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Seasonal Hcc Risk Adjustment Coding Jobs in Missouri

The Risk Adjustment Coding Auditor ensures the accuracy and completeness of coded clinical data to ... HCC coding experience in utilizing inpatient and outpatient coding guidelines * 5+ years of ...

Telehealth Nurse Practitioners

California, MO ยท On-site

$110.70 - $132.84/hr

Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II ...

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Telehealth Nurse Practitioner

Jefferson City, MO ยท On-site +1

$600 - $720/day

Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II ...

Risk Adjustment Director

California, MO ยท On-site

$200 - $250/hr

Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations

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Seasonal Hcc Risk Adjustment Coding information

What is a seasonal HCC risk adjustment coder?

A Seasonal HCC Risk Adjustment Coder is a healthcare professional who reviews medical records to identify and code diagnoses that impact risk adjustment scores, typically during peak periods such as the Medicare Advantage sweep season. HCC stands for Hierarchical Condition Category, a coding system used by Medicare to predict healthcare costs based on patient diagnoses. These coders ensure accurate documentation, which directly affects insurance reimbursement and compliance. Seasonal roles are common due to the cyclical nature of risk adjustment reporting deadlines.

What are the key skills and qualifications needed to thrive as a seasonal HCC risk adjustment coder?

To thrive as a Seasonal HCC Risk Adjustment Coder, you need a strong understanding of ICD-10-CM coding, risk adjustment methodologies, and a certification such as CPC, CRC, or CCS. Proficiency in coding software, electronic health records (EHRs), and risk adjustment platforms is typically required. Attention to detail, analytical thinking, and strong organizational skills help ensure accuracy and compliance in reviewing medical records. These skills are essential to accurately capture patient risk profiles, support healthcare reimbursement, and maintain regulatory compliance.

What are the most common challenges faced by professionals in seasonal HCC risk adjustment coding roles, and how can they be managed?

Seasonal HCC Risk Adjustment Coders often face the challenge of managing high volumes of medical records within tight deadlines, especially during peak audit or submission periods. Ensuring coding accuracy and compliance with evolving CMS guidelines can also be demanding, as even minor errors may impact reimbursement and risk scores. Staying organized, regularly participating in training updates, and leveraging coding software tools can help manage workloads and maintain accuracy. Collaborating closely with clinical teams and other coders is vital for clarifying documentation and sharing best practices.

What is the difference between Seasonal Hcc Risk Adjustment Coding vs Hcc Risk Adjustment Coding?

AspectSeasonal Hcc Risk Adjustment CodingHcc Risk Adjustment Coding
CredentialsCertifications in coding and risk adjustmentCertifications in coding and risk adjustment
Work EnvironmentHealthcare facilities, insurance companies, remoteHealthcare facilities, insurance companies, remote
Industry UsageUsed seasonally for specific risk adjustmentsUsed year-round for ongoing risk management
Search IntentUnderstanding seasonal coding differencesGeneral risk adjustment coding practices

Seasonal Hcc Risk Adjustment Coding focuses on coding practices during specific times of the year, often related to seasonal health trends. In contrast, Hcc Risk Adjustment Coding involves continuous coding to manage patient risk profiles throughout the year. Both roles require similar certifications and work environments but differ mainly in their temporal focus and application.

What are popular job titles related to Seasonal Hcc Risk Adjustment Coding jobs in Missouri?

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

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

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

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

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

Risk Adjustment Coding Auditor

TEKsystems

Saint Louis, MO โ€ข Remote

$32 - $37/hr

Contractor

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago


Job description

Job Description

The Risk Adjustment Coding Auditor ensures the accuracy and completeness of coded clinical data to support compliant reporting and appropriate reimbursement across risk adjustment programs. The role strengthens organizational performance by identifying coding and documentation gaps, mitigating financial and regulatory risk, and improving data integrity. It provides subject matter expertise to support consistent application of coding standards and enables informed decision-making across the enterprise.

Your Responsibilities

  • Evaluates risk adjustment codes to ensure accuracy, consistency, and alignment with coding standards and best practices
  • Protects patient records and audit information by ensuring compliance with HIPAA, privacy, security, and regulatory requirements
  • Performs Retrospective and Prospective chart reviews to ensure accurate risk adjustment reporting
  • Verifies and ensures the accuracy, completeness, specificity and appropriateness of providerโ€‘reported diagnosis codes based on medical record documentation
  • Reviews medical record information to identify complete and accurate diagnosis code capture based on CMS HCC categories
  • Maintains knowledge of relevant regulatory mandates and ensures activities are in compliance with requirements
  • Provide written and verbal guidance on coding errors to others
  • Meets audit deliverables within established timelines and deadlines

Skills

Audit, CRC, Coding, Risk Adjustment, Health Insurance

Qualifications

Required skills and experiences

  • 7+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
  • 5+ years of HCC coding experience in utilizing inpatient and outpatient coding guidelines
  • 5+ years of experience auditing Risk Adjustment records
  • CRC (Certified Risk Coder) in good standing
  • Intermediate level of knowledge in risk adjustment Medicare, ACA Commercial and Medicaid models

Preferred skills and experiences (NOT REQUIRED)

  • Bachelorโ€™s degree
  • HEDIS/STARS experience
  • Provider education experience
  • Prior RADV experience
  • CPMA or other coding credentials
  • NLP Software experience
Job Type & Location

This is a Contract position based out of St. Louis, MO.

Pay and Benefits

The pay range for this position is $32.00 - $37.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: โ€ข Medical, dental & vision โ€ข Critical Illness, Accident, and Hospital โ€ข 401(k) Retirement Plan โ€“ Pre-tax and Roth post-tax contributions available โ€ข Life Insurance (Voluntary Life & AD&D for the employee and dependents) โ€ข Short and long-term disability โ€ข Health Spending Account (HSA) โ€ข Transportation benefits โ€ข Employee Assistance Program โ€ข Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Aug 11, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

Weโ€™re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. Weโ€™re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. Weโ€™re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. Weโ€™re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.


TEKsystems logo

About TEKsystems

Sourced by ZipRecruiter

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

Industry

It services

Company size

1,001 - 5,000 Employees

Headquarters location

Hanover, MD, US