50 certified risk adjustment coder jobs found

As Mount Sinai grows, so does our legacy in high-quality health care.Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.Culture of Caring: The Sinai WayOur hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our...

As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers. Culture of Caring: The Sinai Way Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital...

Omega Healthcare Management Services seeks a Coder HCC to review medical records, assign accurate diagnoses and procedures, and support DRG/APC reimbursement across inpatient, outpatient and professional services. The role emphasizes risk adjustment, coding accuracy, HIPAA compliance, and collaboration with care teams. Requires CPC/CCS/RHIT/RHIA or equivalent credentials and at least two years of risk adjustment and 3M/Epic experience. #J-18808-Ljbffr

Job Description Job Description Porter is hiring a Risk Adjustment Coder to join our Team!   Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member’s specific needs, and directs Porter’s team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience.    Position Overview We are seeking a certified coder with expertise in risk adjustment coding and...

Porter is hiring a Risk Adjustment Coder to join our Team! Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter's Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member's specific needs, and directs Porter's team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience. Position Overview We are seeking a certified coder with expertise in risk adjustment coding and a specialization in in-home health...

Risk Adjustment CoderPorter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. Driven by robust AI analytics, Porter's Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member's specific needs, and directs Porter's team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience.Position OverviewWe are seeking a certified coder with expertise in risk adjustment coding and a specialization in in-home health assessments. The ideal candidate will have a strong understanding of CMS risk adjustment and quality initiatives, exceptional attention to...

PedIM Healthcare in Lecanto, Florida is looking for a proactive HCC Coder to join their Primary Care team. This critical role supports accurate risk adjustment and compliance with CMS guidelines while ensuring high-quality patient outcomes. The ideal candidate will have at least 2 years of experience in HCC/Risk Adjustment coding and possess strong analytical skills. Enjoy a supportive workplace with comprehensive benefits aimed at employee well-being and development. #J-18808-Ljbffr

Description Join the Team at PedIM Healthcare! Delivering exceptional care, together. Who We Are PedIM Healthcare is the first private medical office of its kind in Citrus County – offering top-quality care for children, adults, and seniors all under one roof. We provide pediatric, adult internal medicine, family practice, geriatrics, women’s care, medical weight‑loss, sleep‑medicine services and more. Our dedicated, community‑focused team is committed to excellence, pride in service, and making a real difference for patients and families across Citrus County. Why Work With Us? A broad, multi-discipline practice where you can grow: pediatrics, internal medicine, weight‑loss & sleep medicine specialties. A values‑driven environment: we listen, we help, we understand—and we care. Community‑oriented and recognized: voted “best of the best” in the region. Opportunity to make a meaningful impact by supporting patients over their full life span—from children to seniors. A...

Flexzo Ai is seeking a CPC-certified Medical Coder in Florida to perform HCC coding in a remote capacity. You will review records, assign ICD-10-CM codes, and ensure documentation supports codes while maintaining quality and productivity. Candidates should have HCC experience, strong ICD-10-CM knowledge, exceptional attention to detail, and solid communication skills to collaborate with leadership and teammates in a compliant, fast-paced environment. #J-18808-Ljbffr

Brief Description: Miami Jewish Health is one of the largest providers of healthcare and living options for aging adults in the Southeast. Our main campus is located on 20+ acres just north of mid‑town Miami and houses support departments such as Finance, Accounting, Human Resources, Marketing, and more. Join us to do purposeful work with a diverse and respectful team. Job Title: HCC Risk Adjuster and Coder Job Summary: Reviews medical records and accurately codes and sequences diagnosis in order to obtain maximum reimbursement. Essential Job Functions Audit PACE medical records to ensure accuracy upon enrollment and disenrollment, and assign appropriate HCC codes per established department guidelines. Perform follow‑up coding of medical records resulting from internal and external reviews that identify coding discrepancies. Meet with PACE providers via MS Teams to assist with documentation improvement tied to reimbursement. Assist with other department duties as necessary....

Mount Sinai Medical Center is seeking an experienced billing/coding professional to ensure accurate documentation and risk adjustment coding across patient records. The role emphasizes knowledge of CMS guidelines, ICD-10-CM and CPT, and maintaining active credentials with ongoing education. Responsibilities include chart reviews within 24-48 hours, providing physician education on documentation gaps, and interpreting CSI reports to prioritize timely, accurate coding across departments. #J-18808-Ljbffr

Medical Risk Adjustment Coder The Medical Risk Adjustment Coder supports the physician practices and the Care Coordination Department with Coding Improvement activities using various clinical data systems. Responsibilities include collaborating with internal and external clients to streamline and optimize accurate diagnosis code capture, conducting clinical chart and patient billing audits, adhering to coding rules and CMS guidelines, assisting with HEDIS chart reviews, performing analysis and focused chart reviews, facilitating coding and documentation improvement educational materials, and providing support in the Care Coordination Department. The role also involves performing data validation and integrity functions, monitoring quality, cost, and efficiency, and maintaining compliance with Orlando Health policies. Qualifications include a high school diploma or equivalent, one of the following certifications: Certified Professional Coder (CPC) or Certified Risk Adjustment...

Miami Jewish Health in Miami, FL is seeking an experienced HCC Risk Adjuster and Coder to review medical records, code diagnoses, and sequence codes to maximize reimbursement. The role requires an Associate degree in Health Information Management and at least 1 year of risk adjustment coding experience. You will audit records, collaborate via MS Teams with PACE providers, and support department duties in a fast-paced environment. #J-18808-Ljbffr

Summary/Objective Under limited supervision the Coder HCC reviews medical records and performs coding on all diagnoses, procedures, DRG/APC and charge codes. The Coder HCC uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient’s treatment. The Coder HCC will be charged with maintaining the confidentiality of patient records and procedures. Essential Job Functions Responsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee and clinical medical records. Responsible for the assignment of correct principal diagnoses, secondary diagnoses and principal procedure and secondary procedure codes with attention to accurate sequencing. Utilizes technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes. Abstracts...

Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities: Enhances and maintains coding knowledge and skills. Reviews all appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding.Reviews medical record documentation to determine all appropriate diagnosis (including HCC Coding Hierarchical Condition Category), procedural and...

Coder II - ProFee Surgery Abstracts data from medical records into Epic and 3M 360 to provide a detailed case summary of medical, demographic, and statistical information. Identifies and codes diagnoses and procedures for medical records according to ICD-10-CM and CPT-4 guidelines, including department modifications. Identifies primary diagnosis and procedure as well as pertinent secondary diagnoses and procedures. Follows procedures mandated by government and other payers for completion of coded data including APC assignments. Facility Specific: Responsible for coding SDS, Observation, and as needed ED, Diagnostic, and Ancillary records. Professional Fee Specific: Responsible for coding Surgical Records, Evaluation & Management Encounters, ED (with E&M) and as needed Diagnostic, Documentation Quality Assurance, and Ancillary records. Education: High School diploma or equivalent required. Experience: Minimum of 1 Year of outpatient multidisciplinary coding and or...

Location: Remote - Florida Department: Coding Work Type: Full Time Shift: Shift 1/8:00:00AM to 4:30:00PM Minimum to Midpoint Pay Rate: $20.00 - $25.45 / hour Summary Abstracts data from medical records into Epic and 3M 360 to provide a detailed case summary of medical, demographic, and statistical information. Identifies and codes diagnoses and procedures for medical records according to ICD-10-CM and CPT-4 guidelines, including department modifications. Identifies primary diagnosis and procedure as well as pertinent secondary diagnoses and procedures. Follows procedures mandated by government and other payers for completion of coded data including APC assignments and HCC codes. Facility Specific: Responsible for coding ED, Diagnostic, and Ancillary records. Professional Fee: Responsible for Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and Ancillary Records. Requirements Educational Requirements High School Diploma or Equivalent (Required)...

Broward Health Corporate ISC is seeking a skilled medical coder to ensure E/M and diagnosis coding aligns with documented records. You will apply ICD-10-CM, CPT-4 and HCPCS codes following CMS guidelines and Broward Health policies. The role requires 2-5 years of risk adjustment coding experience with CPC and CRC credentials, focusing on accurate documentation review and payer submission. #J-18808-Ljbffr

Cano Health is seeking a Risk Adjustment Coder to identify, collect, assess, and document coding information for various clinical conditions. You'll ensure the accuracy of diagnosis codes and provide support for claims and documentation procedures. This role requires a minimum of two years of medical coding experience, proficiency in Excel, and relevant certifications. Join us in making an impactful difference in patient care. #J-18808-Ljbffr

It's rewarding to be on a team of people that truly believe in making an impact!We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.Job SummaryThe Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. The Risk Adjustment Coder is required to follow procedures and documentation policies regarding claim/encounter information and provide appropriate support to justify their recommendations.Duties & ResponsibilitiesEssential Duties & ResponsibilitiesReview medical record information to identify all appropriate coding based on CMS HCC categoriesPrepare the medical charts and track patient information via Excel spreadsheets.Complete appropriate paperwork/documentation/system...

Position Summary About Orlando Health At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we reinforce our reputation as a trusted and respected healthcare organization that delivers professional and compassionate care to our patients, families and communities. Through our award-winning hospitals and ERs, specialty institutes, urgent care centers, primary care practices and outpatient facilities, our 27,000+ team members serve communities that span Florida's east to west coasts and beyond. Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your passions. "Orlando Health Is...

Miami Jewish Health is one of the largest providers of healthcare and living options for aging adults in the Southeast. Our main campus is located on 20+ acres just north of mid‑town Miami, and is home to our support departments like Finance, Accounting, Human Resources, Marketing and more. Location: 5200 Northeast 2nd Avenue, Miami, FL, 33137, United States Employee Type: Full‑Time Contact Information: Miami Jewish Health Talent Team, Phone: 3057518626 Job Title HCC Risk Adjuster and Coder Job Summary Reviews medical records and accurately codes and sequences diagnosis in order to obtain maximum reimbursement. Essential Job Functions Audits PACE medical records to ensure accuracy, upon enrollment and disenrollment, and assigns appropriate HCC codes per established department guidelines Performs follow up coding of medical records as a result of internal and external reviews which identify coding discrepancies Meets with PACE providers via MS Teams to assist with...

Miami Jewish Health in Miami, FL is seeking an experienced HCC Risk Adjuster and Coder to review medical records, code diagnoses, and sequence codes to maximize reimbursement. The role requires an Associate degree in Health Information Management and at least 1 year of risk adjustment coding experience. You will audit records, collaborate via MS Teams with PACE providers, and support department duties in a fast-paced environment. #J-18808-Ljbffr

Flexzo Ai is seeking a CPC-certified Medical Coder in Florida to perform HCC coding in a remote capacity. You will review records, assign ICD-10-CM codes, and ensure documentation supports codes while maintaining quality and productivity. Candidates should have HCC experience, strong ICD-10-CM knowledge, exceptional attention to detail, and solid communication skills to collaborate with leadership and teammates in a compliant, fast-paced environment. #J-18808-Ljbffr