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Remote Risk Adjustment Coding Jobs in Missouri (NOW HIRING)

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

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 ...

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 ...

ArchKey Solutions LLC

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 ...

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All JobsRisk Adjustment Coding JobsRemote Risk Adjustment Coding JobsRemote Risk Adjustment Coding Jobs in Missouri

Remote Risk Adjustment Coding information

See Missouri salary details

$16

$20

$22

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

As of Sep 2, 2026, the average hourly pay for remote risk adjustment coding in Missouri is $20.17, according to ZipRecruiter salary data. Most workers in this role earn between $16.92 and $21.44 per hour, depending on experience, location, and employer.

What is remote risk adjustment coding?

Remote risk adjustment coding is the process of reviewing and assigning medical codes to patient diagnoses and procedures from a remote location, usually at home. The purpose is to ensure that healthcare organizations accurately report the health status of their patients, which affects reimbursement from health plans. Coders use specialized knowledge of ICD-10-CM coding and risk adjustment models, such as HCC (Hierarchical Condition Category) coding, to capture all relevant chronic conditions. This position requires attention to detail, compliance with regulations, and strong analytical skills.

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 medical coding, anatomy, and healthcare regulations, typically backed by a coding certification such as CPC, CRC, or CCS. Familiarity with coding software, electronic health record (EHR) systems, and risk adjustment models like HCC is essential. Attention to detail, critical thinking, and strong written communication are crucial soft skills for interpreting clinical documentation and ensuring coding accuracy. These skills and qualifications are vital to accurately capture patient risk, ensure compliance, and optimize reimbursement for healthcare organizations.

How does working remotely as a risk adjustment coder impact collaboration with healthcare teams and ongoing professional development?

As a remote Risk Adjustment Coder, you'll often collaborate with clinical staff, auditors, and other coders through secure digital platforms and regular virtual meetings. While remote work offers flexibility, it also means that proactive communication is essential to ensure accurate coding and compliance with regulations. Many organizations provide virtual training sessions, access to coding forums, and ongoing education to help you stay updated on industry changes and coding standards. Building relationships with your team and participating in online professional communities can further support your growth and help overcome the isolation that sometimes comes with remote work.

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

AspectRemote Risk Adjustment CodingRemote Medical Coding
CertificationsRHIA, RHIT, CPC, CCSCPC, CCS, CCS-P
Work EnvironmentHealthcare organizations, insurance companiesHospitals, clinics, insurance companies
Industry UsageHealth insurance, risk adjustment programsMedical billing, claims processing

Remote Risk Adjustment Coding focuses on analyzing patient data for insurance risk assessments, requiring specific risk adjustment certifications. Remote Medical Coding involves coding diagnoses and procedures for billing purposes. While both roles require coding certifications, Risk Adjustment Coding emphasizes risk analysis within insurance, whereas Medical Coding centers on billing accuracy.

What are the most commonly searched types of Risk Adjustment Coding jobs in Missouri?

The most popular types of Risk Adjustment Coding jobs in Missouri are:

What are popular job titles related to Remote Risk Adjustment Coding jobs in Missouri?

For Remote Risk Adjustment Coding jobs in Missouri, the most frequently searched job titles are:

What job categories do people searching Remote Risk Adjustment Coding jobs in Missouri look for?

The top searched job categories for Remote Risk Adjustment Coding jobs in Missouri are:

What cities in Missouri are hiring for Remote Risk Adjustment Coding jobs?

Cities in Missouri with the most Remote Risk Adjustment Coding job openings:

Remote Risk Adjustment Coding jobs near you
Infographic showing various Remote Risk Adjustment Coding job openings in Missouri as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 12% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $41,951 per year, or $20.2 per hour.

Senior Claims Representative (Remote)

memployersmins

Columbia, MO • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 5 days ago

Job description

Are you a seasoned claims professional with a passion for navigating complex cases? MEM Insurance is seeking a Senior Claims Representative to join our Claims team. In this pivotal role, you’ll manage high-exposure workers’ compensation claims, lead investigations into coverage and fraud, and collaborate across departments to drive strategic outcomes. You’ll be a key decision-maker, a mentor to junior adjusters, and a champion of process improvement—all while ensuring exceptional service and regulatory compliance.
 
