9 risk adjustment jobs at 6 companies in Miami, FL
1mo
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Risk Adjustment Analyst
Doral, Florida, United States
OnsiteFull Time
5+ YOEBachelor's degree required; 5+ years SQL development, 3+ years healthcare claims/risk adjustment and analytics, 2+ years Power BI, experience with Python/Scala and Databricks preferred; familiarity with CMS-HCC, HHS-HCC, HEDIS, MSSP.
SQL, Scala, Python, Microsoft Power BI, Databricks, Microsoft Excel
1mo
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Certified Medical Coder - Risk Adjustment
Pompano Beach, Florida, United States
$50k-$54k/yr HybridFull Time
5+ YOECPC or CSS required, 5+ years risk adjustment coding experience (in-home assessments preferred), expertise with CMS risk adjustment/HCCs, provider query management, EMR and coding tool proficiency.
ICD-10, CPT, CPT II, Electronic Medical Records (EMR), Hierarchical Condition Categories (HCCs)
2mo
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Certified Risk Adjustment Coder
Hialeah, Florida, United States
OnsiteFull Time
5+ YOERequires CPC, CCS-P or CRC certification; high school diploma; 5+ years coding and billing experience with ICD-10-CM and CPT; experience with Epic HCC and CSI reports; ability to query physicians and complete chart reviews within 24-48 hours.
Epic, Epic HCC, Clinically Suspect Conditions (CSI), ICD-10-CM, CPT
3w
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PBO Risk Adjustment Coding - BHC - FT - Finance/Accounting - Days
Fort Lauderdale, Florida, United States
OnsiteFull Time
2+ YOEMinimum 2 years risk adjustment/coding experience, CPC and CRC required, BHS coding (E/M, procedures, diagnoses), proficiency with Microsoft Word/Excel/PowerPoint, EHR; NextGen/Cerner preferred.
Microsoft Word, Microsoft Excel, PowerPoint, Electronic Health Records (EHR), NextGen, Cerner
1mo
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PBO Risk Adjustment Coding - FT - Days - PBO Coding Dept - BHC ISC
Fort Lauderdale, Florida, United States
OnsiteFull Time
2+ YOE2-5 years risk adjustment coding, E/M, procedures and diagnosis experience; High School required; CPC and CRC credentials; knowledge of ICD-10-CM, CPT-4, HCPCS and Medicare/CMS guidelines.
1w
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Risk Adjustment Coordinator, Remote, Baptist Health Integrated Care, FT, 08A-4:30P
Boca Raton, Florida, United States
RemoteFull Time
5+ YOERequires CPC or CRC, CPMA within one year, accredited coding program, 5 years' experience, risk adjustment and HEDIS/Stars experience, ICD-10-CM knowledge, auditing, documentation, and MS Office skills.
Microsoft Office, Microsoft Excel, Microsoft PowerPoint, Microsoft Word, ICD-10-CM, HEDIS, Stars
1mo
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Director, Value Base-Admin-FT-BHP #31749
Fort Lauderdale, Florida, United States
OnsiteFull Time
7+ YOEBachelor's degree and seven years related experience in revenue cycle/value-based billing; expertise in risk adjustment, coding, auditing, and payer relations; preferred credentials in coding and auditing.
2mo
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Account Manager, Client Success (Healthcare)
Pompano Beach, Florida, United States
OnsiteFull Time
Experience in healthcare account or project management, familiarity with spreadsheets and PM tools (Excel, SmartSheet), detail-oriented, strong communication, and experience with health plan payers in risk adjustment or quality.
Microsoft Excel, SmartSheet
1mo
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MRA Coder
Miami or Miami-Dade County or Broward County
FieldFull Time
3+ YOECertification in professional coding (e.g., CPC/CPMA/CRC/CCS-P/CCS/RHIA/RHIT), 3+ years Medicare Risk Adjustment coding experience, strong ICD-10/CPT knowledge, advanced Excel, HCC familiarity, bilingual English/Spanish, valid driver/clean driving record.
Microsoft Excel, HCC Dashboard, ICD-10, CPT