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Remote Risk Adjustment Auditor Jobs in Illinois (NOW HIRING)

Senior Underwriter

Tennessee, IL ยท Remote

$62K - $94K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Monitors and evaluates underwriting practices, assisting with implementing strategic adjustments to ... Remote Job Requirements Education: Bachelor's Degree in Business, Economics, Risk Management and ...

Sourcing Manager

Chicago, IL ยท Remote

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Ensuring that procurement, risk and contract compliance requirements are met and maintained with a ... Ensure compliance by auditing sourcing and contracting policies and procedures. * Establish ...

Senior Underwriting Consultant

Time, IL ยท On-site +1

$92K - $109K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote role open to any location in continental US Manulife is a leading international ... May process all aspects of auditing, formal appeal reviews and contestable claim review. * Audit ...

Senior Underwriting Consultant

Virginia, IL ยท On-site +1

$96K - $114K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote role open to any location in continental US Manulife is a leading international ... May process all aspects of auditing, formal appeal reviews and contestable claim review. * Audit ...

Senior Underwriting Consultant

Ohio, IL ยท On-site +1

$93K - $110K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote role open to any location in continental US Manulife is a leading international ... May process all aspects of auditing, formal appeal reviews and contestable claim review. * Audit ...

Senior Underwriting Consultant

Tennessee, IL ยท On-site +1

$94K - $112K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote role open to any location in continental US Manulife is a leading international ... May process all aspects of auditing, formal appeal reviews and contestable claim review. * Audit ...

Senior Corporate Paralegal - Contracts

Downers Grove, IL ยท Remote

$70K - $116K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a hybrid or remote role in the Irvine, CA or Downers Grove, IL office. ESSENTIAL FUNCTIONS ... Ability to identify, analyze, and mitigate contractual risk * Excellent communication and ...

Staff Accountant

Oswego, IL ยท On-site +1

$52K - $69K/yr

Help respond to auditor requests and coordinate supporting materials across systems and ... A one-time allowance for fully remote and hybrid employees to support an at-home or on-the-road ...

Showing results 41-60

Remote Risk Adjustment Auditor information

What is a remote risk adjustment auditor?

A Remote Risk Adjustment Auditor is a healthcare professional who reviews medical records and documentation from a remote location to ensure accurate coding for risk adjustment purposes. Their work helps health plans and providers comply with government regulations and receive appropriate reimbursement for patient care. They analyze clinical documents to validate diagnoses, identify coding errors, and ensure data integrity. Remote auditors use specialized software and follow strict confidentiality guidelines while working from home or another offsite location.

What are the key skills and qualifications needed to thrive as a remote risk adjustment auditor?

To thrive as a Remote Risk Adjustment Auditor, you need strong knowledge of medical coding (CPT, ICD-10), healthcare compliance, and experience with risk adjustment methodologies, typically supported by a coding certification such as CPC, CRC, or CCS. Familiarity with electronic health record (EHR) systems, coding audit software, and secure remote work platforms is essential. Attention to detail, analytical thinking, and effective written communication are important soft skills for interpreting complex medical records and collaborating with healthcare providers. These skills ensure accurate risk adjustment coding, regulatory compliance, and optimized reimbursement processes in a remote work environment.

What are some common challenges remote risk adjustment auditors face, and how can they overcome them?

Remote Risk Adjustment Auditors often encounter challenges such as interpreting complex medical records, staying current with changing coding guidelines, and effectively communicating with team members in a virtual environment. To overcome these, auditors should prioritize ongoing education on coding standards, utilize secure collaboration tools to stay connected with colleagues, and develop strong organizational skills to manage multiple assignments efficiently. Proactively seeking feedback and participating in team meetings can also help maintain accuracy and a sense of community while working remotely.

What is the difference between Remote Risk Adjustment Auditor vs Remote Medical Coder?

AspectRemote Risk Adjustment AuditorRemote Medical Coder
CertificationsCPMA, RAC, or RHITAAPC CPC, CCS, or RHIT
Work EnvironmentInsurance, healthcare auditing firmsHospitals, clinics, insurance companies
Job FocusReviewing documentation for risk adjustment accuracyAssigning medical codes to patient records

Remote Risk Adjustment Auditors and Remote Medical Coders often share certifications and work in healthcare settings. However, auditors focus on reviewing documentation for risk adjustment purposes, while coders assign medical codes directly to patient records. Both roles require healthcare knowledge but serve different functions within the industry.

What are the most commonly searched types of Risk Adjustment Auditor jobs in Illinois?

The most popular types of Risk Adjustment Auditor jobs in Illinois are:

What job categories do people searching Remote Risk Adjustment Auditor jobs in Illinois look for?

The top searched job categories for Remote Risk Adjustment Auditor jobs in Illinois are:

What cities in Illinois are hiring for Remote Risk Adjustment Auditor jobs?

