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Remote Hcc Risk Adjustment Coding Jobs in Illinois

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 ...

While not expected to write code, this leader must be able to engage deeply on architecture, delivery approach, risk, and tradeoffs. This remote role welcomes candidates anywhere in the US. Travel is ...

While not expected to write code, this leader must be able to engage deeply on architecture, delivery approach, risk, and tradeoffs. This remote role welcomes candidates anywhere in the US. Travel is ...

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Remote Hcc Risk Adjustment Coding information

See Illinois salary details

$16

$20

$23

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

As of Jun 20, 2026, the average hourly pay for remote hcc risk adjustment coding in Illinois is $20.84, according to ZipRecruiter salary data. Most workers in this role earn between $17.45 and $22.12 per hour, depending on experience, location, and employer.

What is the difference between Remote Hcc Risk Adjustment Coding vs Remote Hcc Risk Adjustment Coding?

AspectRemote Hcc Risk Adjustment Coding

Since the comparison is with itself, the roles are identical. Both involve coding for HCC risk adjustment, require similar credentials like coding certifications, and are performed remotely within healthcare insurance environments. The primary difference lies in specific employer requirements or specialization, but generally, these roles are the same in scope and industry usage.

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

Remote HCC Risk Adjustment Coders often encounter challenges such as interpreting complex medical records without direct access to providers for clarification, staying updated on frequent coding guideline changes, and managing productivity expectations in a home-based environment. To address these, coders benefit from strong communication skills to clarify documentation through digital channels, participating in ongoing education and training, and utilizing coding software or company-provided resources efficiently. Employers typically support coders with regular team meetings, access to compliance specialists, and robust knowledge-sharing platforms to help overcome these hurdles.

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 in-depth knowledge of ICD-10-CM coding guidelines, HCC risk adjustment models, and a coding certification such as CPC, CRC, or CCS. Familiarity with electronic health record (EHR) systems, coding software, and secure remote work platforms is essential. Attention to detail, analytical thinking, and strong organizational skills help coders ensure accuracy and compliance. These skills are vital for precise diagnosis coding, optimizing risk scores, and supporting reimbursement and quality initiatives in healthcare organizations.

What is remote HCC risk adjustment coding?

Remote HCC risk adjustment coding involves reviewing patient medical records from a remote location to identify and assign Hierarchical Condition Category (HCC) codes. These codes help determine the risk score of patients, which affects healthcare reimbursements for organizations. HCC coders must have a strong understanding of medical terminology, coding guidelines, and compliance regulations. They typically work from home, using secure software to ensure patient data privacy and accuracy in coding.
What are the most commonly searched types of Hcc Risk Adjustment Coding jobs in Illinois? The most popular types of Hcc Risk Adjustment Coding jobs in Illinois are:
What are popular job titles related to Remote Hcc Risk Adjustment Coding jobs in Illinois? For Remote Hcc Risk Adjustment Coding jobs in Illinois, the most frequently searched job titles are:
What job categories do people searching Remote Hcc Risk Adjustment Coding jobs in Illinois look for? The top searched job categories for Remote Hcc Risk Adjustment Coding jobs in Illinois are:
What cities in Illinois are hiring for Remote Hcc Risk Adjustment Coding jobs? Cities in Illinois with the most Remote Hcc Risk Adjustment Coding job openings:
Infographic showing various Remote Hcc Risk Adjustment Coding job openings in Illinois as of June 2026, with employment types broken down into 92% Full Time, 5% Part Time, 1% Temporary, and 2% Contract. Highlights an 81% Physical, 4% Hybrid, and 15% Remote job distribution, with an average salary of $43,338 per year, or $20.8 per hour.
Quality Assurance Auditor

Quality Assurance Auditor

Allied Benefit Systems

Chicago, IL • Remote

Full-time

Medical, Dental, Vision, Life, PTO

Posted 8 days ago


Allied Benefit Systems rating

8.1

Company rating: 8.1 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

86th of 428 rated business services


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.