At MEM Insurance, we don’t just protect our customers—we empower our employees. We foster a culture of integrity, collaboration, and innovation. Our team thrives on solving challenges together, supporting one another, and making a meaningful impact in the lives of our policyholders and injured workers.
 
 
Essential Duties and Responsibilities:
Claims Handling & Administration
  • Manage highly complex claims involving significant financial exposure, legal intricacies, and extended life cycles.
  • Conduct advanced investigations into coverage and compensability, including nuanced statutory interpretations.
  • Oversee medical case management for catastrophic injuries and lifetime care needs.
  • Review and authorize large or complex medical bills, negotiating adjustments to control costs.
Return-to-Work Management
  • Develop comprehensive RTW strategies in collaboration with policyholders, legal counsel, and vocational consultants.
  • Ensure precision in benefit calculations for high-exposure claims, addressing tax and compliance risks.
  • Strategically deploy investigative efforts aligned with broader claims strategy.
Claims Investigation & Loss Prevention
  • Lead investigations into complex fraud cases and collaborate with the Special Investigations Unit.
  • Conduct subrogation analysis and negotiate with third-party insurers or attorneys for maximum recovery.
Settlements & Negotiation
  • Partner with legal teams to negotiate complex settlements and manage litigation processes.
  • Oversee Medicare compliance initiatives, including Medicare Set-Asides and CMS engagement.
  • Identify opportunities for structured settlements and lead negotiations.
Reporting
  • Produce strategic reports on high-profile claims to guide management decisions.
  • Maintain system data integrity and prepare claims for Corporate Plan of Action meetings.
Collaboration
  • Lead cross-departmental efforts to improve claims handling and risk management.
  • Resolve escalated customer service issues and support high-value accounts.
  • Participate in workflow improvement initiatives and committees.
Team Leadership
  • Mentor and coach junior and intermediate adjusters.
  • Review escalated claims and provide actionable feedback.
  • Support workforce development and succession planning.
 
Qualifications:
  • Bachelor’s degree in business or related field preferred, or equivalent industry experience.
  • 7–10 years of claims handling experience, with high exposure to Workers’ Compensation.
  • Associate in Claims (AIC), AIM, or CPCU designation preferred or ability to obtain.
  • Texas All-Lines license preferred.
  • Valid driver’s license required.
 
Company Culture and Values
At MEM Insurance, we are committed to our vision, mission, and values. We foster a culture of collaboration, integrity, and innovation. Our team is passionate about delivering exceptional service to our customers while supporting each other’s growth and success. We believe in accountability, continuous learning, and creating an environment where employees feel valued and empowered.
 
 Connection and Belonging
MEM Insurance is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We believe that varied perspectives drive innovation and strengthen our ability to serve our customers and communities.
 
 Total Rewards Overview
  • Health Plans: Medical, Dental, and Vision
    Includes fertility benefits, fully paid preventative care, and adult orthodontia.
  • Employer-Paid Life and Disability Benefits:
    Life Insurance (3x base salary), AD&D, Short and Long-term Disability.
  • Wellness and Recognition Program: Employer-paid incentives for employees and spouses.
  • Flexible Spending Account and Dependent Care options
  • Health Savings Account: Generous employer contribution.
  • Time Away from Work:
    Generous PTO, 11 Holidays + 4 Early Releases, 16 Hours Volunteer Time Off, 20 Days Paid Parental Leave, Marriage, Bereavement, and Jury Duty leave.
  • Employee Assistance Programs
  • 401k Retirement Plan: Employer match and profit sharing.
  • Adoption Assistance and Tuition Assistance
 
Notice Regarding Use of Artificial Intelligence
MEM may use artificial intelligence (AI) tools to more efficiently facilitate and assist in decisions involving recruitment, hiring, promotion, renewal of employment, selection for training or apprenticeship, discharge, discipline, tenure, or the terms, privileges, or conditions of employment. Any such use of AI tools will comply with all applicable laws.

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