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From Home Hcc Risk Adjustment Coder Jobs in Chicago, IL

SouthernCare

HCC

Merrillville, IN · On-site

Join our growing team as a Hospice Care Consultant (HCC) - a strategic sales representative who ... from illness, injury, or surgery in the comfort of their homes to guiding patients and their ...

CNA

Risk Control Consultant, Virtual Center

Chicago, IL · On-site +1

$72K - $141K/yr

Responsibilities are performed primarily in a remote, work-from-home environment, leveraging virtual tools and technologies to deliver risk control assessments and consultative services. Recognized ...

Safety National

Risk Control Manager

Chicago, IL · On-site

All employees are required to submit work from home requests and follow our Work From Home policy ... Some public entity risk management experience is a plus. * Large or enterprise sized account ...

Rush University

HIM Coder

Chicago, IL · On-site

$29.36 - $47.79/hr

... from-home space Ability to apply local, state, and federal coding guidelines with attention to detail. Responsibilities: • Assigns ICD-10-CM-PCS and/or CPT-4 diagnostic and procedure codes to ...

Rush University Medical Center

HIM Coder

Chicago, IL · Remote

$29.36 - $47.79/hr

... from-home space Ability to apply local, state, and federal coding guidelines with attention to detail. Responsibilities: • Assigns ICD-10-CM-PCS and/or CPT-4 diagnostic and procedure codes to ...

Rush

HIM Coder

Chicago, IL · On-site

$29.36 - $47.79/hr

... from-home space Ability to apply local, state, and federal coding guidelines with attention to detail. Responsibilities: • Assigns ICD-10-CM-PCS and/or CPT-4 diagnostic and procedure codes to ...

Rush University

HIM Coder - Outpatient

Chicago, IL · On-site

$29.36 - $47.79/hr

... from-home space Ability to apply local, state, and federal coding guidelines with attention to detail. Responsibilities: • Assigns ICD-10-CM-PCS and/or CPT-4 diagnostic and procedure codes to ...

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From Home Hcc Risk Adjustment Coder information

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How much do from home hcc risk adjustment coder jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for from home hcc risk adjustment coder in Chicago, IL is $28.32, according to ZipRecruiter salary data. Most workers in this role earn between $19.57 and $35.67 per hour, depending on experience, location, and employer.

What is a from home HCC risk adjustment coder?

From Home HCC Risk Adjustment Coders are health information professionals who work remotely to review medical records and assign appropriate codes based on Hierarchical Condition Categories (HCC) for risk adjustment purposes. Their work ensures that healthcare providers receive accurate reimbursement from insurance companies, particularly Medicare Advantage plans. These coders must have a strong understanding of ICD-10-CM coding guidelines, clinical documentation, and risk adjustment models. Working from home allows for flexibility, but still requires strict attention to detail and adherence to privacy regulations.

What are some common challenges faced by from home HCC risk adjustment coders, and how can they be managed?

From Home HCC Risk Adjustment Coders often face challenges such as interpreting complex medical records, staying updated with evolving coding guidelines, and managing productivity without in-person supervision. To overcome these, coders should prioritize ongoing education, use reliable coding resources, and maintain clear communication with their remote team. Setting a structured daily routine and participating in virtual team check-ins can also help maintain focus and ensure consistent quality in code assignments.

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

To thrive as a From Home HCC Risk Adjustment Coder, you need a thorough understanding of ICD-10-CM coding, risk adjustment models, and medical terminology, usually backed by a coding certification such as CPC, CRC, or CCS. Familiarity with electronic health record (EHR) systems, coding software, and secure remote work platforms is essential. Strong attention to detail, time management, and self-motivation are vital soft skills for ensuring accuracy and productivity while working independently. These skills are crucial for maintaining compliance, optimizing reimbursement, and ensuring data integrity in a remote environment.

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From Home Hcc Risk Adjustment Coder jobs near you

Coding Investigator Auditor - Work From Home

Health Care Service Corporation

Chicago, IL • Remote

$55K - $123K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 4 days ago

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job SummaryThis position is responsible for auditing clinical, billing, coding and lowest cost setting reviews for services pre and post payment utilizing medical, contractual, legislative, policy, and other information to validate claims submitted and billed. Conducting research. Preparing documentation of findings and consulting with special investigation and the affordability of care area as needed. Coordinating with all departments involved in each case required such as medical director special investigations, customer service, pass, network management, marketing, case management, medical review, legal, pricing and database.

Required Job Qualifications:

  • Bachelor's degree; one year of business experience, law enforcement experience, or regulatory agency experience may substitute for each year of college.
  • Certified Coding Certification, or acquire within 24 months of hire
  • 3 years of experience in claims processing operations and reporting systems, including 2 years of experience in auditing or developing computer system reports.
  • Knowledge of accreditation, i.e. URAC, NCQA standards and health insurance legislation.
  • Awareness of claims processes and claims processing systems.
  • PC proficiency to include Microsoft Word and Excel and health insurance databases.
  • Verbal and written communication skills with ability to communicate to physicians, members and providers and compose and explain document findings.
  • Organizational skills and prioritization skills

Preferred Job Qualifications:

  • Current AAPC Medical Coding Certification

#LI-MW2

#LI-Remote

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range$55,900.00 - $123,500.00

Exact compensation may vary based on skills, experience, and location.

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