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Certified Risk Adjustment Coder Jobs in Illinois

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ... Responsible for maintaining current board certification and state-specific continuing education ...

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ... Responsible for maintaining current board certification and state-specific continuing education ...

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ... Responsible for maintaining current board certification and state-specific continuing education ...

Model Risk Analyst

Chicago, IL ยท On-site

$75K - $125K/yr

Basic understanding in fixed income securities or mortgage products (CFA/FRM certifications a plus ... A coding challenge * A case study * A client-specific assessment We will always explain what to ...

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ... Responsible for maintaining current board certification and state-specific continuing education ...

Finance Tutor

Schaumburg, IL ยท Remote

$18 - $40/hr

... certification examinations. * Conceptual Teaching & Problem-Solving: Skilled at breaking down ... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ...

Finance Tutor

Evanston, IL ยท Remote

$18 - $40/hr

... certification examinations. * Conceptual Teaching & Problem-Solving: Skilled at breaking down ... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ...

Finance Tutor

Buffalo Grove, IL ยท Remote

$18 - $40/hr

... certification examinations. * Conceptual Teaching & Problem-Solving: Skilled at breaking down ... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ...

Finance Tutor

Champaign, IL ยท Remote

$18 - $40/hr

... certification examinations. * Conceptual Teaching & Problem-Solving: Skilled at breaking down ... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ...

Finance Tutor

Chicago, IL ยท Remote

$18 - $40/hr

... certification examinations. * Conceptual Teaching & Problem-Solving: Skilled at breaking down ... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ...

Finance Tutor

Des Plaines, IL ยท Remote

$18 - $40/hr

... certification examinations. * Conceptual Teaching & Problem-Solving: Skilled at breaking down ... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ...

Finance Tutor

Naperville, IL ยท Remote

$18 - $40/hr

... certification examinations. * Conceptual Teaching & Problem-Solving: Skilled at breaking down ... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ...

Finance Tutor

Highland Park, IL ยท Remote

$18 - $40/hr

... certification examinations. * Conceptual Teaching & Problem-Solving: Skilled at breaking down ... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ...

Finance Tutor

Normal, IL ยท Remote

$18 - $40/hr

... certification examinations. * Conceptual Teaching & Problem-Solving: Skilled at breaking down ... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ...

Finance Tutor

Oak Lawn, IL ยท Remote

$18 - $40/hr

... certification examinations. * Conceptual Teaching & Problem-Solving: Skilled at breaking down ... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ...

Finance Tutor

Dekalb, IL ยท Remote

$18 - $40/hr

... certification examinations. * Conceptual Teaching & Problem-Solving: Skilled at breaking down ... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ...

Finance Tutor

Lake Forest, IL ยท Remote

$18 - $40/hr

... certification examinations. * Conceptual Teaching & Problem-Solving: Skilled at breaking down ... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ...

Finance Tutor

Wheaton, IL ยท Remote

$18 - $40/hr

... certification examinations. * Conceptual Teaching & Problem-Solving: Skilled at breaking down ... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ...

Showing results 41-60

Certified Risk Adjustment Coder information

See Illinois salary details

$16

$28

$68

How much do certified risk adjustment coder jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for certified risk adjustment coder in Illinois is $28.38, according to ZipRecruiter salary data. Most workers in this role earn between $21.20 and $28.17 per hour, depending on experience, location, and employer.

What is a Certified Risk Adjustment Coder?

A Certified Risk Adjustment Coder is a professional who specializes in reviewing and coding medical records to ensure accurate documentation of diagnoses for risk adjustment purposes. These coders play a crucial role in healthcare reimbursement, especially for Medicare Advantage and other risk-adjusted health plans. They analyze patient records using ICD-10-CM codes to help healthcare organizations receive appropriate compensation based on the severity of patient conditions. Certified Risk Adjustment Coders typically hold certifications such as the CRC from the AAPC, demonstrating their expertise in this specialized field.

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

To thrive as a Certified Risk Adjustment Coder, you need expertise in medical coding, a thorough understanding of ICD-10-CM guidelines, and certification such as CRC (Certified Risk Adjustment Coder). Familiarity with coding software, electronic health records (EHRs), and risk adjustment models like HCC is typically required. Attention to detail, analytical thinking, and strong communication skills help ensure accurate code assignment and effective collaboration with healthcare providers. These skills and qualifications are crucial for capturing precise patient data, which directly impacts healthcare reimbursement and compliance.

