32 crc certified risk adjustment coder jobs found in Florida, NY

Millennium Physician Group seeks a Level II Risk Adjustment Coding Specialist to abstract ICD-10-CM codes from encounter documentation, conduct audits, and contribute to VBAT and MRA analyses in New York. The role requires 2+ years of coding experience, including 1 year of HCC coding, and strong knowledge of ICD-10-CM conventions, with proficiency in MS Office and EMR systems. You will collaborate with leadership to meet accuracy and productivity targets. #J-18808-Ljbffr

## Certified Risk Adjustment CoderApplylocations: Hialeah, FLtime type: Full timeposted on: Posted Todayjob requisition id: JR102682**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...

Mount Sinai Medical Center of Florida, Inc. is seeking a Certified Risk Adjustment Coder to ensure accurate coding and documentation standards. The role involves reviewing medical records, providing feedback to physicians, and maintaining coding credentials. The ideal candidate will have at least five years of experience in coding and billing, with a strong knowledge of ICD-10-CM and CPT. Benefits include health insurance, paid time off, and tuition reimbursement. #J-18808-Ljbffr

Minimum to Midpoint Pay Rate: $20.50 - $27.85/ hour This is a remote position. Incumbents, who reside in Florida only, may work remotely. There may be occasional situations that require work to be performed on-site at an assigned Lee Health location. 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. Professional Fee Specific: Responsible for coding Surgical Records, Evaluation & Management Encounters, ED (with E&M) and as needed Diagnostic, HCC, Retrospective Coding, Documentation Quality Assurance, and...

Location: Newark, New Jersey, United StatesCompany: Axelon Services CorporationPosted: 2026-09-13Axelon Services Corporation is seeking a skilled medical coder in Newark, NJ. This role involves reviewing and analyzing medical record documentation for accuracy and compliance with ICD-9/ICD-10 guidelines.Applicants should possess RHIT certification or similar credentials along with at least two years of experience in medical coding. Strong knowledge of coding systems and excellent communication skills are essential. Join a team focused on continuous improvement and quality assurance in healthcare documentation.#J-18808-Ljbffr

Axelon Services Corporation is seeking a skilled medical coder in Newark, NJ. This role involves reviewing and analyzing medical record documentation for accuracy and compliance with ICD-9/ICD-10 guidelines. Applicants should possess RHIT certification or similar credentials along with at least two years of experience in medical coding. Strong knowledge of coding systems and excellent communication skills are essential. Join a team focused on continuous improvement and quality assurance in healthcare documentation. #J-18808-Ljbffr

VNS Health is seeking a skilled Medical Coder with Risk Adjustment expertise to review provider documentation and assign ICD-10 codes aligned with CMS HCC methodology. You will monitor coding accuracy and participate in data validation, audits, and training across departments. Applicants should have at least two years of payor experience, knowledge of ICD-10-CM, CPT-4, HCPCS, and HIPAA; willingness to collaborate with care teams and leadership to improve compliance and outcomes. #J-18808-Ljbffr

Managed Resources, Inc. is seeking a skilled HCC/E/M coder for a fully remote, full-time role serving healthcare clients nationwide. The position emphasizes accurate ICD-10-CM coding, risk adjustment, and client collaboration to ensure compliant documentation and optimal reimbursement. The ideal candidate brings 5–7 years of HCC coding experience, current credentials (CPC/COC/CCS-P or CRC preferred), and strong Excel/EMR proficiency. #J-18808-Ljbffr

Altegra Health is seeking a Remote Certified Coder to review medical records and apply appropriate ICD-9-CM codes per QA standards. This role requires a nursing license or a coding certification, alongside at least one year of coding experience. The successful candidate will abstract information from patient records, ensuring accurate coding while adhering to strict deadlines. Strong attention to detail and aptitude for managing chronic illness data are essential. This is a temporary remote position. #J-18808-Ljbffr

Altegra Health is seeking a Remote Certified Coder to review medical records and apply appropriate ICD-9-CM codes per QA standards. This role requires a nursing license or a coding certification, alongside at least one year of coding experience. The successful candidate will abstract information from patient records, ensuring accurate coding while adhering to strict deadlines. Strong attention to detail and aptitude for managing chronic illness data are essential. This is a temporary remote position. #J-18808-Ljbffr

A national recruitment agency is looking for experienced HCC Medical Coders for a fully remote position. The role involves reviewing medical charts, assigning ICD-10 codes for risk adjustment, and ensuring compliance with coding standards. Candidates should have at least 2 years of coding experience and be proficient in meeting accuracy and productivity standards. This contract offers a pay rate of $27/hour with specified training and working hours. #J-18808-Ljbffr

Allmed Staffing Inc is seeking a Certified Medical Coder for a full-time remote role. The ideal candidate will be responsible for the accurate coding of medical services across various settings. This position requires a high school diploma or GED, along with 3+ years of coding experience and active certification from AAPC or AHIMA. Strong experience in CMS HCC Risk Adjustment Models is essential, along with advanced coding knowledge. #J-18808-Ljbffr

DaMar Staffing is seeking a qualified CMS HCC/Risk Validation coder for a flexible, seasonal audit project. The role allows nights and weekends and may lead to ongoing work beyond the season. You will review member and claim data, validate risk-adjusting diagnoses, and ensure coding accuracy. Requirements include active AAPC or AHIMA certification, minimum 5 years post-cert risk adjustment coding experience, and a 95% accuracy target with a cap of 3 claims per hour. US-based candidates only. #J-18808-Ljbffr

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: Communicates with insurance companies about coding errors and disputes (physician billing). Abstracts pertinent data points for billing and quality reviews. Communicates with various departments as needed to ensure accuracy of patient data. Conducts audits and/or coding reviews with various health care professionals to ensure all documentation is accurate (physician billing). May assign and sequence basic CPT (Current Procedural...

Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payers. Researching state and payer regulations to identify areas of risk in a variety of healthcare settings and specialties, coordinating with various team members to ensure clear expectations are communicated and deadlines are met. Qualifications: CPC/CCS-P with a minimum of 5 years of experience in healthcare coding/auditing (E&M, CPT, HCPCS and ICD-10), with knowledge of professional billing, coding, and documentation practices performed by physicians and other qualified healthcare providers in inpatient and outpatient settings. Proficiency in evaluating how well clinical documentation supports medical necessity and the E/M, CPT, and HCPCS codes that were billed, across a wide range of services. The focus will be in the primary care sector (fee-for-service and...

Specialised Part-Time Consulting OpportunityWe are sharing a specialised part-time consulting opportunity for certified medical coding and clinical documentation professionals with hands-on ICD-10 experience and advanced proficiency in English plus at least one additional language.This role focuses on reviewing, annotating, and evaluating clinical documentation for coding accuracy, completeness, and documentation integrity. Selected professionals will assess clinical notes and summaries, validate alignment between documentation and assigned codes, identify documentation gaps, and provide structured feedback based on real-world coding standards.Key ResponsibilitiesMedical Coding ReviewReview clinical documentation for coding accuracy and completenessEvaluate whether assigned codes are appropriately supported by the underlying documentationIdentify coding inconsistencies, omissions, or unsupported assignmentsApply current ICD-10 coding standards across assigned casesAssess...

Upward Health is an in-home, multidisciplinary medical group delivering 24/7 whole-person care. The Certified Medical Coder analyzes provider documentation to accurately code with ICD-10 and CPT/HCPCS, ensuring compliance and proper reimbursement across multiple states. This remote role requires CPC certification, risk adjustment knowledge, and strong communication. You will audit complex cases, share monthly reports, train staff, and resolve coding discrepancies to keep submissions timely. #J-18808-Ljbffr

A small managed care company is looking for a Coder/CDI Specialist to focus on Medicare members. Risk adjustment coding professional who has strong knowledge of HCC, RAF methodology, and CMS risk adjustment guidelines and is comfortable serving as a senior-level resource for coding quality and provider education. Key Responsibilities Audit and perform QC of coding team output for accuracy and compliance with HCC/ICD-10-CM guidelines Conduct second-level reviews and serve as an escalation point for complex charts and coding questions Identify documentation gaps and communicate directly with providers regarding documentation queries Educate physicians and clinical teams on documentation practices that support accurate risk adjustment coding Track coding errors, trends, and quality patterns and report findings Identify opportunities related to over/under-utilization and collaborate with teams and provider groups on solutions Support development of processes around right-coding,...

Green Key Resources seeks a Coder/CDI Specialist focused on Medicare members to lead risk adjustment coding quality and education. The role requires expertise in HCC, RAF methodology, and CMS risk guidance, with the ability to mentor the coding team and coordinate with providers on documentation gaps. The successful candidate will audit outputs, conduct second-level reviews, and drive solutions to improve accuracy and utilization, while acting as a senior-level resource for complex coding #J-18808-Ljbffr

About the Role Wellness Direct LLC is an established behavioral health practice based in Cedar Grove, New Jersey, seeing patients remotely nationwide. This role, however, is hybrid and based out of our Cedar Grove office — see Location & Schedule below for the on-site expectation. This is one opening, filled at either the Specialist or Lead level depending on the experience the candidate brings; the level is determined during the interview process. The role owns full-cycle revenue cycle work in TherapyNotes: claims, ERA/EOB processing, denials, coding accuracy, patient billing support, and — at the Lead level — credentialing and oversight of the billing function. Specialist vs. Lead •     Specialist — Owns the day-to-day billing, coding, and claims work. Reports to the Billing Manager. No supervisory responsibility — a fit if you want to stay hands-on rather than manage people. •     Lead — Everything above, plus end-to-end credentialing and payer enrollment,...

Physician Billing (PB) Coding Auditor And EducatorOur team members are the heart of what makes us better.At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community.Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.The Physician Billing (PB) Coding Auditor and Educator is responsible for auditing and educating healthcare providers on related applicable clinical documentation. This work supports coding and billing regulations that ensure appropriate reimbursement, public reporting, and various initiatives as directed by the Hackensack Meridian Health (HMH) Network.ResponsibilitiesComply with established corporate and departmental policies,...

Certified Professional Coder (CPC) Lead/Provider Liaison Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. This is a contract position with my direct client. Job Description Direct client need- immediate interviews- we have a strong hold, with many consultants working onsite! Location could be: Newark, NJ OR West Trenton OR Ewing OR Wall, NJ. Duration: Contract to hire. Job Summary: The Provider Liaison is accountable for extracting insights specific to providers and provider groups regarding commercial risk adjustment and developing educational materials for...

Professional Coder I This position is accountable for accurately reviewing, interpreting, auditing, coding and analyzing medical record documentation for diagnosis accuracy, correct documentation, and Hierarchical Coding Condition (HCC) abstraction. Review may include inpatient, outpatient treatment and/or professional medical services, according to ICD-9/ICD-10 CM coding guidelines and risk adjustment model regulations. This position supports Annual Commercial (ACA) and Medicare Advantage Risk Adjustment Data Validation Audits (RADV) along with the annual Risk Adjustment life cycle for the Medicare, Medicaid, and Commercial lines of business. Responsibilities: Can understand and translate CPT, HCPC, ICD-9/ICD-10 codes for HCC abstraction. Review medical records for completeness, accuracy and compliance with applicable coding guidelines and regulations. Identify, compile and code member/patient data, using ICD-9/ICD 10-CM and other standard classification coding systems....