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

About TMHCC Tokio Marine HCC (TMHCC) brings 50 years of service to the specialty insurance industry ... product, claims, actuarial, risk management, and operations to drive strong underwriting ...

Finance Tutor

Buffalo Grove, IL · Remote

$18 - $40/hr

... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...

Finance Tutor

Evanston, IL · Remote

$18 - $40/hr

... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...

Finance Tutor

Schaumburg, IL · Remote

$18 - $40/hr

... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...

Finance Tutor

Chicago, IL · Remote

$18 - $40/hr

... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...

Finance Tutor

Des Plaines, IL · Remote

$18 - $40/hr

... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...

Finance Tutor

Wheaton, IL · Remote

$18 - $40/hr

... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...

Finance Tutor

Lake Forest, IL · Remote

$18 - $40/hr

... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...

Finance Tutor

Oak Lawn, IL · Remote

$18 - $40/hr

... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...

Finance Tutor

Skokie, IL · Remote

$18 - $40/hr

... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...

Finance Tutor

Highland Park, IL · Remote

$18 - $40/hr

... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...

Finance Tutor

Naperville, IL · Remote

$18 - $40/hr

... risk adjustment in valuation, and interpreting financial ratios. Adapts instruction using financial ... management courses. * Effective Teaching Methods: Ability to identify concepts students commonly ...

Showing results 41-60

Manager Hcc Risk Adjustment information

See Chicago, IL salary details

$23.7K

$63.2K

$105.6K

How much do manager hcc risk adjustment jobs pay per year?

As of Aug 8, 2026, the average yearly pay for manager hcc risk adjustment in Chicago, IL is $63,200.00, according to ZipRecruiter salary data. Most workers in this role earn between $45,300.00 and $71,100.00 per year, depending on experience, location, and employer.

What is the difference between Manager Hcc Risk Adjustment vs Hcc Risk Adjustment Specialist?

AspectManager Hcc Risk AdjustmentHcc Risk Adjustment Specialist
CredentialsTypically requires a bachelor’s degree, industry certifications (e.g., CPC, CCS), and experience in healthcare or risk adjustmentOften requires similar certifications and experience but may have less managerial responsibility
Work EnvironmentSupervises teams, manages projects, and collaborates with multiple departmentsFocuses on data analysis, coding, and risk adjustment tasks, often working independently or in small teams
Employer & Industry UsageCommonly employed by health plans, healthcare providers, and risk adjustment vendorsFound within similar organizations, often as a specialized role supporting risk adjustment processes

The main difference is that the Manager Hcc Risk Adjustment oversees teams and manages projects, while the Hcc Risk Adjustment Specialist focuses on technical tasks like data analysis and coding. Both roles require relevant certifications and industry experience, but the manager role involves leadership responsibilities.

What are the key skills and qualifications needed to thrive as a Manager HCC Risk Adjustment?

To thrive as a Manager HCC Risk Adjustment, you need expertise in healthcare coding (especially ICD-10), risk adjustment methodologies, and a background in health administration or a related field, often supported by a relevant degree and coding certifications like CRC or CPC. Familiarity with risk adjustment analytics platforms, EHR systems, and healthcare data reporting tools is important. Strong leadership, analytical thinking, and effective communication skills enable you to guide teams and collaborate across departments. These skills and qualifications are essential to ensure accurate risk scoring, regulatory compliance, and optimal reimbursement for healthcare organizations.

How does a Manager HCC Risk Adjustment typically collaborate with other departments to ensure accurate risk scoring?

A Manager HCC Risk Adjustment frequently partners with coding teams, clinical staff, and data analysts to ensure that documentation and coding accurately reflect patient conditions for risk adjustment purposes. This collaboration often involves leading training sessions, reviewing charts for compliance, and coordinating audits to identify documentation gaps. Working closely with these departments helps ensure data integrity, optimize risk scores, and support organizational goals related to reimbursement and quality reporting.

What is a Manager HCC Risk Adjustment?

Manager HCC Risk Adjustment jobs involve overseeing teams and processes that assess and improve Hierarchical Condition Category (HCC) coding and risk adjustment in healthcare organizations. These managers ensure accurate documentation and coding of patient diagnoses to optimize reimbursement and compliance with government regulations. They collaborate with coders, clinicians, and data analysts to monitor performance, provide training, and implement best practices. Their role is critical in maximizing risk-adjusted revenue while maintaining high standards of patient data integrity.
What are the most commonly searched types of Hcc Risk Adjustment jobs in Chicago, IL? The most popular types of Hcc Risk Adjustment jobs in Chicago, IL are:
What job categories do people searching Manager Hcc Risk Adjustment jobs in Chicago, IL look for? The top searched job categories for Manager Hcc Risk Adjustment jobs in Chicago, IL are:

Full-time

Re-posted 16 days ago


Job description

COMPANY OVERVIEW

Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health aims to return the physician and the member to the center of the health care equation. Members receive individualized assistance to make their transition to Zing Health as easy as possible. Zing Health offers members the ability to personalize their plans, access to facilities designed to help them better meet their healthcare needs and a dedicated care team. For more information on Zing Health, visit www.myzinghealth.com.

SUMMARY DESCRIPTION:

As the Director of Coding, you will maintain responsibility for accurate coding and abstracting of clinical information from the medical record. You will also set coding guidelines and maintain highest coding data quality and integrity. You will work to set up a coding team as the team expands to support prospective and retrospective chart reviews. You will continuously track and train the staff to ensure accuracy and completion of coding. You will work with contracted provider groups to provide training and guidance for coding. Experience working with Medicare Health plans is a must.

ESSENTIAL FUNCTIONS

  • Ensure coding practices and health plan coding guidelines meet national coding and compliance guidelines
  • Hire and train new coding staff members in the team
  • Provides necessary education for coding staff including ICD10, CPT2 and other necessary standards
  • Continuously monitor and audit team's work on coding accuracy and completion metrics.
  • Build training and audit framework to support provider organizations managing our members
  • Work closely with full risk provider organizations to ensure highest quality charts and adherence to plan's coding guidelines
  • Work closely with vendors providing chart extraction or health assessment capabilities to ensure highest quality adherence to coding guidelines
  • Help other departments with coding reviews, questions and clarifications.


QUALIFICATIONS AND REQUIREMENTS:

JOB REQUIREMENTS:

Required Qualifications

  • Thorough knowledge of ICD-10-CM and CPT coding principles and rules
  • Must be Certified Coder (AAPC or AHIMA)
  • Experience with encoders and computerized abstracting systems
  • Capacity to work independently
  • Effective written and verbal communication skills
  • Minimum 15+ years of coding experience
  • Knowledge and experience of Medicare Risk Adjustment guidelines