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Remote Risk Adjustment Coder Jobs in Aurora, IL (NOW HIRING)

The University of Chicago

Abstractor Coder II

Burr Ridge, IL · On-site +1

$18.50 - $24.75/hr

Identifies risk areas and error trends for providers, procedures, facilities and/or coders ... Remote. * Use Standard Office Equipment. * Sit for 4 hours or more. * Flexible work arrangements ...

The University of Chicago

Abstractor/Coder I

Burr Ridge, IL · On-site +1

$18.50 - $24.75/hr

Flexible work arrangements, including remote work options for coders in good standing. Pay Range: * $26.66-- $39.02 hourly Required Documents: * Resume * Cover Letter When applying, the document(s ...

Origami Risk LLC

Site Reliability Engineer

Chicago, IL · On-site +1

$100K - $120K/yr

All full-time positions are hybrid, with many eligible to be completely remote * Fully Paid by ... Dais Technology, a subsidiary of Origami Risk, provides a no-code platform that revolutionizes ...

NinjaTrader

GRC Engineer

Chicago, IL · On-site +1

$130K - $145K/yr

... code and integrating systems as you do reviewing controls. You'll serve as the bridge between ... Support risk assessments, including likelihood and impact scoring, treatment planning, and ...

New

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 ...

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Remote Risk Adjustment Coder information

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$15

$27

$43

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

As of Jul 8, 2026, the average hourly pay for remote risk adjustment coder in Aurora, IL is $27.26, according to ZipRecruiter salary data. Most workers in this role earn between $18.85 and $34.33 per hour, depending on experience, location, and employer.

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

To thrive as a Remote Risk Adjustment Coder, you need a solid understanding of ICD-10-CM coding, medical terminology, and risk adjustment models, often supported by a coding certification such as CPC, CRC, or CCS. Proficiency with electronic health record (EHR) systems, coding software, and data management tools is essential. Attention to detail, strong analytical skills, and effective communication are crucial soft skills for accurate code assignment and collaboration with healthcare teams. These skills ensure compliance, maximize reimbursement, and support quality healthcare outcomes in a remote environment.

What is a Remote Risk Adjustment Coder?

A Remote Risk Adjustment Coder is a healthcare professional who reviews patient medical records and assigns diagnostic codes from a remote location, typically from home. Their primary goal is to ensure accurate coding for risk adjustment purposes, which helps health plans predict patient healthcare costs and receive appropriate funding. These coders work with electronic health records and must be knowledgeable about coding standards like ICD-10-CM. They play a key role in supporting compliance and maximizing revenue for healthcare organizations. Attention to detail, confidentiality, and proficiency with coding software are essential skills for this remote position.

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

AspectRemote Risk Adjustment CoderRemote Medical Coder
CertificationsAHIMA or AAPC Risk Adjustment certificationsAAPC CPC, CCS, or RHIT certifications
Work EnvironmentHealthcare insurance, payer organizations, risk adjustment teamsHospitals, clinics, physician offices, insurance companies
Industry UsagePrimarily in health insurance and risk adjustment programsBroad healthcare settings including hospitals and outpatient clinics

Remote Risk Adjustment Coders focus on analyzing patient data for insurance risk models, requiring specific risk adjustment certifications. Remote Medical Coders handle a wider range of medical records coding across various healthcare settings. While both roles involve medical coding, their industries, certifications, and primary tasks differ significantly.

What are the common challenges faced by Remote Risk Adjustment Coders and how can they be managed?

Remote Risk Adjustment Coders often encounter challenges such as interpreting complex medical records, ensuring coding accuracy under tight deadlines, and staying updated with evolving coding guidelines. Managing these challenges typically involves strong attention to detail, proactive communication with team members, and participating in ongoing training sessions or webinars. Utilizing supportive resources and adhering to standardized coding protocols can help coders maintain accuracy and efficiency in a remote setting.

What Does a Remote Risk Adjustment Coder Do?

As a remote risk adjustment coder, your duties and responsibilities involve performing medical coding and reviewing medical codes for adherence to risk adjustment models. Employers may also expect you to audit medical record data to ensure accuracy. In this role, you work from home to apply codes and make assessments according to regulations and your employer’s operational policies. You also report the results of an audit to the relevant supervisor or coding service provider. It’s your job to ensure compliance with rules related to patient privacy and electronic medical record keeping.

