JOB SUMMARY The Risk Adjustment Quality Specialist plays a vital role in coordinating and ... Utilize coding software to ensure compliance with Medicare, Medicaid, and other payer requirements.
JOB SUMMARY The Risk Adjustment Quality Specialist plays a vital role in coordinating and ... Utilize coding software to ensure compliance with Medicare, Medicaid, and other payer requirements.
Risk Adjustment Quality Specialist
Lawrence, KS · On-site +1
JOB SUMMARY The Risk Adjustment Quality Specialist plays a vital role in coordinating and ... Utilize coding software to ensure compliance with Medicare, Medicaid, and other payer requirements.
Risk Adjustment Quality Specialist
Lawrence, KS · On-site +1
JOB SUMMARY The Risk Adjustment Quality Specialist plays a vital role in coordinating and ... Utilize coding software to ensure compliance with Medicare, Medicaid, and other payer requirements.
Project Manager
Kansas City, KS · On-site
In terms of skills, they are looking for experts in risk adjustment coding, MLOps engineering, solution architecture, research engineering, and DevOps engineering. * Define project scope, goals, and ...
Project Manager
Kansas City, KS · On-site
In terms of skills, they are looking for experts in risk adjustment coding, MLOps engineering, solution architecture, research engineering, and DevOps engineering. * Define project scope, goals, and ...
Project Manager
Kansas City, KS · On-site
In terms of skills, they are looking for experts in risk adjustment coding, MLOps engineering, solution architecture, research engineering, and DevOps engineering. * Define project scope, goals, and ...
Project Manager
Kansas City, KS · On-site
In terms of skills, they are looking for experts in risk adjustment coding, MLOps engineering, solution architecture, research engineering, and DevOps engineering. * Define project scope, goals, and ...
... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management, Finance, Revenue Cycle, and Coders * Other ...
... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management, Finance, Revenue Cycle, and Coders * Other ...
Senior Underwriting Assistant
Lenexa, KS · On-site
This role assists the underwriters by screening risk offerings and with pre and post-binding ... Performs quality control of adjustments prior to underwriting review; documents discrepancies and ...
Senior Underwriting Assistant
Lenexa, KS · On-site
This role assists the underwriters by screening risk offerings and with pre and post-binding ... Performs quality control of adjustments prior to underwriting review; documents discrepancies and ...
HBO Billing Specialist
Kansas City, KS · On-site
$18.50 - $25/hr
HBO activities assigned to them based on their designated Agency, Branch Code, or Profit Center ... Communicate to Servicers when adjustments or additional information is needed to invoice policies ...
HBO Billing Specialist
Kansas City, KS · On-site
$18.50 - $25/hr
HBO activities assigned to them based on their designated Agency, Branch Code, or Profit Center ... Communicate to Servicers when adjustments or additional information is needed to invoice policies ...
AGV Attendant / Forklift Operator
Grandview, MO · On-site
$16.75 - $19.75/hr
... at risk. Everyone is personally accountable for his/her own safety as well as their co-workers ... adjustments using barcode scanners and ProTraQ system. • Basic troubleshooting, logging and ...
AGV Attendant / Forklift Operator
Grandview, MO · On-site
$16.75 - $19.75/hr
... at risk. Everyone is personally accountable for his/her own safety as well as their co-workers ... adjustments using barcode scanners and ProTraQ system. • Basic troubleshooting, logging and ...
AGV Attendant / Forklift Operator
Grandview, MO · On-site
$16.75 - $19.75/hr
Job re-issue / cancellations and adjustments using barcode scanners and ProTraQ system. Basic ... entry level skills test, which includes: Understanding Instructions, Numerical Computation and ...
AGV Attendant / Forklift Operator
Grandview, MO · On-site
$16.75 - $19.75/hr
Job re-issue / cancellations and adjustments using barcode scanners and ProTraQ system. Basic ... entry level skills test, which includes: Understanding Instructions, Numerical Computation and ...
AGV Attendant / Forklift Operator
Grandview, MO · On-site
$16.75 - $19.75/hr
Job re-issue / cancellations and adjustments using barcode scanners and ProTraQ system. * Basic ... entry level skills test, which includes: Understanding Instructions, Numerical Computation and ...
AGV Attendant / Forklift Operator
Grandview, MO · On-site
$16.75 - $19.75/hr
Job re-issue / cancellations and adjustments using barcode scanners and ProTraQ system. * Basic ... entry level skills test, which includes: Understanding Instructions, Numerical Computation and ...
