Risk Adjustment Coder
Blue Cross and Blue Shield of Kansas City
About this role
Develops expert knowledge of CMS Commercial Risk Adjustment and Medicare Advantage rating models to support clinical coding programs and ensure accuracy and integrity of data submitted to CMS. Focuses on evaluating organizational programs to assess risk scores and star measure outcomes and identifying opportunities for improvement. Works within the health plan’s risk adjustment operations to advance coding quality and compliance.
Skills
Qualifications
About Blue Cross and Blue Shield of Kansas City
bluekc.comBlue Cross and Blue Shield of Kansas City (Blue KC) is a health insurance provider dedicated to offering comprehensive health plans for individuals, families, and groups. With a focus on helping members live healthy and fearless lives, Blue KC provides a range of coverage options tailored to meet diverse needs. The company prides itself on being a trusted partner in health, renowned for its commitment to service and community engagement in the Kansas City area.
Recent company news
Central Penn Business JournalHighmark Inc., Blue KC announce affiliation agreement
Dec 12, 2025
Kansas City CurrentKansas City Current Hosts Fourth Annual Sideline the Stigma Event, Presented by Blue Cross and Blue Shield of Kansas City
Sep 29, 2025
The Business JournalsBlue Cross and Blue Shield of Kansas City announces change in CEO
Oct 29, 2025
PennLive.comPittsburgh-based health insurance giant Highmark announces venture with a new Blue plan
Dec 15, 2025
Modern HealthcareHighmark Health proposes affiliation with BCBS Kansas City
Dec 11, 2025
About Blue Cross and Blue Shield of Kansas City
Headquarters
San Francisco, CA
Company Size
201-500 employees
Founded
2018
Industry
Technology
Glassdoor Rating
4.2 / 5
Leadership Team
Sarah Johnson
Chief Executive Officer
Michael Chen
Chief Technology Officer
Emily Williams
VP of Engineering
David Rodriguez
VP of Product
Jessica Thompson
Chief Financial Officer
Andrew Park
VP of Sales
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View leadership team, funding history,
and employee contacts for Blue Cross and Blue Shield of Kansas City.
Salary
$79k – $106k
per year