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Full Time Optum Health Coding Risk Adjustment Jobs in Chicago, IL

NorthShore

Senior Coding Educator

Skokie, IL · On-site

$32.60 - $48.90/hr

Location: Skokie, IL * Full Time * Hours: Monday-Friday, 8:00am-4:30pm A Brief Overview: The ... Bachelor's degree in Health Information Management, Healthcare Administration, Nursing, or related ...

Endeavor Health

Coding Educator

Skokie, IL

$24.86 - $37.29/hr

Location: Skokie, IL * Full Time/Part Time: Full Time * Hours: Monday-Friday, during normal ... Health Savings Account Options * Retirement Options with Company Match * Paid Time Off and Holiday ...

Deloitte

Medicaid Actuarial Senior Manager

Chicago, IL · On-site

Experience with risk adjustment mechanisms * Experience with Provider reimbursement streams (i.e ... Experience with health care reform and working knowledge of the individual medical and small group ...

Endeavor Health

Coding Educator

Skokie, IL · On-site

$24.86 - $37.29/hr

Location: Skokie, IL * Full Time/Part Time: Full Time * Hours: Monday-Friday, during normal ... Health Savings Account Options * Retirement Options with Company Match * Paid Time Off and Holiday ...

Capital One

Risk Manager

Riverwoods, IL

... health and risk exposure for leadership. * Governance Framework: Establish standards and metadata ... The minimum and maximum full-time annual salaries for this role are listed below, by location.

Endeavor Health

Supervisor, Hospital Coding

Warrenville, IL · On-site

$30.46 - $45.69/hr

Location: Warrenville, IL * Full Time/Part Time: Full Time * Hours: Monday-Friday, [hours and ... Ensure coding practices comply with federal, state, and local healthcare regulations and standards ...

Strive Health

Nurse Practitioner

Merrillville, IN · On-site

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ... Strive Health is an equal opportunity employer and drug free workplace. At this time Strive Health ...

NorthShore

Coding Educator

Skokie, IL · On-site

$24.86 - $37.29/hr

Location: Skokie, IL * Full Time/Part Time: Full Time * Hours: Monday-Friday, during normal ... Health Savings Account Options * Retirement Options with Company Match * Paid Time Off and Holiday ...

UHS

MGR - RISK MANAGEMENT (HEALTHCARE)

Streamwood, IL · On-site

$80K - $121K/yr

Responsibilities Manager - Risk Management (Healthcare) Full Time The Facility Risk Manager is responsible for assisting the Risk/PI Director in coordinating the loss control efforts and advising ...

Strive Health

Nurse Practitioner

Schererville, IN · On-site

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ... Strive Health is an equal opportunity employer and drug free workplace. At this time Strive Health ...

Strive Health

Nurse Practitioner

Chicago, IL · On-site

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and ... Strive Health is an equal opportunity employer and drug free workplace. At this time Strive Health ...

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All JobsOptum Health Coding Risk Adjustment JobsFull Time Optum Health Coding Risk Adjustment JobsFull Time Optum Health Coding Risk Adjustment Jobs in Chicago, IL

Full Time Optum Health Coding Risk Adjustment information

See Chicago, IL salary details

$15

$27

$39

How much do full time optum health coding risk adjustment jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for full time optum health coding risk adjustment in Chicago, IL is $27.15, according to ZipRecruiter salary data. Most workers in this role earn between $22.31 and $30.48 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a full time Optum Health coding risk adjustment professional?

To excel in a Full Time Optum Health Coding Risk Adjustment role, you need a solid understanding of medical coding guidelines, risk adjustment models (such as HCC), and typically a certification like CPC or CRC. Proficiency with coding software, electronic health records (EHRs), and risk adjustment analytics platforms is crucial. Attention to detail, analytical thinking, and effective communication help ensure accuracy and collaboration in documentation and reporting. These skills are vital for optimizing compliant coding, improving patient outcomes, and supporting accurate reimbursement in value-based care environments.

What is a full time Optum Health coding risk adjustment?

