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Work From Home Hcc Risk Adjustment Coding Jobs in Florida

Oscar Health

Auditor, Risk Adjustment

Miami, FL · Remote

$82K - $108K/yr

While your daily work will be completed from your home office, occasional travel may be required ... Review the performance of the Risk Adjustment Coding team and report audit trends to Leadership in ...

TEKsystems

HCC Coder - Fully Remote

Jacksonville, FL · Remote

$32 - $37/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... the risk adjustment process and diagnosis coding for risk adjustment Additional Skills ... All relevant experience including work, education, transferable skills, and military experience ...

Trinity Health

Manager, Professional Coding

Fort Lauderdale, FL · Remote

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Ability to work remotely from home following Trinity remote work guidelines. Preferred: *Certified E&M Coder (CEMC), and/or Certified Risk Adjustment Coder (CRC). *Experience working within the Epic ...

Trinityhealth

Manager, Professional Coding

Fort Lauderdale, FL · Remote

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Ability to work remotely from home following Trinity remote work guidelines. Preferred: *Certified E&M Coder (CEMC), and/or Certified Risk Adjustment Coder (CRC). *Experience working within the Epic ...

Lee Health

Coder II - E/M

Cape Coral, FL · Remote

$20.50 - $27.85/hr

Coding Work Type: Full Time Shift: Shift 1/8:00:00AM to 4:30:00PM Minimum to Midpoint Pay Rate: $20 ... Risk Adjustment Coder) CIC (Certified Inpatient Coder) CCS (Certified Coding Specialist) RHIT ...

Lee Health

Coder II - E/M

Cape Coral, FL · On-site +1

$20.50 - $27.85/hr

Coding Work Type: Full Time Shift: Shift 1/8:00:00 AM to 4:30:00 PM Minimum to Midpoint Pay Rate ... Risk Adjustment Coder) • CIC (Certified Inpatient Coder) • CCS (Certified Coding Specialist ...

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Work From Home Hcc Risk Adjustment Coding information

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$11

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$32

How much do work from home hcc risk adjustment coding jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for work from home hcc risk adjustment coding in Florida is $20.54, according to ZipRecruiter salary data. Most workers in this role earn between $14.18 and $25.87 per hour, depending on experience, location, and employer.

How to become a work from home HCC risk adjustment coder online?

To become a work-from-home HCC risk adjustment coder, you should obtain a coding certification such as CPC or CCS, gain knowledge of HCC coding guidelines, and have experience with medical coding and EHR systems. Many employers offer remote positions requiring strong attention to detail and familiarity with risk adjustment models. Completing relevant training and building a professional coding background can help you qualify for remote HCC coding roles.

What is work from home HCC risk adjustment coding?

Work from home HCC (Hierarchical Condition Category) risk adjustment coding involves reviewing medical records and assigning appropriate diagnosis codes to reflect the health status of patients for insurance and Medicare purposes. Coders ensure that all relevant conditions are accurately documented to support proper reimbursement and compliance with regulations. Working remotely allows coders to complete these tasks from home, often using secure online systems provided by their employer. This role requires a solid understanding of medical terminology, coding systems like ICD-10-CM, and risk adjustment models.

What are some common challenges faced by work from home HCC risk adjustment coders, and how can they be managed?

Work From Home HCC Risk Adjustment Coders often face challenges such as maintaining consistent productivity, managing complex medical records, and staying current with evolving coding guidelines. Without in-person supervision, it can be difficult to stay focused and avoid distractions, so setting up a dedicated workspace and sticking to a structured schedule is essential. Additionally, regular communication with team members and participating in ongoing training can help coders stay updated and collaborate effectively. Leveraging secure technology for remote access and adhering strictly to HIPAA regulations is also crucial to ensure data privacy and compliance.

What are the key skills and qualifications needed to thrive as a work from home HCC risk adjustment coder?

To thrive as a Work From Home HCC Risk Adjustment Coder, you need a strong understanding of ICD-10-CM coding, knowledge of Hierarchical Condition Categories (HCC), and typically a certification such as CPC or CRC. Familiarity with electronic medical record (EMR) systems and coding software is essential for accurate and efficient code assignment. Attention to detail, self-motivation, and strong communication skills help ensure compliance and productivity in a remote environment. These skills are crucial to ensure accurate risk adjustment coding, which impacts healthcare reimbursement and quality reporting.

What is the difference between Work From Home Hcc Risk Adjustment Coding vs Work From Home Medical Coding Specialist?

