JOB SUMMARY The Risk Adjustment Quality Specialist plays a vital role in coordinating and ... Utilize coding software to ensure compliance with Medicare, Medicaid, and other payer requirements.
JOB SUMMARY The Risk Adjustment Quality Specialist plays a vital role in coordinating and ... Utilize coding software to ensure compliance with Medicare, Medicaid, and other payer requirements.
Risk Adjustment Quality Specialist
Lawrence, KS · On-site +1
JOB SUMMARY The Risk Adjustment Quality Specialist plays a vital role in coordinating and ... Utilize coding software to ensure compliance with Medicare, Medicaid, and other payer requirements.
Risk Adjustment Quality Specialist
Lawrence, KS · On-site +1
JOB SUMMARY The Risk Adjustment Quality Specialist plays a vital role in coordinating and ... Utilize coding software to ensure compliance with Medicare, Medicaid, and other payer requirements.
Risk Adjustment Quality Specialist
Lawrence, KS · On-site +1
JOB SUMMARY The Risk Adjustment Quality Specialist plays a vital role in coordinating and ... Utilize coding software to ensure compliance with Medicare, Medicaid, and other payer requirements.
Risk Adjustment Quality Specialist
Lawrence, KS · On-site +1
JOB SUMMARY The Risk Adjustment Quality Specialist plays a vital role in coordinating and ... Utilize coding software to ensure compliance with Medicare, Medicaid, and other payer requirements.
In terms of skills, they are looking for experts in risk adjustment coding, MLOps engineering, solution architecture, research engineering, and DevOps engineering. * Define project scope, goals, and ...
In terms of skills, they are looking for experts in risk adjustment coding, MLOps engineering, solution architecture, research engineering, and DevOps engineering. * Define project scope, goals, and ...
Project Manager
Kansas City, KS · On-site
In terms of skills, they are looking for experts in risk adjustment coding, MLOps engineering, solution architecture, research engineering, and DevOps engineering. * Define project scope, goals, and ...
Project Manager
Kansas City, KS · On-site
In terms of skills, they are looking for experts in risk adjustment coding, MLOps engineering, solution architecture, research engineering, and DevOps engineering. * Define project scope, goals, and ...
Coder
Lawrence, KS · Remote
JOB SUMMARY The Coder I position is responsible for accurate, coding, abstracting, claims filing, documentation review and claims denial processing working from the appropriate documentation in the ...
Coder
Lawrence, KS · Remote
JOB SUMMARY The Coder I position is responsible for accurate, coding, abstracting, claims filing, documentation review and claims denial processing working from the appropriate documentation in the ...
Coder
Lawrence, KS · Remote
JOB SUMMARY The Coder I position is responsible for accurate, coding, abstracting, claims filing, documentation review and claims denial processing working from the appropriate documentation in the ...
Coder
Lawrence, KS · Remote
JOB SUMMARY The Coder I position is responsible for accurate, coding, abstracting, claims filing, documentation review and claims denial processing working from the appropriate documentation in the ...
Coder
Lawrence, KS · Remote
JOB SUMMARY The Coder I position is responsible for accurate, coding, abstracting, claims filing, documentation review and claims denial processing working from the appropriate documentation in the ...
Coder
Lawrence, KS · Remote
JOB SUMMARY The Coder I position is responsible for accurate, coding, abstracting, claims filing, documentation review and claims denial processing working from the appropriate documentation in the ...
Coder
Lawrence, KS · On-site
JOB SUMMARY The Coder I position is responsible for accurate, coding, abstracting, claims filing, documentation review and claims denial processing working from the appropriate documentation in the ...
Coder
Lawrence, KS · On-site
JOB SUMMARY The Coder I position is responsible for accurate, coding, abstracting, claims filing, documentation review and claims denial processing working from the appropriate documentation in the ...
Medical Coder
Manhattan, KS · On-site
$18.04 - $24/hr
About This Role Responsible for the daily audit of Health Center charges using medical coding procedures and guidelines. About Us Lafene Health Center provides students with accessible, high quality ...
Medical Coder
Manhattan, KS · On-site
$18.04 - $24/hr
About This Role Responsible for the daily audit of Health Center charges using medical coding procedures and guidelines. About Us Lafene Health Center provides students with accessible, high quality ...
CERTIFIED PROFESSIONAL CODER
Salina, KS · On-site
$21.50 - $28.75/hr
Assigns ICD-10-CM and CPT codes for professional services using coding guidelines and principles to ensure appropriate billing processes, reimbursement follow up and analysis. Familiar with accounts ...
CERTIFIED PROFESSIONAL CODER
Salina, KS · On-site
$21.50 - $28.75/hr
Assigns ICD-10-CM and CPT codes for professional services using coding guidelines and principles to ensure appropriate billing processes, reimbursement follow up and analysis. Familiar with accounts ...