More about Remote Risk Adjustment Coder jobs
What are popular job titles related to Remote Risk Adjustment Coder jobs in Aurora, IL? For Remote Risk Adjustment Coder jobs in Aurora, IL, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Aurora, IL look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Aurora, IL are:
What cities near Aurora, IL are hiring for Remote Risk Adjustment Coder jobs? Cities near Aurora, IL with the most Remote Risk Adjustment Coder job openings:
Remote Risk Adjustment Coder jobs near you
Infographic showing various Remote Risk Adjustment Coder job openings in Aurora, IL as of July 2026, with employment types broken down into 100% Full Time. Highlights an 10% In-person, and 90% Remote job distribution, with an average salary of $56,692 per year, or $27.3 per hour.
CMS EDGE Server Product Manager / Principal / Architect

CMS EDGE Server Product Manager / Principal / Architect

Huron Consulting Group

Chicago, IL • Remote

Full-time

Posted 5 days ago

New

Huron Consulting Group rating

7.2

Company rating: 7.2 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

42nd of 58 rated business consultants

Job description

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes.
Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.
Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise.
Join our team as the expert you are now and create your future.

Huron helps healthcare organizations drive growth, enhance performance, and sustain leadership in an increasingly complex healthcare environment. Within our HDTx Payer Services practice, we partner with health plans to modernize operations, optimize regulatory reporting, improve data quality, and enable data-driven decision making.
We are seeking an experienced CMS EDGE Server Product Manager / Principal / Architect to serve as a strategic advisor and subject matter expert supporting healthcare payer clients. This individual will bring deep expertise in CMS EDGE Server operations, risk adjustment, reinsurance reporting, and payer platforms to help clients ensure accurate and compliant submission of membership, claims, and encounter data to CMS. The ideal candidate combines strong business knowledge of ACA, Medicare, and Medicaid regulatory programs with hands-on implementation and product leadership experience.
W2 Hourly (No H1B)
Start: August 2026
Duration: 6 mths, with possible extension

Key Responsibilities

  • Serve as SME for CMS EDGE Server, ACA Risk Adjustment, and Reinsurance programs.
  • Lead CMS EDGE Server implementations, enhancements, and operational support initiatives.
  • Ensure accurate and compliant submission of membership, claims, encounter, and supplemental data to CMS.
  • Drive data validation, reconciliation, and reporting quality improvements.
  • Partner with business, operational, compliance, and technical teams to resolve data and reporting issues.
  • Translate business requirements into product, process, and technical solutions.
  • Provide strategic advisory support to health plan clients on CMS reporting best practices.

Required Qualifications

  • 7+ years of healthcare payer experience.
  • Deep expertise with CMS EDGE Server and ACA Risk Adjustment.
  • Strong understanding of Reinsurance, Risk Adjustment, and regulatory reporting requirements.
  • Experience with health plan membership, claims, and encounter data.
  • Proven implementation and client-facing consulting experience.
  • Strong knowledge of payer operations and data quality processes.
  • Excellent communication and stakeholder management skills.

Preferred Qualifications

  • Experience with Facets (TriZetto).
  • Medicare and Medicaid experience.
  • Experience with Cognizant CMS EDGE Server and ClaimSphere.
  • Knowledge of HEDIS, CMS STARs, and quality reporting programs.
  • SQL, analytics, or healthcare data management experience.

#LI-DT1

#LI-Remote

Position LevelConsultantCountryUnited States of America

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About Huron Consulting Group

Sourced by ZipRecruiter

Huron Consulting Group, based in Chicago, IL, US, is a leading global management consulting firm specialized in providing performance improvement and reformation skills to different types of organizations. The company operates in the management consulting industry, which includes strategy, operations, technology, and analytics. Founded in 2002, Huron Consulting Group aids entities to tackle complex business challenges, enhance their ability to drive change, encourage their efficiency, and stimulate innovation. The company's overriding mission is to assist clients in becoming more successful.

Industry

Business management consulting

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US

Year founded

2002

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