ZipRecruiter

Log In

1

Risk Adjustment Coding Manager Jobs in Missouri (NOW HIRING)

Centene

Senior Business Technical Analyst

Columbia, MO

$87K - $157K/yr

... Management/Health Services team. Centene is a diversified, national organization offering ... code for Encounter Risk Adjustment Prioritization and Encounter Risk Adjustment Chart Process ...

next page

Showing results 1-20

All JobsRisk Adjustment Coding JobsRisk Adjustment Coding Manager JobsRisk Adjustment Coding Manager Jobs in Missouri

Risk Adjustment Coding Manager information

What is a risk adjustment coding manager?

Risk Adjustment Coding Managers are professionals responsible for overseeing the medical coding process related to risk adjustment in healthcare organizations. They ensure accurate coding of diagnoses and procedures to reflect the health status of patients, which is essential for proper reimbursement from Medicare Advantage and other insurance plans. These managers lead teams of coders, maintain compliance with regulations, and implement quality assurance processes to optimize coding accuracy and organizational performance.

What are the key skills and qualifications needed to thrive as a risk adjustment coding manager?

To thrive as a Risk Adjustment Coding Manager, you need expertise in medical coding (CPT, ICD-10), risk adjustment methodologies, and a background in healthcare management, often supported by a coding certification such as CPC, CRC, or CCS. Familiarity with coding software, EHR systems, and data analytics tools is typically required. Strong leadership, attention to detail, and the ability to communicate compliance standards effectively are crucial soft skills. These skills ensure accurate risk adjustment coding, regulatory compliance, and improved financial outcomes for healthcare organizations.

What are some common challenges faced by risk adjustment coding managers, and how can they effectively address them?

Risk Adjustment Coding Managers often encounter challenges such as ensuring coding accuracy, keeping up with regulatory changes, and coordinating across multidisciplinary teams. To address these, effective managers implement rigorous quality assurance processes, provide ongoing coder education, and maintain open communication with clinical, compliance, and data analytics teams. Staying updated on CMS guidelines and fostering a culture of continuous improvement are also key strategies for success in this role.

What is the difference between Risk Adjustment Coding Manager vs Risk Adjustment Coder?

AspectRisk Adjustment Coding ManagerRisk Adjustment Coder
CertificationsAHIMA or AAPC credentials, management experienceAHIMA or AAPC credentials, coding certification
Work EnvironmentSupervisory role, overseeing coding teamsPerforming coding tasks directly on patient records
Employer & IndustryHealth plans, healthcare providers, insurance companiesHospitals, clinics, health plans

The Risk Adjustment Coding Manager oversees coding teams and ensures compliance, while the Risk Adjustment Coder focuses on accurately coding patient records. Both roles require similar certifications but differ in responsibilities and work environment, with managers handling supervision and coders performing detailed coding tasks.

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 Risk Adjustment Coding Manager jobs in Missouri?

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

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

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

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

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

Risk Adjustment Coding Manager jobs near you
Infographic showing various Risk Adjustment Coding Manager job openings in Missouri as of June 2026, with employment types broken down into 37% Full Time, 62% Part Time, and 1% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

Risk Adjustment Manager - CoxHealth Plans

Coxhealth

Springfield, MO

Full-time

Medical, Dental, Vision, Retirement

Re-posted 19 days ago

CoxHealth rating

6.7

Company rating: 6.7 out of 10

Based on 237 frontline employees who took The Breakroom Quiz

535th of 898 rated healthcare providers

Job description

Facility:

CoxHealth Plans: 3200 S National Ave, Springfield, Missouri, United States of America, 65807

Department:

1749 CHP Accounting

Scheduled Weekly Hours:

40

Hours:

8:00-4:30

Work Shift:

Day Shift (United States of America)

CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence:

  • Named one of Modern Healthcare's Best Places to work five times.

  • Named one of America's Greatest Workplaces, Greatest Workplaces in Healthcare (2025, 2026), Greatest Workplaces for Women (2023, 2024), and Greatest Workplaces for Diversity (2024) by Newsweek and Plant-A Insights Group.

  • Acknowledged by Forbes as one of the Best Employers for New Grads.

  • Healthcare Innovation'sTop Companies to Work for in Healthcare (2025).

Benefits

  • Medical, Vision, Dental, Retirement with Employer Match and more (20+ hrs/week)

  • For a comprehensive list of benefits, please click here:Benefits | CoxHealth

Job Description:

This professional position is assigned the responsibility and accountability to manage and coordinate the risk adjustment programs for Cox HealthPlans (CHP). This manager will work with other staff and leaders within CHP to ensure risk-adjusted revenue matches members actual health status. Comprehensively understands financial side of risk adjustment models to analyze the program and provide meaningful analytics to leadership and others. From the financial knowledge obtained develops, designs and executes risk adjustment operational strategies and processes. Ensures compliance with all policies and risk adjustment regulations.

Education
Required: Bachelor's degree in Accounting, Finance, Business, or related field OR 8 years of relevant experience
Experience
Required: at least 5 years of experience in accounting/finance, public health, health administration, health insurance or health related field.
Preferred: Experience with risk adjustment program, government programs compliance, managed care.
Skills:
Attention to detail and self-starter
Previous supervisory experience preferred.
Knowledge of governmental & other regulatory standards, requirements, & guidelines related to risk adjustment and compliance.
Knowledge of personal computers and software. Knowledge of computerized programs.
Knowledge of principles of statistics, preferred. Ability to maintain accurate records.
Ability to communicate effectively, both orally and in writing.
Ability to establish and maintain effective and cooperative working relationships with staff and network providers.
Ability to assume responsibility and exercise good judgment in making decisions within the scope of authority of the position.
Ability to think and work effectively under pressure and accurately complete tasks within established times. Ability to prioritize tasks and meet deadlines.
Ability to maintain confidentiality.
Licensure/Certification/Registration:
N/A

What CoxHealth employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply