborating with various stakeholders, such as providers, care teams, finance, revenue cycle and payers, to achieve these goals. The position will support ambulatory division including Health Point in establishing Medicare Risk Adjustment, Medical Coding and Billing compliance, Healthcare auditing of documentation, revenue cycle management, risk adjustment coding for the ambulatory division. This includes all specialty and primary care. The position will function as a knowledge depository for value base revenue cycle and billing for the division. Strong relationship with the payors.
Responsibilities:
Strategic Planning and Implementation-
Performance Management-
Workflow Optimization-
Stakeholder Engagement-
Education and Training-
Financial Performance-
Technology Integration-
Human Resources-
This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification. Employees may be required to perform other job-related functions as necessary based on operational needs.
Qualifications-
Education:
Experience:
Credentials:
Visit us online at www.BrowardHealth.org or contact Talent Acquisition
*Bonus Exclusions may apply in accordance with policy HR-004-026
Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race, color, national origin, gender, gender identity or gender expression, pregnancy, sexual orientation, religion, age, disability, military status, genetic information or any other characteristic protected under applicable federal or state law.
At Broward Health, the dedication and contributions of veterans are valued. Supporting the military community and giving back to those who served is a priority. Broward Health is proud to offer veteran's preference in the hiring process to eligible veterans and other individuals as defined by applicable law.
Shift: Shift 1
FTE: 1.000000
Summary:
The value base director is responsible for leading and implementing strategies that drive value-based care initiatives. This includes overseeing projects, developing workflows, and ensuring alignment with performance-based reimbursement models to improve patient outcomes and reduce costs for the Ambulatory Division. The role also involves collaborating with various stakeholders, such as providers, care teams, finance, revenue cycle and payers, to achieve these goals. The position will support ambulatory division including Health Point in establishing Medicare Risk Adjustment, Medical Coding and Billing compliance, Healthcare auditing of documentation, revenue cycle management, risk adjustment coding for the ambulatory division. This includes all specialty and primary care. The position will function as a knowledge depository for value base revenue cycle and billing for the division. Strong relationship with the payors.
Responsibilities:
Strategic Planning and Implementation-
- Developing and executing strategies for value-based care programs, and revenue cycle and billing strategy, including aligning initiatives with organizational goals and objectives.
- Assist in ensuring compliance with regulatory requirements and organizational policies.
- Auditing and ensuring the ambulatory division adhere to CMS and HRSA documentation auditing and billing compliance.
- Support quality assurance initiatives to enhance patient care and operational efficiency.
Performance Management-
- Monitoring and analyzing performance metrics related to quality, cost, revenue cycle, including charge capture, coding, billing and collection, identifying areas for improvement, and implementing corrective actions.
Workflow Optimization-
- Leading the development and implementation of efficient workflows for care coordination, patient engagement, and data management.
- Monitor and analyze key financial and operational metrics, net collection rates, denial rates, to identify areas and improvement.
- Work with the payors on establishing key performance metrics to meet star ratings and upside risk.
- Provide guidance to provider and billing optimization in accordance with CMS guidelines and patient severity index.
Stakeholder Engagement-
- Collaborating with providers, care teams, payers, and other stakeholders to foster alignment and drive participation in value-based care initiatives.
- Oversee payor contract strategy, analyze contract performance, and lead joint operation meetings to ensure optimal reimbursement.
Education and Training-
- Providing training and support to staff on value-based care principles, processes, and technologies. This includes training of coders and other revenue cycle staff.
Financial Performance-
- Ensuring appropriate risk adjustment and managing performance in value-based contracts to optimize financial outcomes.
- Partner with departments including, revenue cycle, finance, clinical operations, IT, Manage Care, Legal to optimize revenue capture and achieve financial and operation goals.
Technology Integration-
- Leveraging technology and data analytics to support Value Base initiatives, improve efficiency, and enhance decision-making.
- Strong understanding of value-based care models, including proven ability to lead projects, manage teams, and collaborate with diverse stakeholders including Care Coordination of Medicare Advantage, Commercial and Exchange lives to close gaps, pass quality gates and improve Star Rating, HCC level, Medical Loss Ratio.
Human Resources-
- Create and maintain an effective, collaborative, engaged, inclusive team with an emphasis on open, direct and honest communication which supports employee engagement, retention, system thinking, regional performance and market success.
- Promote and model an environment and culture of high performance and continuous improvement that values a commitment to quality through coaching and managerial oversight of staff performance and development.
- Provide and foster a positive and engaged employee environment through consistency and uniformity in application and interpretation of governing policies, practices and all terms and conditions of employment.
- Provide timely, constructive, communication and feedback consistent with Five Star Values, policies, and culture of diversity and inclusion.
This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification. Employees may be required to perform other job-related functions as necessary based on operational needs.
Qualifications-
Education:
- Bachelor's degree.
Experience:
- Seven years of related experience including revenue cycle and value base billing.
- Special Training: Hierarchical Condition Category (HCC), Medical Loss Ratio (MLR), Risk Certification, Risk Auditor
Credentials:
- CPC - Certified Professional Coder (Preferred)
- CPC-1 - Certified Professional Coder Instructor (Preferred)
- CRC - Certified Risk Adjustment Coder (Preferred)
- CPMA - Certified Professional Medical Auditor (Preferred)
- CDEO - Certified Documentation Expert Outpatient (Preferred)
Visit us online at www.BrowardHealth.org or contact Talent Acquisition
*Bonus Exclusions may apply in accordance with policy HR-004-026
Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race, color, national origin, gender, gender identity or gender expression, pregnancy, sexual orientation, religion, age, disability, military status, genetic information or any other characteristic protected under applicable federal or state law.
At Broward Health, the dedication and contributions of veterans are valued. Supporting the military community and giving back to those who served is a priority. Broward Health is proud to offer veteran's preference in the hiring process to eligible veterans and other individuals as defined by applicable law.
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About Broward Health
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A career with Broward Health means endless opportunities to grow through a wide range of experiences across the healthcare system. You will be part of a team that is continually raising the bar for patient care. Our competitive benefits package includes healthcare coverage, a matching retirement program, pension plan, and wellness programs.
Industry
Hospitals
Company size
5,001 - 10,000 Employees
Headquarters location
Fort Lauderdale, FL, US
Year founded
1938