CERTIFIED PROFESSIONAL CODER
Salina, KS · On-site
$21.50 - $28.75/hr
Assigns ICD-10-CM and CPT codes for professional services using coding guidelines and principles to ensure appropriate billing processes, reimbursement follow up and analysis. Familiar with accounts ...
CERTIFIED PROFESSIONAL CODER
Salina, KS · On-site
$21.50 - $28.75/hr
Assigns ICD-10-CM and CPT codes for professional services using coding guidelines and principles to ensure appropriate billing processes, reimbursement follow up and analysis. Familiar with accounts ...
Data Analyst
Overland Park, KS · On-site
Comfort with healthcare claims coding structures (e.g., ICD, HCPCS/CPT, revenue codes, DRGs ... Familiarity with risk adjustment or benchmarking concepts. * Scripting experience (e.g., Python ...
Data Analyst
Overland Park, KS · On-site
Comfort with healthcare claims coding structures (e.g., ICD, HCPCS/CPT, revenue codes, DRGs ... Familiarity with risk adjustment or benchmarking concepts. * Scripting experience (e.g., Python ...
Data Analyst
$2.5K/yr
Comfort with healthcare claims coding structures (e.g., ICD, HCPCS/CPT, revenue codes, DRGs ... Familiarity with risk adjustment or benchmarking concepts. * Scripting experience (e.g., Python ...
Data Analyst
$2.5K/yr
Comfort with healthcare claims coding structures (e.g., ICD, HCPCS/CPT, revenue codes, DRGs ... Familiarity with risk adjustment or benchmarking concepts. * Scripting experience (e.g., Python ...
As a Profee Coder with Parallon you can be a part of an organization that is devoted to giving back! Job Summary and Qualifications As a Profee Coder, you will be responsible for reviewing and coding ...
As a Profee Coder with Parallon you can be a part of an organization that is devoted to giving back! Job Summary and Qualifications As a Profee Coder, you will be responsible for reviewing and coding ...
Certified Medical Coder
Overland Park, KS · On-site
$24/hr
The Certified Medical Coder is responsible for reviewing clinical documentation, accurately assigning diagnosis and procedure codes, and ensuring compliance with payer guidelines and regulatory ...
Certified Medical Coder
Overland Park, KS · On-site
$24/hr
The Certified Medical Coder is responsible for reviewing clinical documentation, accurately assigning diagnosis and procedure codes, and ensuring compliance with payer guidelines and regulatory ...
Health Information Coder - Certified
Scott City, KS · On-site
$16.25 - $21.50/hr
The coder assigns inpatient and outpatient diagnosis and procedure codes in accordance with the annual updated ICD-10-CM Official Guidelines for Coding and Reporting, as published by CMS and NCHA, as ...
Quick apply
Health Information Coder - Certified
Scott City, KS · On-site
$16.25 - $21.50/hr
The coder assigns inpatient and outpatient diagnosis and procedure codes in accordance with the annual updated ICD-10-CM Official Guidelines for Coding and Reporting, as published by CMS and NCHA, as ...
Medical Profee Neurosurgery Coder
Wichita, KS · On-site +1
$16.75 - $22.25/hr
The ideal candidate will possess a strong understanding of coding guidelines, regulations, and reimbursement methodologies relevant to professional services in healthcare. Wound care knowledge would ...
Medical Profee Neurosurgery Coder
Wichita, KS · On-site +1
$16.75 - $22.25/hr
The ideal candidate will possess a strong understanding of coding guidelines, regulations, and reimbursement methodologies relevant to professional services in healthcare. Wound care knowledge would ...
Health Information Coder - Certified
Scott City, KS · On-site
$16.25 - $21.50/hr
The coder assigns inpatient and outpatient diagnosis and procedure codes in accordance with the annual updated ICD-10-CM Official Guidelines for Coding and Reporting, as published by CMS and NCHA, as ...
Health Information Coder - Certified
Scott City, KS · On-site
$16.25 - $21.50/hr
The coder assigns inpatient and outpatient diagnosis and procedure codes in accordance with the annual updated ICD-10-CM Official Guidelines for Coding and Reporting, as published by CMS and NCHA, as ...
Health Information Coder - Certified
Scott City, KS · On-site
$16.25 - $21.50/hr
The coder assigns inpatient and outpatient diagnosis and procedure codes in accordance with the annual updated ICD-10-CM Official Guidelines for Coding and Reporting, as published by CMS and NCHA, as ...
Health Information Coder - Certified
Scott City, KS · On-site
$16.25 - $21.50/hr
The coder assigns inpatient and outpatient diagnosis and procedure codes in accordance with the annual updated ICD-10-CM Official Guidelines for Coding and Reporting, as published by CMS and NCHA, as ...
Risk Adjustment Coder information
See Kansas salary details
$16.34 is the 25th percentile. Wages below this are outliers.
$14.15 - $16.39
26% of jobs
$16.39 - $18.63
9% of jobs
$18.63 - $20.87
12% of jobs
The median wage is $21.99 / hr.
