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Vice President Hcc Risk Adjustment Coder Jobs in Miami, FL

Genuine Health Group

MRA Coder

Miami, FL · On-site

$18 - $24/hr

Minimum 3 years of Medicare Risk Adjustment coding * Advanced Microsoft Excel * Familiar with HCC Dashboard tool * Strong knowledge of ICD-10 and CPT codes * Fluent in English and Spanish * Clean ...

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 ...

Elevance Health

Coding Analyst Sr.

Doral, FL · On-site

AAPC Certified Risk Adjustment Coder (CRC) is highly preferred. * Knowledge of medical terminology and anatomy strongly preferred. Job Level: Non-Management Non-Exempt Workshift: 1st Shift (United ...

ClareMedica Health Partners

Medical Coder I

Miami, FL · On-site

$18 - $24/hr

CRC - Certified Risk Adjustment Coder, preferred. * Maintain coding certification and attend in-service training as required. * Two (2) years of medical coding experience, preferably. * Understanding ...

CLAREMEDICA HEALTH PARTNERS LLC

Medical Coder I

Miami, FL · On-site

$18 - $24/hr

CRC - Certified Risk Adjustment Coder, preferred. * Maintain coding certification and attend in-service training as required. * Two (2) years of medical coding experience, preferably. * Understanding ...

exp

Vice President, Buildings

Coral Gables, FL

$172K - $221K/yr

As Vice President, Buildings, you will serve as a structural technical leader, client executive ... and risk management. * Experience with building codes, transportation facilities, public ...

EXP

Vice President, Buildings

Coral Gables, FL · On-site

$172K - $221K/yr

As Vice President, Buildings, you will serve as a structural technical leader, client executive ... and risk management. * Experience with building codes, transportation facilities, public ...

Asct

VP, Enterprise Innovation & Strategy

Miami, FL · On-site

$250 - $350/hr

The VP brings deep business acumen and a strong grasp of the healthcare legal and regulatory ... Partner closely with Legal and Compliance on contracting, risk mitigation, and commercialization ...

Nahse

VP, Enterprise Innovation & Strategy

Miami, FL · On-site

$250 - $350/hr

The VP brings deep business acumen and a strong grasp of the healthcare legal and regulatory ... Partner closely with Legal and Compliance on contracting, risk mitigation, and commercialization ...

Assure Health

VP of Engineering

Lauderdale Lakes, FL · On-site +1

$171K - $221K/yr

The VP of Engineering will help drive the success of the overall business by collaborating with ... code * Guiding incident response and vulnerability remediation efforts * Establish a culture of ...

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Showing results 21-40

All JobsVice President Hcc Risk Adjustment Coder JobsVice President Hcc Risk Adjustment Coder Jobs in Miami, FL

Vice President Hcc Risk Adjustment Coder information

See Miami, FL salary details

$81.8K

$169K

$252.5K

How much do vice president hcc risk adjustment coder jobs pay per year?

As of Aug 11, 2026, the average yearly pay for vice president hcc risk adjustment coder in Miami, FL is $168,980.00, according to ZipRecruiter salary data. Most workers in this role earn between $131,000.00 and $196,100.00 per year, depending on experience, location, and employer.

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.
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Vice President Hcc Risk Adjustment Coder jobs near you
Infographic showing various Vice President Hcc Risk Adjustment Coder job openings in Miami, FL 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, with an average salary of $168,980 per year, or $81.2 per hour.

MRA Coder

Genuine Health Group

Miami, FL • On-site

$18 - $24/hr

Other

Posted 8 days ago

Job description

MRA Coder

The MRA Coder will be responsible for coordinating/supporting retrospective and concurrent chart reviews using knowledge of Hierarchical Condition Categories (HCC) coding to translate, input, extract and validate medical record data.

  • Review patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries in order to verify whether the diagnosis codes are supported by the documentation to ensure they are within Guidelines for Coding and Reporting
  • Schedule chart reviews with Physician practices
  • Assist in obtaining medical records from Physicians to support audits requested by Health Plans
  • Ensure compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment.
  • Educate Physicians regarding proper billing and documentation policies, procedures, and conflicting/ambiguous or non-specific documentation
  • Demonstrate the ability to quickly identify low risk scores; incorrect coding and compliance trends; to analyze and investigate suspected problems with resolve; and to forward problems to the attention of the Medicare Risk Adjustment Director
  • Performs other duties as required.

Requirements:

  • CPC /CPMA/ CRC/ CCS-P/ CCS/ RHIA or RHIT certification
  • Minimum 3 years of Medicare Risk Adjustment coding
  • Advanced Microsoft Excel
  • Familiar with HCC Dashboard tool
  • Strong knowledge of ICD-10 and CPT codes
  • Fluent in English and Spanish
  • Clean driving record and reliable form of transportation

Apply