A Full Time Optum Health Coding Risk Adjustment job involves reviewing medical records and coding data to ensure accurate risk adjustment for health plan members. Employees in this role typically analyze clinical documentation, assign diagnostic codes, and support compliance with regulatory requirements. Their work ensures that health plans receive appropriate reimbursement by capturing the complexity and severity of patient conditions. This role is essential to maintaining data integrity and supporting overall healthcare quality initiatives.

What is the difference between Full Time Optum Health Coding Risk Adjustment vs Full Time Medical Coder?

AspectFull Time Optum Health Coding Risk AdjustmentFull Time Medical Coder
CertificationsCPR, CPC, or CCS often preferredCPR, CPC, or CCS typically required
Work EnvironmentHealthcare insurance, risk adjustment teamsHospitals, clinics, outpatient facilities
Industry UsageHealth insurance, risk managementHealthcare providers, hospitals
Job FocusRisk adjustment coding, data analysisMedical record coding, billing

Full Time Optum Health Coding Risk Adjustment roles focus on risk adjustment coding within health insurance companies, requiring knowledge of risk models and specific certifications. Full Time Medical Coders primarily work in healthcare facilities, concentrating on accurate medical record coding for billing. While both roles involve coding, their environments and focus areas differ significantly.

What are some common challenges faced by full time Optum Health coding risk adjustment professionals, and how can they be addressed?

Professionals in Full Time Optum Health Coding Risk Adjustment roles often encounter challenges such as keeping up with frequent updates to coding guidelines, managing high volumes of complex patient data, and ensuring accuracy under tight deadlines. Staying current with ongoing training, leveraging available coding support resources, and collaborating closely with clinical teams can help address these challenges. Additionally, using advanced coding tools and regularly participating in team meetings can improve both accuracy and workflow efficiency.
What are the most commonly searched types of Optum Health Coding Risk Adjustment jobs in Chicago, IL? The most popular types of Optum Health Coding Risk Adjustment jobs in Chicago, IL are:
What are popular job titles related to Full Time Optum Health Coding Risk Adjustment jobs in Chicago, IL? For Full Time Optum Health Coding Risk Adjustment jobs in Chicago, IL, the most frequently searched job titles are:
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Full Time Optum Health Coding Risk Adjustment jobs near you

Senior Coding Educator

NorthShore

Skokie, IL • On-site

$32.60 - $48.90/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 29 days ago

Endeavor Health rating

7.1

Company rating: 7.1 out of 10

Based on 394 frontline employees who took The Breakroom Quiz

378th of 887 rated healthcare providers

Job description

Hourly Pay Range:
$32.60 - $48.90 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.
Position Highlights:
  • Position: Senior Coding Educator
  • Location: Skokie, IL
  • Full Time
  • Hours: Monday-Friday, 8:00am-4:30pm

