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Trainee Hcc Risk Adjustment Coding Jobs in Orlando, FL

Nemours

Coding and Billing Specialist

Orlando, FL · On-site

$17.50 - $22.50/hr

Nemours is seeking a Coding and Billing Specialist in Orlando, FL Assesses documentation for each ... HCC), and risk adjustment factors (RAF). * Demonstrates an excellent working knowledge of hospital ...

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Trainee Hcc Risk Adjustment Coding information

See Orlando, FL salary details

$13

$19

$33

How much do trainee hcc risk adjustment coding jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for trainee hcc risk adjustment coding in Orlando, FL is $19.74, according to ZipRecruiter salary data. Most workers in this role earn between $14.38 and $22.64 per hour, depending on experience, location, and employer.

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?

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 are popular job titles related to Trainee Hcc Risk Adjustment Coding jobs in Orlando, FL?

For Trainee Hcc Risk Adjustment Coding jobs in Orlando, FL, the most frequently searched job titles are:

What job categories do people searching Trainee Hcc Risk Adjustment Coding jobs in Orlando, FL look for?

The top searched job categories for Trainee Hcc Risk Adjustment Coding jobs in Orlando, FL are:

Trainee Hcc Risk Adjustment Coding jobs near you

Certified Professional Coder Risk Adjustment

Orlando, FL • Hybrid

Valora Medical Group
Health Care and Social Assistance • 11 - 50 employees
Learn more about Valora Medical Groupexternal

$21 - $28.75/hr

Full-time

Posted 11 days ago

Key responsibilities

  • Validate and abstract risk adjustment diagnosis codes using a computer-assisted coding platform and chart reviews.

  • Review medical records and billing history to ensure correct billing and documentation of disease conditions.

  • Train and mentor medical providers and clinical staff on appropriate HCC coding, documentation, and HEDIS measures.

Job description

Job description:

Valora Medical Group is a visionary company focused on high-quality primary care services and consisting of healthcare providers and professionals dedicated to the health and well-being of our patients. At Valora, we treat our patients like family.

With multiple locations throughout the Dallas-Fort Worth and Central Florida area, we understand that providing quality medical care and an exceptional patient experience across all our centers requires having an outstanding team.

A Risk Adjustment (MRA) Coder ensures all significant chronic conditions found in the patient’s chart affecting the risk score are identified to allow the Clinical Provider to determine which conditions are current so they can be addressed during the patient visit. This role is also responsible for proper identification of respective ICD-10 codes to ensure the accuracy of billing for addressed diagnoses. In addition, the MRA Coder/Auditor provides educational support regarding complete documentation.

This is a hybrid position, and will require onsite support when training Providers.

Essential Duties and Responsibilities:

  • Validate and abstract risk adjustment specific diagnosis codes utilizing a computer assisted coding platform and chart/document reviews.
  • Reviews medical records and billing history to determine if specific disease conditions were correctly billed and documented.
  • Responsible for sending daily and weekly reports supporting each medical office.
  • Implement process improvements that will maximize risk adjustment factor accuracy and appropriate documentation.
  • Adheres to all official coding rules and CMS guidelines for risk adjustment, and ensures accuracy, completeness, specificity and appropriateness of diagnosis information.
  • Assists with the completion of HEDIS chart reviews and facilitates the accurate and timely reporting of quality codes.
  • Train and mentor medical providers and relevant clinical staff regarding appropriate HCC coding/documentation and HEDIS measures.
  • Additional duties assigned by management

Abilities/Skills

  • Communication: Communicates clearly and concisely; attentive listener.
  • Customer Service: Establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
  • Flexibility: Easily adapts to change.
  • Confidentiality: Ability to always maintain patient’s discretion.

Qualifications/Education:

  • Bachelor’s Degree in healthcare or related field is preferred
  • 2+ Years coding experience and 1+ years of direct Risk Adjustment, CMS, HCC Model experience
  • Certified Professional Coder is required
  • Certified Risk Adjustment Coder is highly preferred
  • Understanding of Federal Medicare program, Medicare Advantage Plans, and the medical insurance industry
  • Must have effective written, verbal communication, and interpersonal skills
  • Ability to establish working relationships, resolve interpersonal conflicts, and apply basic staff etiquette in dealing with others
  • Ability to handle confidential information with discretion
  • Strong analytical skills with attention to detail
  • Ability to learn new procedures and adapt quickly to change
  • Innovative, motivated, organized, and team player
  • Follow through with commitments.
  • Ability to work independently
  • Proactive and self-starter.

EEO Statement: Valora Medical Group, LLC is an equal opportunity employer and does not discriminate on the basis of race, color, religion, creed, sex, national origin, age, disability, pregnancy status, sexual orientation, gender identity, veteran status, marital status, genetic information, citizenship status, or other status protected by law. In compliance with the Immigration Reform and Control Act of 1986, we will hire only U.S. citizens and aliens lawfully authorized to work in the United States.

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