What are some common challenges Certified Risk Adjustment Coders face, and how can they overcome them?

Certified Risk Adjustment Coders often encounter challenges such as staying current with evolving coding guidelines and accurately interpreting complex medical records. To overcome these difficulties, coders should regularly participate in ongoing education, leverage resources from professional organizations, and collaborate closely with providers to clarify documentation. Maintaining a strong attention to detail and utilizing coding software tools can also help minimize errors and improve coding accuracy. Engaging in peer reviews within the team can further enhance consistency and knowledge sharing.

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

AspectCertified Risk Adjustment CoderCertified Medical Coder
CertificationsRequires risk adjustment-specific credentials like RAC, CRC, or CPC-RRequires CPC or CCS certifications
Work EnvironmentPrimarily in health insurance, risk adjustment, and payer settingsHospitals, clinics, physician offices, and outpatient facilities
Industry UsageUsed mainly in health insurance and risk adjustment programsUsed across healthcare providers for medical coding and billing

The Certified Risk Adjustment Coder specializes in coding for risk adjustment programs within health insurance, focusing on accurate documentation for reimbursement. In contrast, the Certified Medical Coder works across various healthcare settings, primarily coding diagnoses and procedures for billing. While both roles require coding certifications, their focus areas and work environments differ significantly.

How do you become a certified risk adjustment coder?

To become a certified risk adjustment coder, you typically need to complete relevant training or coursework in medical coding and risk adjustment, gain experience in medical billing or coding, and pass a certification exam such as the Certified Risk Adjustment Coder (CRC) offered by the American Academy of Professional Coders (AAPC). Continuing education is often required to maintain certification and stay current with industry updates.

Is certified risk adjustment coding a good career?

Certified risk adjustment coding is a growing field within healthcare, focusing on accurately coding patient diagnoses for insurance reimbursement and risk assessment. It requires knowledge of medical terminology, coding systems like ICD-10, and often involves certification such as the RAC or CRC. The role offers stable employment opportunities, competitive salaries, and the potential for remote work, making it a viable career choice for those interested in healthcare administration and coding.

What are popular job titles related to Certified Risk Adjustment Coder jobs in Illinois?

For Certified Risk Adjustment Coder jobs in Illinois, the most frequently searched job titles are:

What cities in Illinois are hiring for Certified Risk Adjustment Coder jobs?

Cities in Illinois with the most Certified Risk Adjustment Coder job openings:

Infographic showing various Certified Risk Adjustment Coder job openings in Illinois as of August 2026, with employment types broken down into 2% As Needed, 80% Full Time, 12% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $59,033 per year, or $28.4 per hour.

Nurse Practitioner

Strive Health

Champaign, IL โ€ข On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 29 days ago


Job description

How You'll Make An Impact
At Strive Health, patients come first. We're on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through every stage of their health journey.
Our work reduces emergency visits, improves outcomes, and helps patients live fuller lives. You'll work alongside passionate Strivers who care deeply about making an impact, show up for one another as One Team, and find ways to elevate the everyday.
If you're looking for meaningful work where your contributions truly matter, you'll feel right at home at Strive!
Benefits & Perks
  • Hybrid-Remote Flexibility -Work from home while fulfilling in-person needs at the office, clinic, or patient home visits.
  • Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts.
  • Financial & Retirement Support - Competitive compensation with a performance-based bonus program, 401k with employer match, and financial wellness resources.
  • Time Off & Leave - Paid holidays, vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves.
  • Wellness & Growth - Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend.

To learn more about our offerings, click here.
How You'll Make An Impact
As a Clinical Lead within our interdisciplinary team, you do more than treat a diagnosis-you are the visionary architect of a better life for patients navigating the complexities of CHF, CKD/ESKD, and other chronic conditions. At Strive, we have shattered the constraints of the 15-minute office visit. Here, you are granted the true autonomy to provide longitudinal, deeply personal care that meets patients exactly where they are: in their homes and via telehealth.
In this role, you will harness the power of advanced analytics, cutting-edge technology platforms, and seamless interdisciplinary collaboration to ensure world-class care reaches the right patient at the precise moment they need it. As the trusted navigator for a dedicated panel, you will blend high-touch clinical expertise with a radical "whole-person" approach. Your mission is to move the needle on what truly matters:
  • Keeping patients out of the hospital.
  • Slowing disease progression, ensuring every individual feels seen, heard, and deeply cared for.

