ZipRecruiter

Log In

1

Hcc Risk Adjustment Coding Jobs in Missouri (NOW HIRING)

Urrly

Telehealth Nurse Practitioner

Jefferson City, MO · Remote

$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 ...

Ste Genevieve County Memorial Hospital

$24.25 - $27.50/hr

... including HCC's (e.g., CMS, OIG, MAC guidelines). Identify patterns of risk, under-coding, over-coding, and potential compliance issues; prepare detailed audit findings and recommendations.

Ste Genevieve County Memorial Hospital

$24.25 - $27.50/hr

... HCC's (e.g., CMS, OIG, MAC guidelines). · Identify patterns of risk, under-coding, over-coding, and potential compliance issues; prepare detailed audit findings and recommendations. · Collaborate ...

Ste. Genevieve County Memorial Hospital

$24.25 - $27.50/hr

... standards including HCC's (e.g., CMS, OIG, MAC guidelines). • Identify patterns of risk, under-coding, over-coding, and potential compliance issues; prepare detailed audit findings and ...

University of Rochester

$64K - $96K/yr

Evaluates adherence to coding and billing regulations and guidelines through review, research, and ... Conducts investigations, risk assessments, and regulatory monitoring to prevent and detect fraud ...

next page

Showing results 1-20

All JobsHcc Risk Adjustment Coding JobsHcc Risk Adjustment Coding Jobs in Missouri

Hcc Risk Adjustment Coding information

See Missouri salary details

$12

$24

$39

How much do hcc risk adjustment coding jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for hcc risk adjustment coding in Missouri is $24.81, according to ZipRecruiter salary data. Most workers in this role earn between $18.70 and $30.43 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Hcc Risk Adjustment Coding position, and why are they important?

To thrive as an HCC Risk Adjustment Coder, you need a strong understanding of medical coding guidelines, ICD-10-CM codes, and risk adjustment principles, typically supported by a certification such as CPC, CRC, or CCS-P. Familiarity with electronic health record systems and risk adjustment software is essential for accurate coding and data analysis. Attention to detail, critical thinking, and effective communication skills are important soft skills for ensuring documentation integrity and collaborating with healthcare providers. These competencies are crucial to accurately capture patient complexity, optimize reimbursement, and support compliance in healthcare organizations.

What are the typical challenges faced by HCC Risk Adjustment Coders, and how can they overcome them?

HCC Risk Adjustment Coders often face challenges such as interpreting complex medical records, staying up-to-date with evolving coding guidelines, and ensuring thorough documentation to support accurate risk scoring. To overcome these challenges, coders should engage in continuous education, collaborate closely with healthcare providers for clarification, and utilize available coding resources and team support. Staying organized and maintaining a detail-oriented approach will also help ensure that codes are assigned correctly and all relevant conditions are captured. Working as part of a supportive team can further ease the process, providing opportunities for knowledge sharing and professional development.

What is an HCC Risk Adjustment Coding job?

An HCC Risk Adjustment Coding job involves reviewing medical records to assign Hierarchical Condition Category (HCC) codes based on documented diagnoses. Coders ensure accurate risk adjustment by following ICD-10-CM coding guidelines, which impact reimbursement for healthcare providers and insurance plans. This role requires knowledge of medical terminology, compliance regulations, and risk adjustment models used in Medicare Advantage and other programs.

What are the most commonly searched types of Hcc Risk Adjustment Coding jobs in Missouri? The most popular types of Hcc Risk Adjustment Coding jobs in Missouri are:
What are popular job titles related to Hcc Risk Adjustment Coding jobs in Missouri? For Hcc Risk Adjustment Coding jobs in Missouri, the most frequently searched job titles are:
What job categories do people searching Hcc Risk Adjustment Coding jobs in Missouri look for? The top searched job categories for Hcc Risk Adjustment Coding jobs in Missouri are:
Hcc Risk Adjustment Coding jobs near you
Infographic showing various Hcc Risk Adjustment Coding job openings in Missouri as of July 2026, with employment types broken down into 1% As Needed, 82% Full Time, 11% Part Time, and 6% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $51,600 per year, or $24.8 per hour.
Risk Adjustment Coding Accuracy Specialist

Risk Adjustment Coding Accuracy Specialist

Lumeris, Inc.

Maryland Heights, MO • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Job description

Your Future is our Future
At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members. That's why we are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry. Join us today as we strive to create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact.
We're excited to consider every qualified candidate authorized to work in the United States, although we are unable to sponsor visas for this role at this time.
Position:
Risk Adjustment Coding Accuracy Specialist
Position Summary:
Responsible for implementation of initiatives to improve documentation and coding accuracy for Lumeris clients. Regularly reviews provider medical records for accurate and complete documentation and coding. Supports retrospective chart reviews as well as pre-visit planning and post visit coding.
Job Description:
Primary Responsibilities:
  • Reviews medical records in support or pre-visit planning and post-visit program for opportunities with complete and accurate documentation and coding
  • Identifies chronic conditions for providers to review during patient visits
  • Queries providers to ensure complete and accurate documentation and coding after patient visits
  • Partners with providers and clinical/administrative staff to enhance understanding of Clinical Documentation Improvement program goals in order to achieve Risk Adjustment strategic goals and initiatives.
  • Maintains current subject matter expertise by attending professional meetings, seminars, and related continuing education events.
  • Collaborates with internal teams to assure client / project-specific goals are met.
  • Reviews project specific documentation and code specificity for validation.
  • Supports in oversight (overreads) of coding vendor.
  • Responsible for communication, input and findings to support Senior Auditors.

Qualifications:
  • Bachelor's degree or equivalent
  • 3+ years of ICD-10 outpatient coding and provider query experience or the knowledge, skills, and abilities to succeed in the role
  • Strong knowledge of ICD-10-CM Coding Guidelines, E/M, CPT/HCPCS, CMS-HCC risk adjustment model, medical record review project management, encounter data management, and IPM/RADV Medical Record Reviewer Guidance
  • Coding certification as CPC
  • Demonstrated ability to work cross-functionally within corporate matrix environments
  • Effective ability to collaborate and partner on complicated initiatives
  • Firm verbal and written communication skills
  • Favorable computer skills (i.e. Microsoft Office)

Preferred:
  • Associate degree or technical school
  • CPC-I or CRC Certifications

Working Conditions
  • While performing the duties of this job, the employee works in normal office working conditions

#LI-Remote
Pay Transparency:
Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. In addition to the base salary, certain roles may qualify for a performance-based incentive and/or equity, with eligibility depending on the position. These rewards are based on a combination of company performance and individual achievements.
The hiring range for this position is:
$54,800.00-$73,250.00
Benefits of working at Lumeris
  • Medical, Vision and Dental Plans
  • Tax-Advantage Savings Accounts (FSA & HSA)
  • Life Insurance and Disability Insurance
  • Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days)
  • Employee Assistance Program
  • 401k with company match
  • Employee Resource Groups
  • Employee Discount Program
  • Learning and Development Opportunities
  • And much more...

Be part of a team that is changing healthcare!
Member Facing Position:
No- Not Member or Patient Facing Position
Drug Screen Requirement:
Location:
United States
Time Type:
Full time
Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.
Disclaimer:
  • The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individual with disabilities to perform the essential job duties and responsibilities.

Lumeris is an EEO/AA employer M/F/V/D.

Apply