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Vice President Hcc Risk Adjustment Coder Jobs in Orlando, FL

Advance Auto Parts

VP, Field Operations

Orlando, FL · On-site

VP, Field Operations At Advance Auto Parts, a Vice President of Operations (VPO) is a senior leader ... risk reduction and Human Resources skills * Think strategically, analyze issues and options ...

Advance Auto Parts

VP, Field Operations

Orlando, FL · On-site

VP, Field Operations At Advance Auto Parts, a Vice President of Operations (VPO) is a senior leader ... risk reduction and Human Resources skills * Think strategically, analyze issues and options ...

BNY

Vice President, Client Operations

Lake Mary, FL · On-site

Vice President, Client Operations At BNY, our culture allows us to run our company better and ... Comfortable working in a high risk, high impact environment with strict controls and escalation ...

BNY

Vice President, Client Operations

Jersey City, NJ · On-site

$68K/yr

Vice President, Client Operations At BNY, our culture allows us to run our company better and ... Comfortable working in a high risk, high impact environment with strict controls and escalation ...

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

Vice President Hcc Risk Adjustment Coder information

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$79.8K

$164.9K

$246.4K

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

As of Sep 6, 2026, the average yearly pay for vice president hcc risk adjustment coder in Orlando, FL is $164,929.00, according to ZipRecruiter salary data. Most workers in this role earn between $127,900.00 and $191,400.00 per year, depending on experience, location, and employer.

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 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 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.

What are the most commonly searched types of Hcc Risk Adjustment Coder jobs in Orlando, FL?

The most popular types of Hcc Risk Adjustment Coder jobs in Orlando, FL are:

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

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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 Orlando, FL as of August 2026, with employment types broken down into 92% Full Time, and 8% Contract. Highlights an 67% In-person, and 33% Remote job distribution, with an average salary of $164,929 per year, or $79.3 per hour.

Certified Professional Coder Risk Adjustment

Valora Medical Group

Orlando, FL • Hybrid

$21 - $28.75/hr

Full-time

Posted 6 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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