Risk Adjustment Coordinator

Baptist Health

Risk Adjustment Coordinator auditing clinical coding for Baptist Health, a South Florida healthcare system. Educating providers, reviewing charts, and coordinating risk-scoring improvement projects.

Posted 8/12/2026full-timeRemote • Florida • 🇺🇸 United StatesMid-LevelSenior💰 $25 - $32 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in risk adjustment coding, including ICD-10-CM codes and compliance with CMS documentation requirements. Proven ability to educate healthcare providers on coding guidelines and improve practice risk scores through effective data analysis and project coordination.

Highest-signal resume keywords

AAPC Certified Risk Adjustment Coder (CRC)Certified Professional Coder (CPC)Certified Professional Medical Auditor (CPMA)Risk Adjustment ExperienceHEDIS/Stars Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ICD-10-CM CodesData InterpretationChart ReviewUp-Coding WorkflowsRisk-Adjustment Payment ModelsCompliance KnowledgeReimbursement ProcessesHCC Improvement IdentificationDocumentation GuidelinesAudit Defense

Soft Skills

Strong Organizational SkillsJudgment and InitiativeAbility to Adapt to ChangeProfessional RepresentationCollaboration

Tools & Technologies

MS OfficeExcelPowerPointWord

Certifications & Qualifications

Certified Risk Adjustment Coder (CRC)Certified Professional Coder (CPC)Certified Professional Medical Auditor (CPMA)

Industry Keywords

Risk AdjustmentHEDISStarsCMS Documentation RequirementsState and Federal RegulationsComplianceHealthcare ProvidersManaged CareCIN OrganizationProvider Practices

About the role

Key responsibilities & impact

Support the Director of risk coding and other team professionals with pre- and post-visit review analysis for provider practices
Provide risk coding education to healthcare providers to improve practice risk scores
Represent the department and health system professionally with co-workers, hospital administrators, physicians, Medicare beneficiaries, and others
Work closely with other departments to achieve favorable outcomes
Perform chart review and up-coding workflows
Coordinate projects to ensure success of goals within the CIN organization
Support the mission, vision, values, and strategic goals of Baptist South Florida

Requirements

What you’ll need

High School, Cert, GED, Trn, Exper.
Required completion of an accredited certified coding specialist program
AAPC Certified Risk Adjustment Coder (CRC), Certified Professional Coder (CPC), and/or Certified Professional Medical Auditor (CPMA)
CPMA certification must be obtained within 1 year of hire
2+ years of clinic or hospital experience and/or managed care experience
1+ years of experience in Risk Adjustment and HEDIS/Stars
Minimum required experience: 5 years
Ability to interpret, analyze, and abstract data/documentation
Comprehensive knowledge of ICD-10-CM codes, Category II codes, COA measures, CMS documentation requirements, state and federal regulations, compliance, reimbursement, and risk-adjustment payment models
Ability to identify HCC improvement opportunities and educate clinical providers on documentation, compliance, and coding guidelines
Intermediate proficiency in MS Office, including Excel, PowerPoint, and Word
Ability to defend coding decisions during internal and external audits
Strong organizational skills and ability to exercise judgment and initiative
Ability to work in a continuously changing environment
Bachelor's of Science degree preferred

Benefits

Comp & perks

Career growth and development opportunities, with clear pathways and ongoing support
Comprehensive health and wellness resources
Wellness program that can help employees eliminate their medical plan deductible
Tuition reimbursement