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Hcc Risk Adjustment Coder Jobs in Chicago, IL (NOW HIRING)

Town Square Health

Director, Risk Adjustment

Chicago, IL · On-site

Build and lead a team, shaping how we hire, develop, and retain coding and RCM talent * Influence ... HCC/risk adjustment documentation * Experience leading or contributing to documentation strategy in ...

Town Square Health

Director, Risk Adjustment

Chicago, IL · On-site

Build and lead a team, shaping how we hire, develop, and retain coding and RCM talent * Influence ... HCC/risk adjustment documentation * Experience leading or contributing to documentation strategy in ...

NorthShore

Medical Coder II

Warrenville, IL · On-site

$24.86 - $37.29/hr

Assigns diagnostic and procedure codes for compliant physician reimbursement and for both evaluation/ management, preventive (HCC risk adjustment) and surgical services under general supervision.

Urrly

Telehealth Nurse Practitioner

Chicago, IL · Remote

$600 - $720/day

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

Urrly

Telehealth Nurse Practitioner (Remote)

Chicago, IL · Remote

$600 - $720/hr

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

Tendo

Principal Data Scientist

Chicago, IL · On-site

$131.75K - $178.25K/yr

... and risk adjustment. The person in this role will access data from multiple sources (public and ... Hands-on experience writing Python code including, but not limited to, machine learning, data ...

Tendo

Principal Data Scientist

Chicago, IL · On-site +1

$131.75K - $178.25K/yr

... and risk adjustment. The person in this role will access data from multiple sources (public and ... Hands-on experience writing Python code including, but not limited to, machine learning, data ...

Arkos Health

Nurse Practitioner

Schaumburg, IL

Correct diagnosis code(s) * Status of all acute and chronic conditions identified * Plan to address ... Risk Adjustment Factor (RAF) and Hierarchical Condition Categories (HCC) model within 30 days of ...

Arkos Health

Nurse Practitioner

Schaumburg, IL · On-site

Correct diagnosis code(s) * Status of all acute and chronic conditions identified * Plan to address ... Risk Adjustment Factor (RAF) and Hierarchical Condition Categories (HCC) model within 30 days of ...

Arkos Health

Nurse Practitioner

Schaumburg, IL

Correct diagnosis code(s) * Status of all acute and chronic conditions identified * Plan to address ... Risk Adjustment Factor (RAF) and Hierarchical Condition Categories (HCC) model within 30 days of ...

Arkos Health

Nurse Practitioner

Palatine, IL · On-site

Correct diagnosis code(s) * Status of all acute and chronic conditions identified * Plan to address ... Risk Adjustment Factor (RAF) and Hierarchical Condition Categories (HCC) model within 30 days of ...

Tendo

Senior Data Scientist

Chicago, IL · On-site +1

$110.50K - $149.50K/yr

... and risk adjustment. The person in this role will access data from multiple sources (public and ... Hands-on experience writing Python code including, but not limited to, machine learning, data ...

Arkos Health

Nurse Practitioner

Schaumburg, IL · On-site

$125K - $135K/yr

Correct diagnosis code(s) * Status of all acute and chronic conditions identified * Plan to address ... Risk Adjustment Factor (RAF) and Hierarchical Condition Categories (HCC) model within 30 days of ...

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

As of May 29, 2026, the average hourly pay for 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 an HCC Risk Adjustment Coder job?

An HCC Risk Adjustment Coder reviews medical records to identify and assign accurate Hierarchical Condition Category (HCC) codes based on documented diagnoses. These codes help determine risk adjustment scores, which impact healthcare reimbursements for Medicare Advantage and other risk-adjusted plans. Coders ensure compliance with CMS guidelines, improve documentation accuracy, and support proper reimbursement for patient care. Strong knowledge of ICD-10-CM coding, medical terminology, and risk adjustment models is essential for this role.

What are the key skills and qualifications needed to thrive in the Hcc Risk Adjustment Coder position, and why are they important?

