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.
Coder - Certified (CPC)
Kansas City, MO · On-site
$21 - $28/hr
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 ...
Coder - Certified (CPC)
Kansas City, MO · On-site
$21 - $28/hr
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 ...
Coder - Certified (CPC)
$21 - $28/hr
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 ...
Coder - Certified (CPC)
$21 - $28/hr
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 ...
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 ...
Senior Consultant - Clinical Documentation Specialist
Kansas City, MO · On-site
$34 - $45.50/hr
... 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 Consultant - Clinical Documentation Specialist
Kansas City, MO · On-site
$34 - $45.50/hr
... risk adjustment * Has strong interpersonal skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality, Case Management, Finance, Revenue Cycle, and Coders * Other ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
... risk assessments, leveraging data analytics to identify trends, patterns, outliers relative to ... Coding Certification: AAPC, AHIMA * FWA Certification: Certified Fraud Examiner (CFE), Accredited ...
... risk assessments, leveraging data analytics to identify trends, patterns, outliers relative to ... Coding Certification: AAPC, AHIMA * FWA Certification: Certified Fraud Examiner (CFE), Accredited ...
Fraud Investigator
Kansas City, MO · On-site
... risk assessments, leveraging data analytics to identify trends, patterns, outliers relative to ... Coding Certification: AAPC, AHIMA * FWA Certification: Certified Fraud Examiner (CFE), Accredited ...
Fraud Investigator
Kansas City, MO · On-site
... risk assessments, leveraging data analytics to identify trends, patterns, outliers relative to ... Coding Certification: AAPC, AHIMA * FWA Certification: Certified Fraud Examiner (CFE), Accredited ...
POOL: RedTire Program Finance Analyst Student Intern
Lawrence, KS · On-site
$10.25/hr
... risk initiatives. 15% - Other ad-hoc financial and modeling analysis duties as required. 10% - ... Code of Conduct for the School of Business.
POOL: RedTire Program Finance Analyst Student Intern
Lawrence, KS · On-site
$10.25/hr
... risk initiatives. 15% - Other ad-hoc financial and modeling analysis duties as required. 10% - ... Code of Conduct for the School of Business.
Home Health Physical Therapy Assistant
Merriam, KS · On-site
$24.01 - $44.65/hr
Merriam State: Kansas Postal Code: 66204 All the benefits and perks you need for you and your ... Knowledge, Skills, and Abilities: * Entry level competency of Physical therapy practice, theory ...
Home Health Physical Therapy Assistant
Merriam, KS · On-site
$24.01 - $44.65/hr
Merriam State: Kansas Postal Code: 66204 All the benefits and perks you need for you and your ... Knowledge, Skills, and Abilities: * Entry level competency of Physical therapy practice, theory ...
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 ...
... risk. * Monitor account activity against the statement of work and alerts the internal team about ... Facilitate discussions and adjustments concerning time allocations with team members as needed.
... risk. * Monitor account activity against the statement of work and alerts the internal team about ... Facilitate discussions and adjustments concerning time allocations with team members as needed.
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 ...
Community Manager
Overland Park, 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
Overland Park, 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
Leavenworth, 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
Leavenworth, 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
Leavenworth, 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
Leavenworth, 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?
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 popular job titles related to Entry Level Risk Adjustment Coder jobs in Kansas City, KS?
For Entry Level Risk Adjustment Coder jobs in Kansas City, KS, the most frequently searched job titles are:
What job categories do people searching Entry Level Risk Adjustment Coder jobs in Kansas City, KS look for?
The top searched job categories for Entry Level Risk Adjustment Coder jobs in Kansas City, KS are:
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Cities near Kansas City, KS with the most Entry Level Risk Adjustment Coder job openings:
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