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Hcc Risk Adjustment Coding Jobs in Missouri (NOW HIRING)

Aledade

Clinical Risk Educator, Remote

Kansas City, MO · On-site

... coding, medical terminology, human anatomy and physiology, clinical indicators associated with disease processes and pharmacology is required * Subject matter expertise on the CMS HCC Risk Adjustment ...

NKC Health Medical Group

Coder Non-Certified

Kansas City, MO · On-site

$21 - $28/hr

Knowledge of risk adjustment processes and coding is a plus, but not required. What are the requirements for the job? * High school graduate or GED equivalent * Minimum 2 years' of experience in ...

NKC Health Medical Group

Coder Non-Certified

Kansas City, MO · On-site

$21 - $28/hr

Knowledge of risk adjustment processes and coding is a plus, but not required. What are the requirements for the job? * High school graduate or GED equivalent * Minimum 2 years' of experience in ...

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 ...

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

As of Jun 1, 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 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 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.
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Hcc Risk Adjustment Coding jobs near you
Clinical Risk Educator, Remote

Clinical Risk Educator, Remote

Aledade

Kansas City, MO • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 12 days ago

Aledade rating

8.5

Company rating: 8.5 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

47th of 425 rated business services

Job description

The Clinical Risk Educator is responsible for developing and delivering educational content designed to improve accurate and complete clinical documentation practices. This role supports the clinical audiences of our external partner practices as well as Aledade's clinical and non-clinical staff internally.  
 
Key responsibilities include performing retrospective medical chart reviews to pinpoint areas for improvement, interpreting performance data to uncover learning opportunities, and leading diagnosis documentation education for clinical audiences. The Clinical Risk Educator collaborates with colleagues and leadership to design and implement educational materials that align with regulatory compliance and value-based care principles. 
 
This position requires a deep understanding of clinical documentation concepts, clinical practice, and general outpatient practice workflows. It also demands a commitment to fostering education that promotes high-quality, compliant documentation practices within a value-based care framework. 
 
Candidates should be comfortable working remotely/work from home anywhere within the US.
Primary Duties:
  • The Clinical Risk Educator performs qualitative retrospective chart reviews for prioritized practices to ensure complete and accurate clinical documentation, utilizing quantitative measures to track the frequency and types of documentation errors and gaps. By analyzing review outcomes, they pinpoint specific areas for improvement in coding and clinical documentation while identifying trends and patterns that may indicate systemic issues or training needs. This role involves synthesizing concise, high-level summaries to illustrate findings, highlighting critical areas of concern, and prioritizing recommendations for improvement. Additionally, the Educator conducts educational sessions for Aledade ACO member practices and their key staff-delivered either in person or virtually-covering review findings, clinical documentation, and risk adjustment concepts.
  • Serve as an individual contributor on the Risk Education team, collaborating with team members to develop and update educational materials related to  clinical documentation for both internal and external audiences, inclusive of reference guides, slide decks, and toolkits. Conduct ongoing annual reviews of repository content to ensure alignment with  CMS regulatory updates. 
  • Research, investigate and remain up to date on both clinical and coding guidelines as they relate to clinician documentation improvement.
  • Serve as a resource for appropriate clinical documentation and coding practices for assigned region.
Minimum Qualifications:
  • Bachelor's degree in a healthcare related field or equivalent work experience required 
  • 5+ years of clinical experience (in particular nursing or international medical backgrounds)
  • Current medical coding certification such as Certified Professional Coder (CPC), Certified Coding Specialist - Physician-based (CCS-P), Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Expert Outpatient (CDEO), Certified Clinical Documentation Specialist-Outpatient (CCDS-O), etc. through AAPC, ACDIS, or AHIMA
  • 2+ years of clinical documentation improvement experience
  • Extensive knowledge of ICD-10-CM, HCPCS and CPT coding, medical terminology, human anatomy and physiology, clinical indicators associated with disease processes and pharmacology is required
  • Subject matter expertise on the CMS HCC Risk Adjustment program, methodology, and impact to value-based contracts
  • Comfortable presenting to large and small groups in person and in virtual format (Google Meet, Zoom, etc.)
  • Ability to work both independently and collaboratively 
  • Flexible and able to multi-task and prioritize work load on a daily basis
  • Availability for market-specific events, including the execution of 1-2 Saturday events per year in select markets
  • Flexibility to work occasional evening hours, with the potential for 1-2 evenings per month on a national scale
Preferred KSA's:
  • Active nursing credential as Registered Nurse (RN), Licensed Practical Nurse (LPN), or international medical graduate (IMG)
  • Background in working directly with providers in an outpatient setting 
  • Experience developing and delivering clinical education and training via Google Slides or Powerpoint presentations
  • Ability to use insights from clinical and quality data to address opportunities for improvement
  • Advanced knowledge of Medicare billing and coding regulations, along with a deep understanding of CMS compliance standards and guidelines
  • General understanding of the billing requirements and reimbursement structures for FQHCs/RHCs
  • Willingness to travel as needed to Aledade's headquarters or markets
Physical Requirements:
  • Sitting for prolonged periods of time. Extensive use of computers and keyboard. Occasional walking and lifting may be required.
  • Willingness to travel as needed to Aledade's headquarters or markets (est. up to 25% across the year).
$69,000 - $91,000 a year
Salary Range: $69,000 - $91,000 base + bonus + equity
Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience.
Who We Are:
Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.

What Does This Mean for You?
At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.

In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:

Flexible work schedules and the ability to work remotely are available for many roles
Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners
Robust time-off plan (21 days of PTO in your first year)
Two paid volunteer days and 11 paid holidays
12 weeks paid parental leave for all new parents
Six weeks paid sabbatical after six years of service
Educational Assistant Program and Clinical Employee Reimbursement Program
401(k) with up to 4% match
Stock options
And much more!

At Aledade, we don't just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.

Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at  https://www.aledade.com/privacy-policy-applicants
We may use automated tools, including artificial intelligence (AI), to help organize and evaluate application materials. These tools support our recruiters and hiring managers by helping manage large applicant pools. Human judgment plays an essential role in our hiring process, including in the oversight and use of any automated tools. If you would like more information about our screening and hiring process, please contact us.
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About Aledade

Sourced by ZipRecruiter

Aledade is a leader in population health that is using innovative, value based solutions to transform the way physicians interact with their patients. We are on a mission to change healthcare for the better and solve complex problems within the healthcare system. We follow the simple but radical idea that Aledade only succeeds when our partner practices succeed. From our cutting-edge technology platform to practice transformation services, we provide physicians with everything they need to create and run an accountable care organization (ACO), revamping the way they practice and getting them back to where they should be: quarterbacking their patients' health care! Our customized solutions help clinicians in communities across America preserve their autonomy, deliver better care to their patients, reduce overall costs, and keep independent physician practices flourishing.

Industry

Health care and social assistance

Company size

501 - 1,000 Employees

Headquarters location

Bethesda, MD, US

Year founded

2014

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