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Risk Adjustment Coder Jobs in Kansas (NOW HIRING)

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 · 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 ...

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 ...

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 ...

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Risk Adjustment Coder information

See Kansas salary details

$14

$24

$38

How much do risk adjustment coder jobs pay per hour?

As of Jul 29, 2026, the average hourly pay for risk adjustment coder in Kansas is $24.52, according to ZipRecruiter salary data. Most workers in this role earn between $16.92 and $30.87 per hour, depending on experience, location, and employer.

What do risk adjustment coders do?

Risk adjustment coders review medical records and assign accurate diagnosis codes to reflect patients' health conditions. Their work helps insurance companies and healthcare organizations assess risk and determine appropriate reimbursements, often using coding systems like ICD-10. Attention to detail and knowledge of coding guidelines are essential for accuracy in this role.

What is the difference between Risk Adjustment Coder vs Medical Coder?

AspectRisk Adjustment CoderMedical Coder
CertificationsCPR, RHIT, CCS, or CPC often preferredCCS, CPC, or CPC-H
Work EnvironmentHealthcare facilities, insurance companies, remoteHospitals, clinics, physician offices
Industry UsageHealth plans, risk adjustment programsGeneral 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?

Risk adjustment coders specializing in Hierarchical Condition Category (HCC) coding play a vital role in healthcare reimbursement and risk management. The field offers steady demand, opportunities for certification, and potential for career advancement, especially for those with strong attention to detail and knowledge of medical coding and billing systems.

What are Risk Adjustment Coders?

Risk Adjustment Coders are healthcare professionals who review and analyze patient medical records to ensure accurate coding of diagnoses and procedures for risk adjustment purposes. Their work is crucial for health plans and providers, as it affects reimbursement rates and compliance with government programs like Medicare Advantage and the Affordable Care Act. These coders use specialized knowledge of coding systems, such as ICD-10, to assign appropriate codes that reflect patients’ health status and help organizations receive proper funding for patient care.

What are the key skills and qualifications needed to thrive as a Risk Adjustment Coder, and why are they important?

To thrive as a Risk Adjustment Coder, you need a solid understanding of medical coding (especially ICD-10-CM), healthcare regulations, and risk adjustment methodologies, typically supported by certifications like CRC or CPC. Proficiency with coding software, electronic health records (EHR) systems, and auditing tools is essential. Attention to detail, analytical thinking, and strong organizational skills set top performers apart in this role. These competencies ensure accurate coding, compliance, and optimal reimbursement for healthcare organizations.

How to become a risk adjustment coder?

To become a risk adjustment coder, typically one needs a high school diploma or equivalent, followed by completing a coding certification program such as Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC). Experience with medical coding, understanding of healthcare documentation, and proficiency in coding software are also important for this role.

What pays more, CCS or CPC?

As a Risk Adjustment Coder, CPC (Certified Professional Coder) typically offers higher pay than CCS (Certified Coding Specialist) because CPCs are often more versatile and in demand across various healthcare settings. However, salaries can vary based on experience, certification, and geographic location. Both certifications are valuable, but CPCs generally have higher earning potential in the coding field.

What are some common challenges faced by Risk Adjustment Coders, and how can they be overcome?

Risk Adjustment Coders often encounter challenges such as interpreting complex medical documentation and ensuring accurate code assignment to reflect patient risk profiles. Keeping up with frequent updates to coding guidelines and payer requirements can also be demanding. To overcome these challenges, coders should engage in continuous education, actively participate in team discussions to clarify ambiguities, and utilize available coding resources or auditing tools. Strong communication with providers and attention to detail are key to maintaining compliance and high-quality coding standards.
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:
What are popular job titles related to Risk Adjustment Coder jobs in Kansas? For Risk Adjustment Coder jobs in Kansas, the most frequently searched job titles are:
What job categories do people searching Risk Adjustment Coder jobs in Kansas look for? The top searched job categories for Risk Adjustment Coder jobs in Kansas are:
Infographic showing various Risk Adjustment Coder job openings in Kansas as of July 2026, with employment types broken down into 1% As Needed, 77% Full Time, 14% Part Time, and 8% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $50,998 per year, or $24.5 per hour.
Risk Adjustment Quality Specialist

Risk Adjustment Quality Specialist

LMH Health

Lawrence, KS • On-site

Full-time

Posted 26 days ago


Job description

Something special starts here.
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.