Cities in Illinois with the most Remote Risk Adjustment Auditor job openings:

Infographic showing various Remote Risk Adjustment Auditor job openings in Illinois as of August 2026, with employment types broken down into 94% Full Time, 4% Part Time, and 2% Contract. Highlights an 100% Remote job distribution.

Licensed Clinical Social Worker (LCSW) - Remote Position

Luminous Health System

Elgin, IL โ€ข Remote

$90K - $105K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted yesterday

New


Job description

Position Overview

Luminous Health System is seeking a dedicated and compassionate Licensed Clinical Social Worker (LCSW) to join our remote team. This full-time position offers an opportunity to provide essential mental health services to diverse patient populations, focusing specifically on those experiencing a range of mental health conditions.

About the Organization

Luminous Health System is a respected community health clinic based in Elgin, Illinois, recognized for our commitment to providing comprehensive healthcare services to underserved populations. Our mission is to enhance the mental and physical well-being of our patients through compassionate care and innovative approaches. We believe in fostering a supportive environment where our healthcare professionals can thrive and collaborate effectively.

Work Environment

This position is fully remote, providing flexibility to our LCSW in managing their work-life balance while still being a critical part of our healthcare team. Employees have access to a robust system of telehealth tools, electronic health records (EHR), and collaborative platforms that facilitate seamless communication with colleagues and patients alike. Our focus on collaboration ensures that all team members feel connected and supported, despite working remotely.

Key Responsibilities
  • Provide clinical psychotherapy and mental health services to patients dealing with a variety of issues, including anxiety, depression, and post-traumatic stress disorder (PTSD).
  • Perform comprehensive assessments of patientsโ€™ mental health conditions, covering emotional, behavioral, and social aspects to tailor individualized treatment plans.
  • Utilize evidence-based methodologies to develop and implement effective treatment strategies, ensuring they are culturally competent and sensitive to each patientโ€™s unique background.
  • Collaborate closely with other healthcare professionalsโ€”such as psychiatrists, primary care providers, and specialistsโ€”to coordinate a holistic approach to patient care.
  • Monitor patient progress diligently, making adjustments to treatment plans as necessary based on patient feedback and clinical outcomes.
  • Provide education and support to patients and their families regarding mental health issues, available treatment options, and local community resources.
  • Maintain high professional standards by adhering to ethical guidelines, including confidentiality and informed consent protocols.
Patient Population / Client Focus

The ideal candidate will work with a diverse patient population, holding a deep commitment to supporting individuals facing varying challenges related to their mental health. Many of our patients come from underserved communities, and you will play a key role in addressing their needs with empathy and professionalism.

Qualifications
  • A Masterโ€™s degree in Social Work from an accredited institution is required.
  • Current licensure as a Licensed Clinical Social Worker (LCSW) in the state of Illinois is essential.
  • At least 2 years of experience in providing psychotherapeutic services and other mental health care.
  • Demonstrated proficiency in communication and interpersonal skills to facilitate effective relationships with patients and interdisciplinary teams.
  • Sound clinical skills, particularly in conducting assessments and creating evidence-based treatment plans.
  • Familiarity with electronic health records (EHR) and proficiency in utilizing healthcare software to manage patient documentation.
  • A thorough knowledge of various mental health conditions and treatments, along with the challenges patients face in accessing care.
  • Ability to uphold confidentiality while maintaining ethical practices in all interactions.
Preferred Experience
  • Three or more years in clinical social work with a focus on mental health.
  • Experience working with marginalized or at-risk populations.
  • Familiarity with telehealth platforms and virtual care methodologies.
Compensation and Benefits

The salary range for this position is competitive, from $90,000 to $105,000 per year, commensurate with experience. Luminous Health System also offers a comprehensive benefits package, including:

  • Medical, dental, and vision insurance to support your health and that of your family.
  • Short-term and long-term disability coverage for peace of mind.
  • Life insurance to ensure your loved ones are protected.
  • A 401(k) plan with employer matching to help you save for your future.
  • Certification license reimbursement to support your professional development.
  • A refer-a-friend bonus program to encourage team growth.
  • Direct deposit payments on a weekly basis for financial convenience.
Career Growth Opportunities

At Luminous Health System, we prioritize professional development and growth. We encourage our social workers to pursue further education, participate in training, and take on leadership roles within the organization. Our supportive environment fosters advancement, allowing you to shape your career path in mental health.

Why Join Our Team

Joining Luminous Health System means being a part of an organization that values compassion, integrity, and community. You will work in a dynamic environment where your contributions matter, and your skills will directly impact the lives of individuals striving for better mental health. If you are passionate about making a difference and eager for a fulfilling career, we invite you to apply.

Application Information

If you are interested in this rewarding opportunity, please submit your resume and a cover letter detailing your qualifications and experience. Donโ€™t miss out on the chance to make a meaningful impact in the lives of our patients at Luminous Health System.