AGV Attendant / Forklift Operator
Grandview, MO · On-site
$16.75 - $19.75/hr
... at risk. Everyone is personally accountable for his/her own safety as well as their co-workers ... adjustments using barcode scanners and ProTraQ system. • Basic troubleshooting, logging and ...
AGV Attendant / Forklift Operator
Grandview, MO · On-site
$16.75 - $19.75/hr
... at risk. Everyone is personally accountable for his/her own safety as well as their co-workers ... adjustments using barcode scanners and ProTraQ system. • Basic troubleshooting, logging and ...
AGV Attendant / Forklift Operator
Grandview, MO · On-site
$16.75 - $19.75/hr
Job re-issue / cancellations and adjustments using barcode scanners and ProTraQ system. * Basic ... entry level skills test, which includes: Understanding Instructions, Numerical Computation and ...
AGV Attendant / Forklift Operator
Grandview, MO · On-site
$16.75 - $19.75/hr
Job re-issue / cancellations and adjustments using barcode scanners and ProTraQ system. * Basic ... entry level skills test, which includes: Understanding Instructions, Numerical Computation and ...
R&I Bankruptcy Consultation& Facilitation (BCFT) Project Manager (Senior Associate)
Kansas City, MO · On-site
$55K - $187K/yr
Industry/Sector Not Applicable Specialism IFS - Risk & Quality (R&Q) Management Level Senior ... code of conduct, and independence requirements. The Opportunity As part of the Bankruptcy ...
R&I Bankruptcy Consultation& Facilitation (BCFT) Project Manager (Senior Associate)
Kansas City, MO · On-site
$55K - $187K/yr
Industry/Sector Not Applicable Specialism IFS - Risk & Quality (R&Q) Management Level Senior ... code of conduct, and independence requirements. The Opportunity As part of the Bankruptcy ...
Medical Assistant, Certified - Internal Medicine
$16 - $20.75/hr
... adjustments in room utilization and assignment. 2. Prepares medical record for patient visit ... Completes a fall risk assessment. May sit with a patient who needs monitoring. 7. Prepares exam ...
Medical Assistant, Certified - Internal Medicine
$16 - $20.75/hr
... adjustments in room utilization and assignment. 2. Prepares medical record for patient visit ... Completes a fall risk assessment. May sit with a patient who needs monitoring. 7. Prepares exam ...
Residential Installation & Service Technician
Blue Springs, MO · On-site
$20/hr
Functions in an entry-level position, with an increasing degree of proficiency and decreasing ... Verify service quality using required testing tools and make adjustments to deliver reliable ...
Residential Installation & Service Technician
Blue Springs, MO · On-site
$20/hr
Functions in an entry-level position, with an increasing degree of proficiency and decreasing ... Verify service quality using required testing tools and make adjustments to deliver reliable ...
Residential Installation & Service Technician
Blue Springs, MO · On-site
$20/hr
Functions in an entry-level position, with an increasing degree of proficiency and decreasing ... Verify service quality using required testing tools andmake adjustments todeliver reliable ...
Residential Installation & Service Technician
Blue Springs, MO · On-site
$20/hr
Functions in an entry-level position, with an increasing degree of proficiency and decreasing ... Verify service quality using required testing tools andmake adjustments todeliver reliable ...
Able to coordinate business resources and apply risk management processes. Keen sense of ... Make adjustments/communicate with batchers as necessary based on analytical results * Packaging ...
Quick apply
Able to coordinate business resources and apply risk management processes. Keen sense of ... Make adjustments/communicate with batchers as necessary based on analytical results * Packaging ...
Community Manager
Olathe, KS · On-site
... risk management. As an on-site leader, you will supervise all aspects of the property and staff to ... Monitor the timely receipt, reconciliation, and coding of all vendor invoices * Ensure property ...
Community Manager
Olathe, KS · On-site
... risk management. As an on-site leader, you will supervise all aspects of the property and staff to ... Monitor the timely receipt, reconciliation, and coding of all vendor invoices * Ensure property ...
... risk management. As an on-site leader, you will supervise all aspects of the property and staff to ... Monitor the timely receipt, reconciliation, and coding of all vendor invoices * Ensure property ...
... risk management. As an on-site leader, you will supervise all aspects of the property and staff to ... Monitor the timely receipt, reconciliation, and coding of all vendor invoices * Ensure property ...
Community Manager
Kansas City, KS · On-site
... risk management. As an on-site leader, you will supervise all aspects of the property and staff to ... Monitor the timely receipt, reconciliation, and coding of all vendor invoices * Ensure property ...
