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Vice President Hcc Risk Adjustment Coder Jobs in Florida

The Risk Adjustment Coder is required to follow procedures and documentation policies regarding ... Work HCC suspect reports * Accurately code and submit encounters on a timely basis * Researching ...

The Risk Adjustment Coder is required to follow procedures and documentation policies regarding ... Work HCC suspect reports * Accurately code and submit encounters on a timely basis * Researching ...

The Risk Adjustment Coder is required to follow procedures and documentation policies regarding ... Work HCC suspect reports * Accurately code and submit encounters on a timely basis * Researching ...

Certified Risk Adjustment Coder

Hialeah, FL

$20.50 - $27.75/hr

Regularly reviews Epic HCC and payor CSI (Clinically Suspect Conditions) reports * Queries and ... risk adjustment coding * Demonstrates understanding of risk adjustment payment models * Uses ...

HCC Coder

Lecanto, FL

$13.75 - $18.50/hr

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 ...

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Vice President Hcc Risk Adjustment Coder information

What is the difference between Vice President Hcc Risk Adjustment Coder vs Hcc Risk Adjustment Coder?

AspectVice President Hcc Risk Adjustment CoderHcc Risk Adjustment Coder
CredentialsAdvanced certifications, leadership experienceCertifications like CPC, CCS, or RHIT
Work EnvironmentExecutive-level, strategic planningOperational, coding departments
Industry UsageUsed in large healthcare organizations, insurersCommon in hospitals, clinics, coding firms

The Vice President Hcc Risk Adjustment Coder focuses on strategic leadership and oversight of risk adjustment coding programs, often requiring advanced certifications and leadership skills. In contrast, the Hcc Risk Adjustment Coder handles day-to-day coding tasks, ensuring accurate HCC coding based on medical records. Both roles are vital in healthcare risk management but differ mainly in scope, responsibilities, and experience level.

How long does it take to become a vice president hcc risk adjustment coder?

Becoming a Vice President HCC Risk Adjustment Coder typically requires several years of experience in medical coding, risk adjustment, or healthcare management, often 5 to 10 years. Progression to this senior leadership role involves gaining expertise in coding accuracy, compliance, and leadership skills, along with relevant certifications such as CPC or CCS, and demonstrated success in managing risk adjustment programs.

What are some common challenges faced by a Vice President HCC Risk Adjustment Coder, and how can they be managed?

A Vice President HCC Risk Adjustment Coder often faces the challenge of ensuring coding accuracy and compliance across large teams while keeping up with evolving CMS guidelines. Managing remote or distributed coding staff, integrating new technology solutions, and balancing productivity with quality assurance are also common hurdles. Success in this role requires strong communication skills, ongoing coder education, and the implementation of robust audit processes to maintain data integrity and regulatory compliance.

What is a Vice President HCC Risk Adjustment Coder?

A Vice President HCC (Hierarchical Condition Category) Risk Adjustment Coder is a senior executive responsible for overseeing the medical coding operations related to risk adjustment in healthcare organizations. They lead teams that ensure accurate coding of patient diagnoses and health information, which impacts how healthcare providers are reimbursed by insurance payers, especially Medicare Advantage plans. Their role typically involves compliance oversight, quality assurance, training coders, and strategic planning to optimize risk scores. These professionals require extensive experience in medical coding, deep knowledge of HCC models, and strong leadership skills. They play a critical part in helping organizations maximize compliant reimbursement and improve patient outcomes.

What are the key skills and qualifications needed to thrive as a Vice President HCC Risk Adjustment Coder?

To thrive as a Vice President HCC Risk Adjustment Coder, you need deep expertise in HCC coding, risk adjustment methodologies, healthcare regulations, and a relevant certification such as CPC, CRC, or CCS. Mastery of coding software, EHR systems, and data analytics platforms is typically required. Leadership, strategic thinking, attention to detail, and strong communication skills distinguish top performers in this role. These skills are crucial for ensuring coding accuracy, regulatory compliance, and driving organizational success in value-based care environments.

What are the most commonly searched types of Hcc Risk Adjustment Coder jobs in Florida?

The most popular types of Hcc Risk Adjustment Coder jobs in Florida are:

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For Vice President Hcc Risk Adjustment Coder jobs in Florida, the most frequently searched job titles are:

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What cities in Florida are hiring for Vice President Hcc Risk Adjustment Coder jobs?

Cities in Florida with the most Vice President Hcc Risk Adjustment Coder job openings:

Infographic showing various Vice President Hcc Risk Adjustment Coder job openings in Florida as of August 2026, with employment types broken down into 92% Full Time, and 8% Contract. Highlights an 60% In-person, and 40% Remote job distribution.

$21 - $28.75/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago


Job description

Hcc Risk Adjustment Coder

Physicians' Primary Care of Southwest Florida is a premier physician-owned and managed multi-specialty practice with locations in Cape Coral, Estero, Fort Myers, and Lehigh Acres. We are currently seeking an in-house HCC Risk Adjustment Coder for our Compliance and Coding department located in Fort Myers. This is not a remote coding position, must reside in Lee County Florida. Schedule is Monday through Friday, Day Shift.

Are you a coding enthusiast who enjoys solving documentation puzzles and ensuring medical services are accurately translated into codes? Our medical practice is looking for a Certified Medical Coder who is detailed-oriented, organized and passionate about compliance and accuracy. In this role, you will help bridge the gap between clinical care and reimbursement by ensuring medical records are coded correctly and claims are submitted cleanly.

Sample of Responsibilities:

  • Review provider documentation and assign accurate ICD-10 CM, CPT and HCPCS codes
  • Ensure coding aligns with payer guidelines and documentation standards
  • Identify chronic conditions via HCC Risk Adjustment coding
  • Identify documentation gaps and communicate with providers when clarification is needed
  • Support clean claims and assist with resolving coding-related denials
  • Stay current on coding updates and payer policy changes
  • Maintain compliance with privacy and security regulations including HIPAA

Position Requirements:

  • Certification such as Certified Professional Coder (CPC or CPC-A)
  • Strong knowledge of ICD-10 CM, CPT and HCPCS coding guidelines
  • Attention to detail and strong analytical skills
  • Ability to work independently while collaborating with providers and billing staff
  • Experience with electronic health records

Why You'll Love working Here:

  • Supportive, team-oriented environment
  • Opportunity to make a direct impact in the success of the practice
  • A role that combines healthcare knowledge with problem solving skills
  • Continuous learning in an ever-evolving field

PPC Offers:

  • Over 30 years of serving our Southwest Florida community
  • Award-winning physicians
  • Ability to advance and grow within our organization
  • Health, dental, vision, disability and life insurances
  • 401(k) with company match
  • Free financial advising
  • Paid Time Off (PTO)
  • Paid holidays
  • Company paid CE courses with Relias
  • Reimbursement for position required certifications and/or license
  • Employee Assistance Program (EAP)
  • Employee Resource Assistance Program (ERAP)
  • Discounted legal and document services
  • Milestone gifts
  • Employee appreciation events and gifts