Florida Licensed Risk Adjustment Coder

Job Summary

To support health information management efforts, the full-time Florida Licensed Risk Adjustment Coder will review and translate chronic conditions into diagnosis codes, ensuring compliance with coding guidelines while working remotely.

Key responsibilities

• Review and accurately translate chronic conditions into appropriate diagnosis codes from outpatient encounters
• Extract data for Health Plan reports and input data collected from HCC programs, ensuring compliance with coding standards
• Perform concurrent chart reviews and physician queries for coding and documentation clarification

Required qualifications

• High School diploma or equivalent
• Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification
• Basic knowledge of MS Office (Word, Outlook, Excel, PowerPoint)
• Understanding of HIPAA protocols and state and federal coding guidelines
• Experience in health information management or related field