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Remote Risk Adjustment Coder Jobs in Missouri (NOW HIRING)

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Remote Full Time Individual Contributor +5 Years of Experience Senior Corporate IT Engineer Who We ... Configuration-as-code for endpoints (an infrastructure-as-code mindset for IT) * Experience ...

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Clayton, MO · On-site +1

... consider remote for the right candidate. The CIC Tax Credit Asset Manager III will manage a ... Ensure/monitor equity investment value and loan risk factors through the timely receipt and ...

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How much do remote risk adjustment coder jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for remote risk adjustment coder in Missouri is $25.79, according to ZipRecruiter salary data. Most workers in this role earn between $17.84 and $32.45 per hour, depending on experience, location, and employer.

What is a remote risk adjustment coder?

A Remote Risk Adjustment Coder is a healthcare professional who reviews patient medical records and assigns diagnostic codes from a remote location, typically from home. Their primary goal is to ensure accurate coding for risk adjustment purposes, which helps health plans predict patient healthcare costs and receive appropriate funding. These coders work with electronic health records and must be knowledgeable about coding standards like ICD-10-CM. They play a key role in supporting compliance and maximizing revenue for healthcare organizations. Attention to detail, confidentiality, and proficiency with coding software are essential skills for this remote position.

What does a remote risk adjustment coder do?

As a remote risk adjustment coder, your duties and responsibilities involve performing medical coding and reviewing medical codes for adherence to risk adjustment models. Employers may also expect you to audit medical record data to ensure accuracy. In this role, you work from home to apply codes and make assessments according to regulations and your employer’s operational policies. You also report the results of an audit to the relevant supervisor or coding service provider. It’s your job to ensure compliance with rules related to patient privacy and electronic medical record keeping.

What are the key skills and qualifications needed to thrive as a remote risk adjustment coder?

To thrive as a Remote Risk Adjustment Coder, you need a solid understanding of ICD-10-CM coding, medical terminology, and risk adjustment models, often supported by a coding certification such as CPC, CRC, or CCS. Proficiency with electronic health record (EHR) systems, coding software, and data management tools is essential. Attention to detail, strong analytical skills, and effective communication are crucial soft skills for accurate code assignment and collaboration with healthcare teams. These skills ensure compliance, maximize reimbursement, and support quality healthcare outcomes in a remote environment.

What are the common challenges faced by remote risk adjustment coders and how can they be managed?

Remote Risk Adjustment Coders often encounter challenges such as interpreting complex medical records, ensuring coding accuracy under tight deadlines, and staying updated with evolving coding guidelines. Managing these challenges typically involves strong attention to detail, proactive communication with team members, and participating in ongoing training sessions or webinars. Utilizing supportive resources and adhering to standardized coding protocols can help coders maintain accuracy and efficiency in a remote setting.

What is the difference between Remote Risk Adjustment Coder vs Remote Medical Coder?

AspectRemote Risk Adjustment CoderRemote Medical Coder
CertificationsAHIMA or AAPC Risk Adjustment certificationsAAPC CPC, CCS, or RHIT certifications
Work EnvironmentHealthcare insurance, payer organizations, risk adjustment teamsHospitals, clinics, physician offices, insurance companies
Industry UsagePrimarily in health insurance and risk adjustment programsBroad healthcare settings including hospitals and outpatient clinics

Remote Risk Adjustment Coders focus on analyzing patient data for insurance risk models, requiring specific risk adjustment certifications. Remote Medical Coders handle a wider range of medical records coding across various healthcare settings. While both roles involve medical coding, their industries, certifications, and primary tasks differ significantly.

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Remote Risk Adjustment Coder jobs near you
Infographic showing various Remote Risk Adjustment Coder job openings in Missouri as of August 2026, with employment types broken down into 75% Full Time, 4% Part Time, 3% Temporary, and 18% Contract. Highlights an 23% In-person, and 77% Remote job distribution, with an average salary of $53,637 per year, or $25.8 per hour.