A Brief Overview:
The purpose of this job is to educate physicians, other qualified billing providers, and ancillary staff on their documentation for all specialties and review providers progress notes, as needed, to ensure coding/billing compliance in accordance with coding rules, third party payor guidelines, governmental regulations, and MG's Coding Compliance Program. The Senior Analyst will conduct face-to-face summary review sessions to report findings to the Practice Manager, Provider audited, and/or Senior Management of the MG. Through the audit/review process, this person will also conduct a report back to the provider and practice manager any income enhancing opportunities that might be uncovered in the investigation. The Senior Analyst, as a coding and billing expert, will assist all freestanding and provider-based outpatient departments with ICD-10, CPT-4, and HCPCS coding education and billing regulation interpretation. They will also assist in conducting department presentations.
What you will do:
  • Analyzes progress notes, op reports, pathology reports, encounter forms, explanation of benefits, patient insurance information, and various other health information documents for pro-fee coding and billing accuracy.
  • Assigns appropriate ICD-10, CPT, and HCPCS codes to medical record documentation under review by applying physician specialty coding rules, third party payor guidelines, and Medicare Local Medical Review Policies.
  • Assists Manager/Director with providing information to the physician or medical specialty based on the Office of Inspector General's (OIG) and Centers for Medicare and Medicaid Services (CMS) risk areas. Reads the OIG's Semi-Annual reports and the OIG'S/CMS's Annual Workplan, in addition to notifications published on government websites.
  • Performs physician and departmental documentation reviews based on industry standard coding and billing guidelines and payer policies to provide documentation and workflow improvement opportunities.
  • Works with MG physicians or clinic personnel, HIRS, to interpret medical record documentation and/or documentation summary as necessary.
  • Works with Customer Service and MG Operations to review and resolve escalated patient coding disputes.
  • Works collaboratively with Billing, HIRS, overseeing provider/specialty and Denials Management Team to provide educational and/or income enhancing opportunities when issues are identified by those teams.
  • Conducts educational sessions with Site Directors, Practice Managers, and providers on frequently seen coding errors in their site and assists with implementing changes to improve coding quality and minimize compliance risk.
  • Provides feedback to Manager/ Director that identifies inefficient coding/operational processes.
  • Assists with related special projects as assigned by Manager/ Director.
  • Initiate and provide coding education to all MG billing providers, focusing on Evaluation and Management (E&M) documentation and billing requirements, as well as any specialty-specific coding guidelines.
  • Works on special projects with the Hospital Billing Business Office and/or the Finance Department to perform reimbursement analysis functions as assigned by Manager/ Director.
  • Submits ideas to Manager of Coding Quality & Auditing departmental newsletter based on coding/billing issues, coding help-line questions, or results of provider audits. May produce Monthly Newsletter if assigned.
  • Participates in Coding and Business Operation Education in-services assigned by Manager
  • Researches multi-specialty coding and billing questions received from the Coding Help-line/email for EHMG provider/staff and provides verbal or written response as appropriate. Maintains filing system of all questions received and answers provided to caller.
  • Identifies trends or patterns of questionable coding and billing practices at Hospital Outpatient and Medical Group sites and reports issues to Manager.
  • Reports compliance concerns to Manager or compliance hotline according to the Endeavor Healthcare Corporate Compliance Policy/Procedures.
  • Develops physician coding tools such as ICD-10 and CPT-4 cheat sheets, coding grids, tip sheets and other educational material for multi-specialty providers to identify appropriate codes or modifiers reimbursed by payers for services performed.
  • Assists in the creation of progress note templates per specialty utilizing the CMS documentation regulations or CPT Assistant guidelines as requested by physician's) or assigned by supervisor.
  • Attends multi-specialty physician coding, billing, reimbursement seminars to maintain and increase coding, billing, reimbursement expertise/ knowledge.
  • Maintains coding credential by obtaining the requiring continuing education credits per calendar year.

What you will need:
  • Degree: Bachelor's degree in Health Information Management, Healthcare Administration, Nursing, or related field required; equivalent years of work experience in related field will be considered in lieu of degree
  • Certification: RHIA, RHIT, CCS-P, CCS, or CPC required. CPMA preferred.
  • Experience: 3-5 years of related experience in physician and hospital outpatient medical billing, reimbursement, physician audits, chart review, coding compliance, medical office or patient accounts. 1-2 years' experience working with Senior Physician Management a plus

Other required skills
  • The ability to work independently, with little to no supervision
  • Strong presentation and communication skills
  • The ability to interpret and analyze medical record documentation, encounter forms, and lab reports, Explanation of Benefits, CMS claim forms, third party payor guidelines and government regulations.
  • Aptitude for medical terminology, ICD-10, CPT-4, and HCPCS coding systems.
  • Demonstrated expertise in multi-specialty evaluation & management (E/M) coding.
  • Knowledge of research steps utilized to identify appropriate code selection or billing requirements.
  • Proficiency in MS Office's suite of products, including Excel and PowerPoint, and the internet.
  • Experience with Epic Billing Systems, including chart review, transaction inquiry, etc.

Benefits:
  • Career Pathways to Promote Professional Growth and Development
  • Various Medical, Dental, and Vision options
  • Tuition Reimbursement
  • Free Parking at designated locations
  • Wellness Program Savings Plan
  • Health Savings Account Options
  • Retirement Options with Company Match
  • Paid Time Off and Holiday Pay
  • Community Involvement Opportunities

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. Located in Naperville, Linden Oaks Behavioral Health, provides for the mental health needs of area residents. For more information, visit https://www.endeavorhealth.org/careers.
When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.
Please explore our website (https://www.endeavorhealth.org/careers) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best".
Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.
Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.

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