Strive is fiercely committed to advancing technology that makes the Nurse Practitioner role as efficient as it is impactful. We are obsessed with reducing administrative burden, clearing the path so you can reclaim your time for what you do best: meaningful clinical care and transformative patient engagement.
The Day to Day
  • Manages a defined patient panel with accountability for quality, cost and outcomes. Collaborates with external providers and care teams to ensure goals, treatment, and care plan alignment.
  • Obtains patient history, performs physical exam, orders and interprets diagnostic tests and formulates a plan for individual patient short-term and longitudinal needs.
  • Ensures assessment and plan of care incorporate best practices for chronic kidney care including management of all stages of CKD, ESKD and heart failure. Will support transitions to renal replacement therapy, transplant, or conservative care) as well as participation in shared decision-making and end-of-life/advanced care planning discussions.
  • Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care.
  • Presents patient cases and provides clinical support for clinical rounds and interdisciplinary team meetings.
  • Serves patients and performs patient visits in multiple care settings a including patient home, telehealth visits or dialysis clinics/partner MD space (where applicable).
  • Responsible for maintaining current board certification and state-specific continuing education requirements.
  • Adheres to expectations outlined in Strive's documentation policy
  • Provides in-person patient care which may include standing, sitting, walking, pushing, pulling, and lifting.

Minimum Qualifications
  • Master's degree in Nursing or similar field.
  • 2+ years experience as a Family Nurse Practitioner (NP), Primary Care Nurse Practitioner (NP) or equivalent with specialization in cardiology (CHF) or Nephrology (CKD)
  • 2+ years experience with Electronic Health Records (EHR)
  • Current state specific licensure.
  • National Board Certification.
  • Current Drug Enforcement Administration (DEA) license or eligible to obtain within 90 days of hire.
  • Current BLS or CPR Certification.
  • Efficient and reliable transportation, including an active driver's license, allowing for the ability to travel across an assigned region to meet patient needs. Locations may include offices, clinics, and patient homes.
  • Basic computer and Microsoft Office skills
  • Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms.

Preferred Qualifications
  • Demonstrated expertise in CKD management (Stages 3-5), ESRD care, and dialysis management (hemodialysis and/or peritoneal dialysis, HHD), including medication optimization, volume assessment, and complication management
  • Experience leading care transitions across settings (hospital โ†’ outpatient โ†’ dialysis) with a focus on reducing readmissions and ensuring continuity of care
  • Proven ability to deliver comprehensive patient education on kidney disease progression, dialysis modality selection (home vs. in-center), and kidney transplant pathways to support informed, shared decision-making
  • 2+ years experience with Electronic Health Records (EHR).
  • Wound Care certification
  • Experience using audio-visual technology platforms

About You
  • Demonstrated proficiency in clinical assessment, diagnosis, planning, implementation, documentation, and evaluation of complex chronic patients.
  • Excellent communicator, team builder, and evidence of results.
  • Demonstrated knowledge and understanding of data and managing clinical, financial, and patient satisfaction outcomes.
  • Excels at developing and fostering strong patient and family relationships that center on engagement, trust, honesty, empathy, follow-through and doing what's best for the patient.

Annual Salary Range: $120,000.00 - $151,000.00. **This range is inclusive of a geographic differential if located within 50 miles of the Chicago Metro area. This position is also eligible for a target annual bonus of 10%
Final compensation will be determined based on location, experience, and qualifications.
Strive Health is an equal opportunity employer and drug free workplace. At this time Strive Health is unable to provide work visa sponsorship. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Please apply even if you feel you do not meet all qualifications. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to talentacquisition@strivehealth.com.
We do not accept unsolicited resumes from outside recruiters/placement agencies. Strive Health will not pay fees associated with resumes presented through unsolicited means.