ZipRecruiter

Log In

2

Remote Risk Adjustment Coding Jobs in Springfield, MO

BillionToOne

Account Executive

Springfield, MO · Remote

$184.57K - $248.27K/yr

Responsibilities: * Increasing utilization of UNITY Fetal Risk Screen and driving market ... Demonstrated values and ethics that support BillionToOne's mission, goals, and professional code of ...

People also search for

All JobsRisk Adjustment Coding JobsRemote Risk Adjustment Coding JobsRemote Risk Adjustment Coding Jobs in Springfield, MO

Remote Risk Adjustment Coding information

See Springfield, MO salary details

$15

$19

$21

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

As of Jun 3, 2026, the average hourly pay for remote risk adjustment coding in Springfield, MO is $19.56, according to ZipRecruiter salary data. Most workers in this role earn between $16.39 and $20.77 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 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 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 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 popular job titles related to Remote Risk Adjustment Coding jobs in Springfield, MO? For Remote Risk Adjustment Coding jobs in Springfield, MO, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coding jobs in Springfield, MO look for? The top searched job categories for Remote Risk Adjustment Coding jobs in Springfield, MO are:
What cities near Springfield, MO are hiring for Remote Risk Adjustment Coding jobs? Cities near Springfield, MO 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 Springfield, MO as of May 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $40,682 per year, or $19.6 per hour.

Underwriting Technical Manager - Workers' Compensation (Remote)

memployersmins

Springfield, MO • Remote

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago

Job description

Are you a strategic, technically skilled underwriting professional who loves building highperforming processes, mentoring others, and shaping the future of underwriting operations? MEM Insurance is seeking a collaborative and forwardthinking Underwriting Technical Manager to join our team.
 
In this role, you will blend deep underwriting subjectmatter expertise with operational leadership—designing and maintaining systems, ensuring compliance, optimizing workflows, and strengthening underwriting quality across the organization. You’ll lead critical initiatives, champion continuous improvement, and serve as a trusted partner to underwriting, IT, compliance, actuarial, and external stakeholders.
 
 
If you’re energized by improving processes, building technical excellence, and supporting a culture of innovation and inclusivity, we’d love to meet you.
 
 Essential Duties & ResponsibilitiesUnderwriting Quality, Governance & Training
  • Lead MEM’s Underwriting Quality Assurance program, analyzing results to identify trends, risks, and training needs.
  • Develop and maintain QA methodologies, standards, and reporting that align with underwriting guidelines and compliance expectations.
  • Provide oversight and direction on quality trends and corrective actions that strengthen consistency and performance.
  • Lead development and delivery of underwriting training; serve as a technical expert and resource on complex issues.
  • Maintain underwriting guidelines, manuals, procedures, and authority statements.
System Oversight & Process Optimization
  • Provide leadership to the Underwriting System Support Staff, ensuring efficient daytoday operations.
  • Partner with IT to evaluate, plan, and implement system enhancements and issue resolutions that improve efficiency and eliminate redundant work.
  • Lead or support crossfunctional projects that advance process and technology improvements.
  • Identify emerging system or operational issues and collaborate with business partners to develop effective solutions.
Technical Underwriting Leadership & Book Management
  • Serve as a highlevel technical underwriting authority, evaluating and approving complex or highvalue accounts within assigned authority.
  • Administer and oversee NCCI and proprietary rules, rates, and forms for Workers Compensation.
  • Draft proprietary endorsements and coverage language; maintain manuals, policy forms, and statistical coding.
  • Analyze exposures, inspection reports, financials, and risk characteristics to determine coverage and pricing.
  • Review premium, loss, and performance trends to support profitable growth and participate in rate review analyses.
Regulatory, Compliance & Partner Relations
  • Monitor, evaluate, and communicate impacts of legislative or regulatory changes on underwriting practices.
  • Partner with Legal and Compliance to ensure regulatory alignment and timely adoption of new requirements.
  • Serve as the primary underwriting contact for fronted policies, coordinating annual file reviews, meetings, and followup actions.
  • Track placement of facultative reinsurance and support related reviews and documentation.
  • Serve as backup for department business continuity and disaster recovery planning.
Strategic & Continuous Improvement Initiatives
  • Assist in developing and executing strategic objectives with longterm impact on underwriting performance.
  • Lead initiatives to streamline workflows, reduce administrative burdens, and improve underwriting agility.
  • Represent underwriting in enterprise initiatives, including rate reviews, state filing reviews, and crossfunctional process improvements.
Leadership, Mentorship & Culture Building
  • Provide coaching and mentorship to underwriters and leaders on complex accounts and technical matters.
  • Identify development opportunities to elevate technical acumen across the underwriting department.
  • Create communication strategies that effectively share updates, changes, and outcomes with stakeholders.
  • Foster an innovative, inclusive culture that embraces diversity, collaboration, and continuous improvement.
Additional Accountabilities
  • Lead MEM’s responses to NCCI inspection reports.
  • Provide analytical and administrative support for ad hoc reviews, research, and operational analysis.
  • Lead special projects that enhance underwriting performance and operational excellence.
 Qualifications
Education:
  • Bachelor’s degree in Business Administration, Insurance, Finance, or a closely related field, or an equivalent combination of education and experience.
Designations:
  • CPCU preferred.
Experience:
  • 7+ years of Commercial Lines underwriting experience, including workers’ compensation, with increasing responsibility.
  • 1–2 years of leadership experience (formal or informal) preferred.
 
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.
 
 Diversity Statement
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.
  • Annual Performance Based Bonus
  • 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.

Apply