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Remote Risk Adjustment Coder Jobs in Saint Charles, MO

ArchKey Solutions LLC

Estimator

Fenton, MO · Remote

Description Electrical Estimator This position is fully remote. About ArchKey ArchKey is one of the ... Collaborates with purchasing to reduce material buyout risk. * Partners with design teams on design ...

ArchKey Solutions

Estimator

Fenton, MO · Remote

Electrical Estimator This position is fully remote. About ArchKey ArchKey is one of the nation ... Collaborates with purchasing to reduce material buyout risk. * Partners with design teams on design ...

ArchKey Solutions

Estimator

Fenton, MO · Remote

Electrical Estimator This position is fully remote. About ArchKey ArchKey is one of the nation ... Collaborates with purchasing to reduce material buyout risk. * Partners with design teams on design ...

ArchKey Solutions LLC

High Voltage Estimator

Fenton, MO · On-site +1

Louis Office or Fully Remote. About Arch Key ArchKey is one of the nation's largest privately held ... Works with the purchasing department to reduce the risk of material buyout. Works with the design ...

ArchKey Solutions

High Voltage Estimator

Fenton, MO · On-site +1

Louis Office or Fully Remote. About Arch Key ArchKey is one of the nation's largest privately held ... Works with the purchasing department to reduce the risk of material buyout. Works with the design ...

ArchKey Solutions

Associate Estimator

Fenton, MO · On-site +1

Associate Estimator This position is Remote. About ArchKey ArchKey is one of the nation's largest ... Works with the purchasing department to reduce the risk of material buyout. Works with the design ...

ArchKey Solutions

Associate Estimator

Fenton, MO · On-site +1

Associate Estimator This position is Remote. About Arch Key ArchKey is one of the nation's largest ... Works with the purchasing department to reduce the risk of material buyout. Works with the design ...

ArchKey Solutions LLC

Associate Estimator

Fenton, MO · On-site +1

Description Associate Estimator This position is Remote. About Arch Key ArchKey is one of the ... Works with the purchasing department to reduce the risk of material buyout. Works with the design ...

ArchKey Solutions

High Voltage Estimator

Fenton, MO · On-site +1

Louis Office or Fully Remote. About ArchKey ArchKey is one of the nation's largest privately held ... Works with the purchasing department to reduce the risk of material buyout. Works with the design ...

Healthcare

ENGR SR SOFTWARE DEVT

Saint Louis, MO · Remote

$119K - $157K/yr

Contributing to Security and Risk assessments to aid in the deployment of application components in ... Remote Travel: May include up to 20% domestic Relocation Assistance: May be authorized Must be ...

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All JobsRisk Adjustment Coder JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Saint Charles, MO

Remote Risk Adjustment Coder information

See Saint Charles, MO salary details

$14

$25

$40

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

As of Jul 20, 2026, the average hourly pay for remote risk adjustment coder in Saint Charles, MO is $25.89, according to ZipRecruiter salary data. Most workers in this role earn between $17.88 and $32.60 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 popular job titles related to Remote Risk Adjustment Coder jobs in Saint Charles, MO? For Remote Risk Adjustment Coder jobs in Saint Charles, MO, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Saint Charles, MO look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Saint Charles, MO are:
What cities near Saint Charles, MO are hiring for Remote Risk Adjustment Coder jobs? Cities near Saint Charles, MO with the most Remote Risk Adjustment Coder job openings:
Remote Risk Adjustment Coder jobs near you
Infographic showing various Remote Risk Adjustment Coder job openings in Saint Charles, MO as of July 2026, with employment types broken down into 84% Full Time, 10% Part Time, and 6% Contract. Highlights an 100% Remote job distribution, with an average salary of $53,843 per year, or $25.9 per hour.
Clinical Account Executive (RPh) - Archimedes

Clinical Account Executive (RPh) - Archimedes

Navitus Health Solutions, LLC

Earth City, MO • On-site, Remote

Full-time

Posted 18 days ago

Job description

Company
Archimedes
About Us
Archimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide the necessary ingredients for the sustainability of the prescription drug benefit - alignment, value and transparency - Archimedes achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, rebate retention and pharmacy ownership and delivering the most rigorous clinical management at the lowest net cost. .. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities.We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.
Pay Range
USD $0.00 - USD $0.00 /Yr.
STAR Bonus % (At Risk Maximum)
5.00 - Salaried Non-Management except pharmacists
Work Schedule Description (e.g. M-F 8am to 5pm)
M-F 8am-5pm
Remote Work Notification
ATTENTION: Archimedes is unable to offer remote work to residents of Alaska, Arizona, Arkansas, California, Connecticut, Delaware, Hawaii, Idaho, Louisiana, Maine, Massachusetts, Michigan, Mississippi, Montana, Nebraska, Nevada, New Mexico, New York, North Carolina, North Dakota, Oregon, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Washington, West Virginia, And Wyoming.
Overview
Archimedes is a specialty drug management company with industry-leading technology and services that health plans and employer groups can use to manage specialty drug spend. We are expanding our team and looking for a clinical professional who has specialty drug management experience and a passion for cost management. Given our continued growth trajectory, we are looking for a person who can grow with the company.
The Clinical Account Executive (RPh) is responsible for being the clinical expert for all specialty medications across both the pharmacy and the medical benefit. This role will communicate with clients, brokers, consultants, prospects, physicians, nurses, pharmacists, and members related to specialty drugs management.
The Clinical Account Executive (RPh) will be the clinical subject matter expert for formulary and utilization management development and decision making. This role will be divided into two areas: formulary development across pharmacy and medical benefits for specialty drugs and clinical management of accounts.
Responsibilities
How do I make an impact on my team?
  • Develop and deliver clinical messages to physicians, members, clients, and consultants.
  • Manage formulary strategy and clinical policy development.
  • Clinical program development including both medical and pharmacy benefit management .
  • Define, document, and deliver results for plan sponsors.
  • Evaluate and summarize clinical literature as well as financial implications related to medication management options.
  • Complete clinical prior authorizations and retrospective reviews.
  • Present deep clinical and cost effectiveness information as a peer-to-peer consult.
  • Participate in, adhere to, and support compliance, people and culture, and learning programs.
  • Perform other duties as assigned.

Qualifications
What our team expects from you?
  • Education: Graduate of ACPE Accreditation School of Pharmacy with a B.S. Pharmacy or PharmD degree required.

  • Certification/Licenses: Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within 4 months, may be required based on state of residence laws or client contracts. Refer to the Licensure and Credentialing Verification P&P for current detail.
    • Board of Pharmacy Certification preferred for Pharmacotherapy, Ambulatory Care, or Oncology Care.

  • Experience:
    o Pharmacy and Medical specialty benefit knowledge and clinical account management experience required.
    o Former P&T Committee experience or formulary development experience required.
    o 3-5 years clinical or managed care experience or Clinical/Managed Care Pharmacy Residency required.
    o Microsoft Excel, Power Point and Word proficiency required.

Location : Address
502 Earth City Expy STE 300
Location : City
Earth City
Location : State/Province
MO
Location : Postal Code
63045
Location : Country
US

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