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

Bcbsa

Senior Manager, Data Engineering

Chicago, IL

This role is expected to write production code, contribute to data architecture and design ... Risk Adjustment, Stars/HEDIS, Cost of Care, and member experience use cases. Treat data as a ...

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Hcc Risk Adjustment Coder information

See Chicago, IL salary details

$16

$28

$44

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

As of Jul 23, 2026, the average hourly pay for hcc risk adjustment coder in Chicago, IL is $28.34, 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 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.

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 most commonly searched types of Hcc Risk Adjustment Coder jobs in Chicago, IL? The most popular types of Hcc Risk Adjustment Coder jobs in Chicago, IL are:
What are popular job titles related to Hcc Risk Adjustment Coder jobs in Chicago, IL? For Hcc Risk Adjustment Coder jobs in Chicago, IL, the most frequently searched job titles are:
What job categories do people searching Hcc Risk Adjustment Coder jobs in Chicago, IL look for? The top searched job categories for Hcc Risk Adjustment Coder jobs in Chicago, IL are:
Hcc Risk Adjustment Coder jobs near you
Infographic showing various Hcc Risk Adjustment Coder job openings in Chicago, IL as of July 2026, with employment types broken down into 1% As Needed, 78% Full Time, 14% Part Time, and 7% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $58,952 per year, or $28.3 per hour.

VP, Chief Medical Officer - Oak Street Health

Hispanic Alliance for Career Enhancement

Chicago, IL • On-site

$350 - $650/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 8 days ago

Job description

Oak Street Health, a CVS Health company, is seeking a Chief Medical Officer (CMO) to provide executive leadership for its national provider organization. This role is responsible for ensuring the consistent execution, evolution, and performance of Oak Street Health's clinical care model across all markets.

Core Responsibilities Enterprise Clinical Leadership
  • Provide executive leadership for the national provider organization, driving alignment and consistent execution of Oak Street Health's care model across all markets
  • Oversee clinical leadership across four divisions, ensuring strong performance, accountability, and alignment to enterprise priorities
  • Partner in a dyad leadership model with the Chief Operating Officer to align clinical and operational strategy and drive enterprise performance
Performance & Care Model Execution
  • Establish clear performance expectations and drive accountability across clinical teams through data, metrics, and outcomes
  • Improve overall provider performance, including clinical quality, productivity, and care model adherence
  • Lead initiatives to enhance clinical documentation accuracy, coding (risk adjustment), and Stars performance
  • Drive medical cost management strategies within a value-based care framework
Clinical Team & Leadership Development
  • Directly lead and develop Executive Medical Directors, fostering a high-performing and accountable leadership culture
  • Build and strengthen clinician leadership across all levels (CMDs, SMDs, RMDs, EMDs), with a strong focus on succession planning
  • Champion provider wellness, education, leadership development, and long‑term career growth
Workforce Strategy & Operations
  • Oversee national provider workforce strategy, including recruitment, onboarding, credentialing, retention, and workforce planning
  • Lead provider lifecycle management from sourcing through onboarding (Day 1 to Day 90)
  • Drive workforce initiatives to ensure scale, quality, and sustainability of the provider model
Clinical Excellence, Quality & Safety
  • Lead enterprise Quality and Patient Safety functions, promoting a culture of continuous improvement and high reliability
  • Ensure adherence to regulatory standards and evidence‑based care practices to improve patient outcomes
  • Provide executive oversight of interdisciplinary clinical teams, including nursing and behavioral health
Cross‑Functional Partnership
  • Partner closely with executive leaders across Population Health, Growth, Patient Experience, Clinical Operations, and Payer Strategy
  • Align clinical priorities with enterprise strategy, growth initiatives, and value‑based care performance goals
External Leadership
  • Serve as the senior physician executive representing Oak Street Health with external partners, payers, and key stakeholders
  • Advance the organization's mission of delivering high‑quality, value‑based primary care for Medicare populations
Education
  • MD or DO required
  • Board Certification required
Experience & Qualifications
  • Proven experience leading large, complex, multi‑layered provider organizations in a highly matrixed environment.
  • Deep expertise in Medicare, value‑based care, population health, and complex healthcare delivery models
  • Strong understanding of risk adjustment, Stars performance, clinical documentation, and medical cost management will be highly valued
  • Demonstrated ability to influence without direct authority and drive alignment across senior executive stakeholders
  • Track record of setting clinical strategy, developing policies/standards, and delivering measurable improvements in quality and outcomes
  • Experience developing innovative care models addressing social determinants of health, care access, and virtual care delivery
  • Exceptional leadership, communication, and executive presence
  • Strong analytical mindset with ability to use data to drive decision‑making
  • Ability to operate with urgency, accountability, and a results‑oriented approach
Benefits

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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