Community Manager
Kansas City, KS · On-site
... risk management. As an on-site leader, you will supervise all aspects of the property and staff to ... Monitor the timely receipt, reconciliation, and coding of all vendor invoices * Ensure property ...
Entry Level Risk Adjustment Coder information
See Kansas City, KS salary details
$17.67 is the 25th percentile. Wages below this are outliers.
$15.30 - $17.72
26% of jobs
$17.72 - $20.15
9% of jobs
$20.15 - $22.57
12% of jobs
The median wage is $23.78 / hr.
$22.57 - $24.99
9% of jobs
$24.99 - $27.42
11% of jobs
$27.42 - $29.84
5% of jobs
$31.66 is the 75th percentile. Wages above this are outliers.
$29.84 - $32.26
6% of jobs
$32.26 - $34.69
5% of jobs
$34.69 - $37.11
5% of jobs
$37.11 - $39.53
3% of jobs
$39.53 - $41.96
10% of jobs
$15
$26
$41
How much do entry level risk adjustment coder jobs pay per hour?
What is an Entry Level Risk Adjustment Coder job?
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 are the key skills and qualifications needed to thrive in the Entry Level Risk Adjustment Coder position, and why are they important?
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 does a typical workday look like for an entry level risk adjustment coder?
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.
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Job description
You can't define it, but you know it when you see it: the difference between an average life and the good life. When your cup is full - with joy, purpose and lifelong health - it shows. At LMH Health, we are all about healthy people, healthy communities and healthy futures, and that makes us your destination for an exceptional career. From flexible, work-life harmony to competitive pay and great advancement potential, find everything you're looking for at LMH Health.
You'll find everything you're looking for at LMH Health:
- Join a team that cares about the community
- Tuition reimbursement to support continuing education
- Professional development and recognition
- Excellent benefits
We're looking for you.
Job Description
I. JOB SUMMARY
The Risk Adjustment Quality Specialist plays a vital role in coordinating and supporting prospective, concurrent, and retrospective reviews to assist with patient care management. The position provides education and facilitates chart retrieval for Health Plan audits and reports. This position requires a comprehensive understanding of Hierarchical Condition Categories (HCC) coding to accurately translate, input, extract, and validate medical record data.
This role assists with monitoring quality program performance, including tracking, reporting, and implementation of best practices and program requirements.
II. ESSENTIAL JOB RESPONSIBILITIES
- Perform comprehensive reviews of patient medical records for documentation consistency and adequacy to identify all appropriate coding based on Centers for Medicare & Medicaid Services (CMS) HCC categories.
- Monitor revenue opportunities related to value-based care.
- Manage the provider query process to clarify documentation and ensure the completeness and accuracy of patient diagnoses, particularly related to chronic conditions.
- Utilize evidence based practices to provide providers with targeted feedback and education on improving documentation and coding accuracy, specifically related to HCC.
- Demonstrate analytical and problem-solving ability with regard to barriers in receiving and validating accurate HCC information.
- Analyze performance data to identify trends, gaps, and opportunities for improvement.
- Maintains intermediate to advanced understanding of claims processing procedures, state and federal regulations, and Medicare Part D requirements.
- Utilize coding software to ensure compliance with Medicare, Medicaid, and other payer requirements.
- Collaborate with medical staff to clarify documentation and support accurate coding and reimbursement.
- Participate in audits, quality reviews, and continuous improvement initiatives.
- Educate staff on coding practices and HCC assignments.
- Maintain compliance with policies, procedures, and continuing education requirements.
- Performs other duties as needed or assigned.
III. JOB QUALIFICATIONS
Required:
- Minimum of 3 years of experience in medical coding or risk adjustment with a focus on Hierarchical Care Conditions, value based care contracts, and accountable care organizations.
- Strong knowledge of CMS risk adjustment and quality initiatives, including Hierarchical Condition Categories (HCCs).
- Completion of one of the following through AHIMA accredited programs: Certificate Coding Associate, Certificate Coding Specialist, Certified Professional Coder, Registered Health Information Technician, Registered Health Information Administrator
OR - Credentialed through AAPC
Preferred:
- Registered Nurse
- Associates or Bachelor's Degree in Health Information Management
- 3M Coding Solution Knowledge
Remote Work/Work-from-Home:
This position has hybrid work flexibility. This person must live within Kansas or Missouri, and will be required attend on-site meetings, as scheduled.
Our Cultural Beliefs
- People First
- Integrity Matters
- Better Together
At LMH Health, we value inclusion and diversity. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
About LMH Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Lawrence, KS, US
Year founded
1921