AspectWork From Home Hcc Risk Adjustment CodingWork From Home Medical Coding Specialist
CertificationsAHIMA or AAPC HCC certifications, coding credentialsCPH, CPC, or equivalent medical coding certifications
Work EnvironmentRemote, healthcare insurance industryRemote, healthcare or hospital settings
Industry UsageHealth insurance, risk adjustment programsHospitals, clinics, insurance companies
Job FocusRisk adjustment, HCC coding for Medicare/MedicaidGeneral medical coding, billing, and documentation

Work From Home Hcc Risk Adjustment Coding specialists focus on coding for risk adjustment models, primarily in insurance and Medicare programs, requiring specific HCC certifications. In contrast, Work From Home Medical Coding Specialists handle broader medical coding tasks across various healthcare settings. Both roles are remote and require coding credentials, but their industry focus and job responsibilities differ.

Is work from home HCC risk adjustment coding a good career?

Work from home HCC risk adjustment coding is a growing field that offers flexible remote work opportunities and requires knowledge of medical coding and healthcare documentation. It can provide stable employment with competitive pay, especially for those with coding certifications and experience in medical billing. However, career growth depends on ongoing education and staying current with industry regulations.

What are popular job titles related to Work From Home Hcc Risk Adjustment Coding jobs in Florida?

For Work From Home Hcc Risk Adjustment Coding jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Work From Home Hcc Risk Adjustment Coding jobs in Florida look for?

The top searched job categories for Work From Home Hcc Risk Adjustment Coding jobs in Florida are:

Work From Home Hcc Risk Adjustment Coding jobs near you

HCC Risk Coder (CDIS) - Remote in FL

Pathways Health Partners

Leesburg, FL • On-site, Remote

$16.75 - $22.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

Job description

Description
Welcome to Pathways Health Partners, the Accountable Care Organization (ACO) that's leading the charge in helping independent providers transition to Value-Based Care.
What We Do:
Medicare REACH ACO: We're at the forefront of Medicare innovation.
Medicare Advantage MSO: Providing top-notch services to our Medicare Advantage patients.
Commercial MSO: Managing care for approximately 16,000 patients across North-West/Central Florida.
Where We Operate: From The Villages to St. Petersburg, and across to Mount Dora, we've got you covered!
Our Services:
Hospital Medicine Group: Delivering exceptional care in hospitals.
Affiliated Medical Practices: Managing several top-tier medical practices.
Insurance Agency: Offering comprehensive insurance solutions.
Join us on our journey to better health and value-based care!
Job Summary
The HCC Risk Coder plays a vital role in coordinating and supporting retrospective and concurrent chart reviews while providing education and facilitating chart retrieval for Health Plan audits and reports. This position requires a comprehensive understanding of Hierarchical Condition Categories (HCC) coding to accurately translate, input, extract, and validate medical record data.
Position Responsibilities:
• Review and assess documentation to accurately translate chronic conditions into the appropriate diagnosis codes from outpatient medical records.
• Extract data for Health Plan reports and input data collected from HCC programs.
• Assist in obtaining medical records from Providers to support audits requested by Health Plans.
• Help coordinate training sessions for Physicians and staff on relevant coding guidelines and compliance standards.
• Review provider documentation to verify that HCC codes are accurate and meet required documentation guidelines.
• Assign appropriate ICD-10-CM codes that map to risk adjustment models and identify documentation discrepancies, querying providers for clarity when necessary.
• Participate in clinical documentation improvement initiatives and maintain regular attendance at team meetings.
• Handle special projects as assigned and perform other duties as needed.
Qualifications and Education Requirements
  1. High School Diploma or GED. An active CRC (certified risk adjustment coder) or CPC (certified professional coder) preferred.

2. Understanding of regulations regarding medical coding and documentation; Administrative responsibilities, professional written and verbal communication, typing skills.
3. Documented training in Medicare Risk Adjustment (MRA), HCC coding documentation guidelines, rules, and regulation.
4. Two years' demonstrated experience in a medical or health plan environment
5. Excellent computer skills with experience in Outlook, MS Office, MS Excel, MS Word
Pathways Health Partners is a growing company based in Leesburg, FL. We are proud of our professional yet family culture with the executive team working daily alongside our team members. We provide competitive salaries and a benefits package that is second to none.
  • Medical Insurance for Employee and Spouse/Significant Other paid up to 100% by Pathways!
  • Addition of family coverage for dependents at a fraction of the cost
  • 25K life insurance for employees 100% paid by Pathways!
  • Increasing Employee coverage or adding spouse/dependents at a fraction of the cost
  • Vision and Dental Coverage available at a very low cost for employees, spouses, and family
  • 401K retirement plan with 100% match up to 4% of annual pay
  • Paid holidays
  • Ample Paid Time Off (PTO) for vacation/sick/personal days

We look forward to speaking with you about this opportunity!

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