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.
Hierarchical Condition Category (HCC) Coding Specialist
Topeka, KS · On-site
$41.85/hr
Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS ... Certified Risk Coder (CRC) * Certified Coding Specialist (CCS) * Registered Health Information ...
Hierarchical Condition Category (HCC) Coding Specialist
Topeka, KS · On-site
$41.85/hr
Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS ... Certified Risk Coder (CRC) * Certified Coding Specialist (CCS) * Registered Health Information ...
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 ...
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 · 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 ...
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 ...
Certified Coder
Winfield, KS · On-site
$18.75 - $24.75/hr
Certified Coder The Certified Coder is accountable for conversion of diagnoses and treatment procedure into codes using an international classification of diseases. Requires skill in the sequencing ...
Certified Coder
Winfield, KS · On-site
$18.75 - $24.75/hr
Certified Coder The Certified Coder is accountable for conversion of diagnoses and treatment procedure into codes using an international classification of diseases. Requires skill in the sequencing ...
PB Coder
Topeka, KS · On-site
$28.06 - $44.20/hr
The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ's and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers ...
PB Coder
Topeka, KS · On-site
$28.06 - $44.20/hr
The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ's and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers ...
Certified Coder
Winfield, KS · On-site
$18.75 - $24.75/hr
The Certified Coder is accountable for conversion of diagnoses and treatment procedure into codes using an international classification of diseases. Requires skill in the sequencing of diagnoses ...
Certified Coder
Winfield, KS · On-site
$18.75 - $24.75/hr
The Certified Coder is accountable for conversion of diagnoses and treatment procedure into codes using an international classification of diseases. Requires skill in the sequencing of diagnoses ...
Certified Coder
Winfield, KS · On-site
$18.75 - $24.75/hr
The Certified Coder is accountable for conversion of diagnoses and treatment procedure into codes using an international classification of diseases. Requires skill in the sequencing of diagnoses ...
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Certified Coder
Winfield, KS · On-site
$18.75 - $24.75/hr
The Certified Coder is accountable for conversion of diagnoses and treatment procedure into codes using an international classification of diseases. Requires skill in the sequencing of diagnoses ...
Certified Coder
Winfield, KS · On-site
$18.75 - $24.75/hr
The Certified Coder is accountable for conversion of diagnoses and treatment procedure into codes using an international classification of diseases. Requires skill in the sequencing of diagnoses ...
Certified Coder
Winfield, KS · On-site
$18.75 - $24.75/hr
The Certified Coder is accountable for conversion of diagnoses and treatment procedure into codes using an international classification of diseases. Requires skill in the sequencing of diagnoses ...
Coder - Outpatient
Topeka, KS · On-site
$34.39/hr
Successful completion of coding courses in anatomy, physiology and medical terminology * 1 year of Hospital and/or Physician Coding * 1 year coding at mid-level facilities or clinics * 1 year coding ...
Coder - Outpatient
Topeka, KS · On-site
$34.39/hr
Successful completion of coding courses in anatomy, physiology and medical terminology * 1 year of Hospital and/or Physician Coding * 1 year coding at mid-level facilities or clinics * 1 year coding ...
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 ...
HIM Coder II
Hays, KS · On-site
$17.25 - $23/hr
Job Summary: The HIM Coder II reports to the Coding Manager and may code any of the following account types: outpatient, single path surgical accounts to include both the abstract and the ...
HIM Coder II
Hays, KS · On-site
$17.25 - $23/hr
Job Summary: The HIM Coder II reports to the Coding Manager and may code any of the following account types: outpatient, single path surgical accounts to include both the abstract and the ...
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 ...
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
$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 ...
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 is a risk adjustment coder?
What are the key skills and qualifications needed to thrive as a risk adjustment coder, and why are they important?
What are some common challenges faced by risk adjustment coders, and how can they be overcome?
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.
How much do risk adjustment coders make in the US?
How to become a risk adjustment coder?
Is risk adjustment coding a good career?
What are the most commonly searched types of Risk Adjustment Coder jobs in Kansas?
The most popular types of Risk Adjustment Coder jobs in Kansas are:
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For Risk Adjustment Coder jobs in Kansas, the most frequently searched job titles are:
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The top searched job categories for Risk Adjustment Coder jobs in Kansas are:

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