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Remote Risk Adjustment Coder Jobs in Missouri (NOW HIRING)

Corvel

Senior Indemnity Claims Specialist

Saint Louis, MO · Remote

$59K - $96K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Receives claim, confirms ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Corvel

Care Advocate Nurse

Jefferson City, MO · Remote

$61K - $98K/yr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ... The level may impact the salary range and these adjustments would be clarified during the offer ...

Jobgether

$94K - $124K/yr

The environment is highly collaborative and product-driven, working closely with product, risk ... Participate actively in architecture discussions, design reviews, and code reviews to maintain high ...

BJC HealthCare

Project Manager

Fenton, MO · Remote

This is a remote position, but looking for applicants in the St. Louis metro area. This role is ... Tracks and analyzes task completion, risks/issues, mitigation strategies, and schedule adjustments.

BAI

Advanced Software Engineer

Saint Louis, MO · On-site +1

$85K - $115K/yr

... risk management functions and BAI's knowledge in serving the retail banking and regulatory ... Participate in code reviews, technical guidance, and knowledge sharing. * Participate in efforts to ...

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All JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Missouri

Remote Risk Adjustment Coder information

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

As of Jun 21, 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 are the key skills and qualifications needed to thrive as a Remote Risk Adjustment Coder, and why are they important?

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 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 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.

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 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.

More about Remote Risk Adjustment Coder jobs
What are the most commonly searched types of Risk Adjustment Coder jobs in Missouri? The most popular types of Risk Adjustment Coder jobs in Missouri are:
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Remote Risk Adjustment Coder jobs near you

Care Advocate Nurse

CorVel Healthcare Corporation

Jefferson City, MO • Remote

$61K - $98K/yr

Full-time

Posted 7 days ago

Job description

The Care Advocate Nurse oversees initiatives surrounding assessing the severity of the injured workers’ reported injury(ies), reviews medical data in CareMC, validates and secures medical information, assesses and evaluates prescribed treatment of work related injury. The Care Advocate Nurse functions as a nurse consultant, supporting the goals of the Claims Management department and of CorVel.

This is a remote role.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Initiates and receives telephonic contact with reported injured worker, employer and medical providers to obtain treatment plan, secures medical documentation, and assesses if injured worker has returned to work
  • Responsible for detailed documentation within the claim system focusing on medical condition, treatment plan and return to work status
  • Directs callers to appropriate medical and/or claim resources
  • Identifies and communicates urgent situations related to treatment or patient condition directly to the claim team
  • Functions as nurse consultant to the claim team
  • Assesses appropriate medical follow-up and makes necessary recommendations to the claim team, working closely with team to assist in identifying potential red flags from the injury that may require further follow-up or additional services
  • Adheres to the Care Advocate Nurse production standards and Account special handling guidelines
  • Additional duties as assigned

KNOWLEDGE & SKILLS:

  • Fundamental concepts, practices and procedures of early intervention in the field of Workers’ Compensation (WC)
  • Excellent verbal and written communication skills
  • Ability to skillfully manage multiple, complex projects and competing priorities concurrently while working under pressure to meet production standards deadlines and maintaining strong customer service orientation
  • Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Outlook, Word, and Excel spreadsheets
  • Strong interpersonal skills
  • Great attention to detail, and results focused
  • Ability to work independently and as part of a team

EDUCATION/EXPERIENCE:

  • Minimum of 2 years' clinical nursing experience
  • Graduate of an approved accredited school of nursing
  • Current unencumbered RN Licensure in state of residency and practicing state(s) must be maintained throughout employment with CorVel

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $61,053 - $98,334

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CORVEL

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

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