$20.87 - $23.11
9% of jobs
$23.11 - $25.36
11% of jobs
$25.36 - $27.60
5% of jobs
$29.28 is the 75th percentile. Wages above this are outliers.
$27.60 - $29.84
6% of jobs
$29.84 - $32.08
5% of jobs
$32.08 - $34.32
5% of jobs
$34.32 - $36.56
3% of jobs
$36.56 - $38.80
10% of jobs
$14
$24
$38
How much do risk adjustment coder jobs pay per hour?
What do risk adjustment coders do?
What is the difference between Risk Adjustment Coder vs Medical Coder?
| Aspect | Risk Adjustment Coder | Medical Coder |
|---|---|---|
| Certifications | CPR, RHIT, CCS, or CPC often preferred | CCS, CPC, or CPC-H |
| Work Environment | Healthcare facilities, insurance companies, remote | Hospitals, clinics, physician offices |
| Industry Usage | Health plans, risk adjustment programs | General medical billing and coding |
Both Risk Adjustment Coders and Medical Coders require similar certifications and work in healthcare settings. However, Risk Adjustment Coders focus on coding for risk adjustment models used by insurance companies, while Medical Coders handle broader medical billing and coding tasks. Understanding these differences helps professionals choose the right career path and employers.
Is HCC coding a good career?
What are Risk Adjustment Coders?
What are the key skills and qualifications needed to thrive as a Risk Adjustment Coder, and why are they important?
How to become a risk adjustment coder?
What pays more, CCS or CPC?
What are some common challenges faced by Risk Adjustment Coders, and how can they be overcome?

Job description
You can't define it, but you know it when you see it: the difference between an average life and the good life. When your cup is full - with joy, purpose and lifelong health - it shows. At LMH Health, we are all about healthy people, healthy communities and healthy futures, and that makes us your destination for an exceptional career. From flexible, work-life harmony to competitive pay and great advancement potential, find everything you're looking for at LMH Health.
You'll find everything you're looking for at LMH Health:
- Join a team that cares about the community
- Tuition reimbursement to support continuing education
- Professional development and recognition
- Excellent benefits
We're looking for you.
Job Description
I. JOB SUMMARY
The Risk Adjustment Quality Specialist plays a vital role in coordinating and supporting prospective, concurrent, and retrospective reviews to assist with patient care management. The position provides education and facilitates chart retrieval for Health Plan audits and reports. This position requires a comprehensive understanding of Hierarchical Condition Categories (HCC) coding to accurately translate, input, extract, and validate medical record data.
This role assists with monitoring quality program performance, including tracking, reporting, and implementation of best practices and program requirements.
II. ESSENTIAL JOB RESPONSIBILITIES
- Perform comprehensive reviews of patient medical records for documentation consistency and adequacy to identify all appropriate coding based on Centers for Medicare & Medicaid Services (CMS) HCC categories.
- Monitor revenue opportunities related to value-based care.
- Manage the provider query process to clarify documentation and ensure the completeness and accuracy of patient diagnoses, particularly related to chronic conditions.
- Utilize evidence based practices to provide providers with targeted feedback and education on improving documentation and coding accuracy, specifically related to HCC.
- Demonstrate analytical and problem-solving ability with regard to barriers in receiving and validating accurate HCC information.
- Analyze performance data to identify trends, gaps, and opportunities for improvement.
- Maintains intermediate to advanced understanding of claims processing procedures, state and federal regulations, and Medicare Part D requirements.
- Utilize coding software to ensure compliance with Medicare, Medicaid, and other payer requirements.
- Collaborate with medical staff to clarify documentation and support accurate coding and reimbursement.
- Participate in audits, quality reviews, and continuous improvement initiatives.
- Educate staff on coding practices and HCC assignments.
- Maintain compliance with policies, procedures, and continuing education requirements.
- Performs other duties as needed or assigned.
III. JOB QUALIFICATIONS
Required:
- Minimum of 3 years of experience in medical coding or risk adjustment with a focus on Hierarchical Care Conditions, value based care contracts, and accountable care organizations.
- Strong knowledge of CMS risk adjustment and quality initiatives, including Hierarchical Condition Categories (HCCs).
- Completion of one of the following through AHIMA accredited programs: Certificate Coding Associate, Certificate Coding Specialist, Certified Professional Coder, Registered Health Information Technician, Registered Health Information Administrator
OR - Credentialed through AAPC
Preferred:
- Registered Nurse
- Associates or Bachelor's Degree in Health Information Management
- 3M Coding Solution Knowledge
Remote Work/Work-from-Home:
This position has hybrid work flexibility. This person must live within Kansas or Missouri, and will be required attend on-site meetings, as scheduled.
Our Cultural Beliefs
- People First
- Integrity Matters
- Better Together
At LMH Health, we value inclusion and diversity. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
About LMH Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Lawrence, KS, US
Year founded
1921