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Entry Level Risk Adjustment Coder Jobs in Missouri

North Kansas City Hospital

Coder - Certified (CPC)

Kansas City, MO · On-site

$21 - $28/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Knowledge of risk adjustment processes and coding is a plus, but not required. Qualifications: * High school graduate or GED equivalent * Must possess a current AAPC certification * Minimum 1 years ...

North Kansas City Hospital

Coder - Certified (CPC)

Kansas City, MO · On-site

$21 - $28/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Knowledge of risk adjustment processes and coding is a plus, but not required. Qualifications: * High school graduate or GED equivalent * Must possess a current AAPC certification * Minimum 1 years ...

Urrly

Telehealth Nurse Practitioners

California, MO · On-site

$110.70 - $132.84/hr

Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II ...

New

Urrly

Telehealth Nurse Practitioner

Jefferson City, MO · On-site +1

$600 - $720/day

Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II ...

Strive Health

Nurse Practitioner

Saint Louis, MO · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

Strive Health

Nurse Practitioner

Kansas City, MO · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

Strive Health

Nurse Practitioner

Kansas City, MO · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

Strive Health

Nurse Practitioner

Saint Louis, MO · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

Strive Health

Nurse Practitioner

Kansas City, MO · On-site

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

Strive Health

Nurse Practitioner

Saint Louis, MO · On-site

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

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Entry Level Risk Adjustment Coder information

What is an entry level risk adjustment coder?

An Entry Level Risk Adjustment Coder reviews medical records to identify and assign accurate diagnosis codes for risk adjustment purposes. Their work ensures healthcare organizations receive appropriate reimbursement based on patient health conditions. They typically use ICD-10-CM codes and follow guidelines from CMS and other regulatory bodies. This role requires strong attention to detail, knowledge of medical terminology, and an understanding of risk adjustment models. Entry-level coders may work in various healthcare settings, including insurance companies, hospitals, or coding firms.

What does an entry level risk adjustment coder do?

A typical day for an entry level risk adjustment coder involves reviewing patient medical records to identify and assign appropriate diagnostic codes based on clinical documentation. You’ll use specialized coding software and electronic health record systems to ensure accuracy and compliance with federal guidelines. Collaboration with senior coders, team leads, and occasionally clinicians is common when clarification or additional documentation is needed. Most entry level coders work in an office or remote environment and spend much of their day analyzing records, updating databases, and participating in training sessions to stay current on coding updates.

What are the key skills and qualifications needed to thrive as an entry level risk adjustment coder?

To thrive as an Entry Level Risk Adjustment Coder, you need a strong understanding of medical terminology, anatomy, and ICD-10-CM coding guidelines, typically supported by completion of a coding training program or relevant coursework. Familiarity with coding software, electronic medical records (EMR) systems, and coding certification such as CPC or CRC is often preferred. Attention to detail, analytical thinking, and effective communication are essential soft skills for this role. These skills and qualifications ensure the accurate coding of diagnoses for risk adjustment, compliance with regulations, and contribute to optimal healthcare reimbursement.

What are the most commonly searched types of Risk Adjustment Coder jobs in Missouri?

The most popular types of Risk Adjustment Coder jobs in Missouri are:

What are popular job titles related to Entry Level Risk Adjustment Coder jobs in Missouri?

For Entry Level Risk Adjustment Coder jobs in Missouri, the most frequently searched job titles are:

What job categories do people searching Entry Level Risk Adjustment Coder jobs in Missouri look for?

The top searched job categories for Entry Level Risk Adjustment Coder jobs in Missouri are:

What cities in Missouri are hiring for Entry Level Risk Adjustment Coder jobs?

Cities in Missouri with the most Entry Level Risk Adjustment Coder job openings:

Entry Level Risk Adjustment Coder jobs near you
Infographic showing various Entry Level Risk Adjustment Coder job openings in Missouri as of August 2026, with employment types broken down into 96% Full Time, and 4% Contract. Highlights an 96% In-person, and 4% Hybrid job distribution.

Manager Clinical Performance & Quality Coding (Nurse Practitioner or PA)

Elevance Health

Saint Louis, MO • On-site

Other

Posted 14 days ago

Elevance Health rating

7.7

Company rating: 7.7 out of 10

Based on 351 frontline employees who took The Breakroom Quiz

205th of 310 rated insurance

Job description

Manager Clinical Performance & Quality (Nurse Practitioner/Physician Assistant)

Manager Clinical Performance & Quality Coding

LOCATION: The position requires that you be in the office 3x per week. You must be within a commutable distance of one of our eligible offices.

HOURS: General business hours, Monday through Friday (8-5 central)

Hybrid 2: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

Responsible for leading the quality documentation and value capture for all provider visit medical encounters to ensure application of accurate diagnosis codes (ICD-10 codes).

Primary duties include but not limited to:

  • Serves as the primary resource and subject matter expert on all CMS Risk Adjustment and quality documentation.
  • Develop and deliver clinical focused training on advance coding and documentation while incorporating coder feedback.
  • Liaison to the clinical leadership on alignment of goals and workflows to support value capture initiatives and high-quality clinical documentation.
  • Develop performance management plan, KPI's and clinical level tracking to meet quarterly goals for coding timeliness, accuracy, and Risk Adjustment.
  • Develop and manage clinical quality reviews to ensure peer review and clinical quality chart audit process including targeting chart reviews, auditing percentages, score guidelines feedback mechanism and ensure compliance with remediation procedures.
  • Develop operational and clinical workflows for closing HEDIS care opportunities to ensure practices and health plan success.
  • Participate in peer review of medical documentation for completed visits notes as well as patient profile information in EMR.
  • Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Required Qualifications

  • Current, active, valid, and unrestricted nurse practitioner (NP) or PA license in applicable state(s) required.
  • Requires a master's in Nursing (or PA equivalent) and at least 3 years of clinical experience in applying appropriate diagnosis in the Medicare HCC Mode; or any combination of education and experience, which would provide an equivalent background.
  • Requires experience with CMS Risk Models.

Preferred Qualifications

  • You must have previous management/supervisory experience with direct reports.
  • HEDIS experience is preferred.
  • Experience with clinical data/documentation integrity is preferred (CDEO or CDEI).
  • Prefer AAPC Certified Risk Adjustment Coder (CRC) certification.

Job Level: Manager

Workshift: 1st Shift (United States of America)

Job Family: MED > Licensed Nurse

What Elevance Health employees say

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About Elevance Health

Sourced by ZipRecruiter

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Indianapolis, IN, US

Year founded

2004

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