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Remote Hcc Risk Adjustment Coder Jobs in Park Ridge, IL

Allied

Quality Assurance Auditor

Chicago, IL · On-site +1

$48K - $50K/yr

... plan coders as needed for all new and existing revisions, along with compiling and reporting ... Our remote friendly culture offers flexibility and the comfort of working from home, while also ...

Allied

Claims Specialist

Chicago, IL · On-site +1

$48K - $50K/yr

Review billed procedure and diagnosis codes on claims for billing irregularities * Review and ... Process Adjustment Claims when necessary, due to corrected claims as well as applying refunds in ...

Allied Benefit Systems

Claims Specialist

Chicago, IL · Remote

Review billed procedure and diagnosis codes on claims for billing irregularities * Review and ... Process Adjustment Claims when necessary, due to corrected claims as well as applying refunds in ...

Baba

Virtual Nurse Practitioner

Chicago, IL · Remote

Telehealth Nurse Practitioner | Remote 1099 | Structured Intake & Care Navigation About Baba Baba ... SDOH Z-codes, diagnoses, and risk factors. * Validate care plans. Develop and approve ...

Baba

Virtual Physician (MD/DO)

Chicago, IL · Remote

Telehealth Physician - Remote 1099 | Structured Intake & Care Navigation About Baba Baba is ... SDOH Z-codes, diagnoses, and risk factors. * Validate care plans. Develop and approve ...

Archgroup

AVP, Construction

Chicago, IL · On-site +1

$150K - $190K/yr

The team is open to discussing hybrid or remote options in Minneapolis, Chicago, and St. Louis ... Assesses insurance and related financial risk and structures appropriate loss sensitive program to ...

Archgroup

AVP, Construction

Chicago, IL · On-site +1

$150K - $190K/yr

The team is open to discussing hybrid or remote options in Minneapolis, Chicago, and St. Louis ... Assesses insurance and related financial risk and structures appropriate loss sensitive program to ...

George Jon, Inc.

Delivery Manager - US

Chicago, IL · On-site +1

This is a remote position. RESPONSIBILITIES * Own delivery for assigned engagements, accountable ... Run risk and issue management: maintain registers, escalate early, and drive decisions to closure ...

GeorgeJon

Delivery Manager - US

Chicago, IL · Remote

This is a remote position. RESPONSIBILITIES * Own delivery for assigned engagements, accountable ... Run risk and issue management: maintain registers, escalate early, and drive decisions to closure ...

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See Park Ridge, IL salary details

$15

$22

$33

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

As of May 31, 2026, the average hourly pay for remote hcc risk adjustment coder in Park Ridge, IL is $22.06, according to ZipRecruiter salary data. Most workers in this role earn between $17.74 and $23.65 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote HCC Risk Adjustment Coder, and why are they important?

To thrive as a Remote HCC Risk Adjustment Coder, you need a solid understanding of ICD-10-CM coding guidelines, risk adjustment models, and extensive experience in medical record review, typically supported by a relevant coding certification such as CPC or CRC. Proficiency with electronic health record (EHR) systems, coding software, and risk adjustment platforms is essential. Exceptional attention to detail, analytical thinking, and strong communication skills help coders excel in remote settings and ensure coding accuracy. These skills and qualifications are vital for optimizing risk scores, ensuring compliance, and supporting accurate reimbursement in healthcare organizations.

What are some common challenges faced by remote HCC Risk Adjustment Coders and how can they be managed?

Remote HCC Risk Adjustment Coders often encounter challenges such as interpreting incomplete or ambiguous medical documentation, staying updated with evolving coding guidelines, and managing communication across dispersed teams. To address these challenges, it's important to proactively seek clarification from providers, participate in ongoing training, and utilize collaboration tools to stay connected with peers and supervisors. Establishing a structured daily workflow and leveraging available resources can also help maintain coding accuracy and productivity in a remote setting.

What is a Remote HCC Risk Adjustment Coder?

A Remote HCC Risk Adjustment Coder is a medical coding professional who works from home or another remote location, reviewing patient medical records to assign Hierarchical Condition Category (HCC) codes. These codes are used by healthcare organizations to accurately reflect the severity of patient illnesses for risk adjustment and reimbursement purposes, especially in Medicare Advantage programs. The coder analyzes clinical documentation to ensure that diagnoses are coded correctly and in compliance with regulatory guidelines. Their work is essential for ensuring healthcare providers receive appropriate compensation and for maintaining accurate patient risk profiles.
What cities near Park Ridge, IL are hiring for Remote Hcc Risk Adjustment Coder jobs? Cities near Park Ridge, IL with the most Remote Hcc Risk Adjustment Coder job openings:
Remote Hcc Risk Adjustment Coder jobs near you

Quality Assurance Auditor

Allied

Chicago, IL • On-site, Remote

$48K - $50K/yr

Full-time

Medical, Dental, Vision, Life, PTO

Posted 18 days ago

Job description

POSITION SUMMARY
Working independently and in groups the Quality Assurance Auditor will be responsible for the completion of multiple audit tasks including but not limited to auditing the builds of plan coders as needed for all new and existing revisions, along with compiling and reporting results and trends accurately. The QA Auditor is also responsible for auditing outgoing correspondence from the Medical Review, Appeals, and Refund teams, as well as complete audit of claim adjustments by the Rapid Response team. The QA Auditor will interpret the benefits in the plan documents to determine how benefits are payable and tracked/reported in the QicLink system.
ESSENTIAL FUNCTIONS
• Log and track data to be audited
• Audit outgoing correspondence from the Medical Review, Appeals, and Refund teams
• Conduct complete audit of claim adjustments by the Rapid Response team
• Communicate and coordinate with other departments involved in the audit process
• Audit new and existing plans built by plan coders for all new and existing revisions
• Assist with current audit programs in place as well as identify ways to improve audit results
• Track and report audit trends and communicate training requirements to Management based on audit results
• Monitor and track audit progress to ensure all audit task are complete by the determined deadline
• Audit data for accuracy as well as workflow compliance
• Other duties as assigned
EDUCATION
• Bachelor's degree or equivalent work experience required.
EXPERIENCE & SKILLS
• Minimum 5 years of comprehensive experience with auditing medical, dental, and vision claims required.
• Proficient in Microsoft Word and Microsoft Excel
• Some familiarity with plan coding
• Strong written and verbal communication skills required
• Ability to effectively manage assigned workload, including multiple task and competing priorities
COMPETENCIES
  • Accountability
  • Analytical Thinking
  • Collaboration
  • Communication
  • Customer Focus
  • Functional Expertise
  • Initiative

PHYSICAL DEMANDS
• This is an office environment requiring extended sitting and computer work
WORK ENVIRONMENT
• Remote
Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.
The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.
Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.

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