To thrive as an HCC Risk Adjustment Coder, you need a solid understanding of medical coding, ICD-10-CM coding guidelines, and clinical documentation, often demonstrated by a certification such as CPC, CRC, or CCS-P. Familiarity with EHR systems, risk adjustment software, and coding databases is commonly required. Attention to detail, analytical thinking, and strong communication skills set top coders apart in this field. These skills are critical for accurately capturing patient risk, ensuring compliance, and supporting optimal reimbursement for healthcare organizations.

What are some common challenges faced by HCC Risk Adjustment Coders, and how can they overcome them?

HCC Risk Adjustment Coders often encounter challenges such as incomplete or ambiguous provider documentation, frequent code updates, and tight coding accuracy standards. Staying current on industry coding guidelines, maintaining open communication with providers, and participating in regular training programs are essential strategies for overcoming these hurdles. Coders who proactively seek clarification, double-check their work, and embrace ongoing learning typically excel in this role. Addressing these challenges effectively not only improves coding quality but also supports accurate reimbursement and risk adjustment reporting.
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Hcc Risk Adjustment Coder jobs near you
Ambulatory Risk Adjustment Coding Specialist

Ambulatory Risk Adjustment Coding Specialist

NorthShore

Skokie, IL • On-site

$22.14 - $33.21/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted yesterday

Job description

Hourly Pay Range:
$22.14 - $33.21 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.
Position Highlights:
  • Position: Ambulatory Risk Adjustment Coding Specialist
  • Location: Skokie, IL
  • Full Time
  • Hours: Monday-Friday, [hours and flexible work schedules]

A Brief Overview:
Our ambulatory risk adjustment coding specialist I plays a key role in identifying HCC codes within physician outpatient visits and ensuring they are coded accurately and to the highest specificity. They additionally will verify that documentation requirements are met to validate the HCC diagnosis code. Working closely with the ambulatory clinical documentation specialist (CDS), they will clinically verify the accuracy of HCC codes. Using compliant query guidelines, the coding specialist will query the physician should documentation need clarification or specification. The coding specialist is expected to maintain current knowledge of the ICD-10-CM codes and guidelines and meet minimum productivity requirements outlined by team leadership.
What you will do:
  • Review/abstract HCC codes to ensure they are coded accurately, to the highest specificity possible, and make sure the required MEAT is documented, resulting in the correct CMS-HCC risk score
  • Identify diagnosis and chart level impairments and documentation improvement opportunities for provider education
  • Responsible for partnering with ambulatory clinical documentation specialists and physicians to properly code patient charts to ensure appropriate risk adjustment
  • Assist coding leadership by making recommendations for process improvements to further enhance coding goals and outcomes
  • Assists the coding team leads with onboarding new coding specialists to the role as needed.
  • Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations
  • Consistently maintain a minimum 95% accuracy on coding quality audits
  • Meet minimum productivity requirements as outlined by the project terms
  • Utilizes technical coding expertise to assign appropriate ICD-10-CM diagnosis codes, as well as assist in appropriate assignment of risk adjustment
  • Maintains advanced knowledge of coding all HCC diagnoses from the medical record in accordance with the ICD-10-CM coding guidelines
  • Assists with and completes special project work as assigned by Ambulatory Clinical Documentation Leadership

What you will need:
  • Education: High School Required or Associates Degree Preferred
  • Experience 2 years experience working in healthcare or in a professional business environment
  • Certification: Certified Risk Adjustment Coder (CRC) certification required within 6 months of hire

Benefits (For full time or part time positions):
  • Premium pay such as shift, on call, holiday and more based on an employee's job (For eligible positions)
  • Incentive pay for select positions
  • Opportunity for annual increases based on performance
  • Career Pathways to Promote Professional Growth and Development
  • Various Medical, Dental, Pet and Vision options
  • Tuition Reimbursement
  • Free Parking
  • 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. For more information, visit www.endeavorhealth.org.
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 (www.endeavorhealth.org) 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.
At Endeavor Health, we are united by a shared commitment to working together to create a culture of connection and belonging-each of us bringing different skills and experiences as we deliver safe, seamless, and personal care. Every person, every time. We are committed to fostering an environment where all team members can be their best, learn, and pursue excellence together.
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.

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