Remote - Clinical Documentation Integrity Specialist

Saint Joseph, MO • On-site, Remote

Mosaic Life Care
Health Care and Social Assistance • 1 - 5K employees
Learn more about Mosaic Life Careexternal

$33.50 - $45.25/hr

Full-time

Medical, Vision, Life

Posted 24 days ago

Mosaic Life Care rating

6.8

Company rating: 6.8 out of 10

Based on 64 frontline employees who took The Breakroom Quiz

Job description


Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time
Works under the supervision of the Manager to complete basic to intermediate CDI reviews and re-reviews, submit queries to providers, complete first and second appeal levels. This position evaluates and partners with physician advisor on first and second level appeals, denial tracking. Rounding on patients, mortality reviews and second level reviews are also performed. Review and ICD-10-CM/PCS codes are assigned and appropriate DRG based on Official Coding Guidelines.
Responsibilities
  • Conducts basic to intermediate initial, concurrent and retrospective reviews of clinical documentation for all selected admissions to initiate the tracking process and document findings. Abstracts data from concurrent and retrospective charts, as well as computerized data systems using documentation, Official Coding Guidelines and Official Query Guidelines.
  • Assigns and updates ICD-10-CM/PCS codes and baseline and working MS-DRG and APR-DRG DRG for accounts, reviewing in a timely manner and documenting thoroughly in clinical documentation integrity system.
  • Identifies need to clarify documentation in records and initiates communication with provider utilizing the appropriate query tools in order to capture the documentation in the medical record that accurately supports the patient's severity of illness and risk of mortality.
  • Reviews clinical validation denials and analyzes for appeal recommendation. Writes first and second level denial appeals in collaboration with physician advisor. Completes second level review including mortality reviews and quality reviews.
  • Participates in staff training and departmental improvement activities and uses the results of the quality of quality audits to initiate change in practice. Communicates with coders to ensure that the correct DRG is assigned to each case; receives feedback as a means of continuous self-improvement
  • Collaborates with other members of the interdisciplinary team to achieve accurate documentation for coding (example: rounds with physicians, attends team conference).
  • Assumes responsibility for professional development by participating in educational opportunities via webinars, online education and online meetings.
  • Achieves CDI quality and productivity goals.
  • Other duties as assigned

Education
  • Associate's Degree - Nursing - Required
  • Bachelor's Degree - Nursing - Preferred

Work Experience
  • 3 Years - Clinical experience in an ICU/Critical Care acute care setting - Required
  • 1 Year - Experience in clinical documentation integrity functions - Preferred

Licenses and Certifications
  • Registered Nurse (RN) - State Licensure/Or Compact State Licensure - State Licensure/Or Compact State Licensure in state, depending upon designated work location - Required Upon Hire
  • Certified Clinical Documentation Specialist (CCDS) - Required within 2 Years Or
  • Certified Documentation Improvement Practitioner (CDIP) - Required within 2 Years

Qualifications
Skills and Abilities
Essential Technical/Motor Skills
  • Input and retrieve data, speaking clearly, answering phones, precise hand\eye coordination, fine motor skills and good writing skills.
  • Clinical skills.

Interpersonal Skills
  • Ability to work with interruptions, and flexibility in hours and workflow, foster teamwork and promote service and quality.
  • Excellent communication and critical thinking skills.

Essential Physical Requirements
  • Prolonged time spent looking at computer screen and keyboarding, sitting.

Essential Mental Abilities
  • Knowledge of care delivery documentation systems and related medical record documents.
  • Knowledge of age-specific needs and the elements of disease processes and related processes.
  • Read and interpret from the medical record, analyze encoder instructions, understand documentation.
  • Function independently and have follow through skills, detail oriented. Ability to prioritize work.

Essential Sensory Requirements
  • Visual, hearing.

Exposure to Hazards
Other Skills and Abilities
About Us
Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care.
Mosaic has a wide array of benefits to meet each employee's individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey.

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