Florida Licensed Risk Adjustment Coder

Virtual Vocations Inc; United States; Remote; USD 60,000 - 90,000; Full time

Job summary

Virtual Vocations Inc. is seeking a Florida-licensed Risk Adjustment Coder to work remotely. You will translate chronic conditions into accurate diagnosis codes for outpatient encounters, ensuring HIPAA compliance and coding guidelines adherence.

Your duties include data extraction for Health Plan reports, supporting HCC programs, and performing concurrent chart reviews with physician queries to clarify documentation.

Qualifications

• High School diploma or equivalent required.
• CCS or CPC certification required.
• Basic knowledge of MS Office and coding guidelines.

Responsibilities

• Translate chronic conditions into diagnosis codes from outpatient encounters.
• Extract data for Health Plan reports and input data from HCC programs.
• Conduct concurrent chart reviews and physician queries for coding/documentation.

Skills

HIPAA knowledge

Attention to detail

Communication skills

Education

High School diploma or equivalent

CCS or CPC certification

Tools

MS Office

Job description

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