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Remote Risk Adjustment Coder Jobs in Lake Zurich, IL

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

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 ...

1 point system

Senior Data Scientist

Chicago, IL · Remote

... Remote Type of Hire 4 months contract They strictly want candidates from Insurance/ Claim with risk ... SHAP, reason codes, or other explainability methods. • Experience working with Snowflake or ...

1 point system

Senior Data Scientist

Chicago, IL · Remote

This role will help risk management teams identify high-risk incidents earlier, classify claims by ... SHAP, reason codes, or other explainability methods. • Experience working with Snowflake or ...

NinjaTrader

Staff Cloud Security Engineer

Chicago, IL · On-site +1

$145K - $195K/yr

... risk * Build security guardrails as code through policy-as-code, secure Terraform modules, and CI ... We are not open to remote candidates for this role. Hybrid: For Chicago-based employees, we follow ...

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All JobsRisk Adjustment Coder JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Lake Zurich, IL

Remote Risk Adjustment Coder information

See Lake Zurich, IL salary details

$16

$27

$44

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

As of Jul 14, 2026, the average hourly pay for remote risk adjustment coder in Lake Zurich, IL is $27.98, according to ZipRecruiter salary data. Most workers in this role earn between $19.33 and $35.24 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 Lake Zurich, IL? For Remote Risk Adjustment Coder jobs in Lake Zurich, IL, the most frequently searched job titles are:
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Remote Risk Adjustment Coder jobs near you

Virtual Nurse Practitioner

Baba

Chicago, IL • Remote

Contractor

Re-posted 23 days ago

Job description

Telehealth Nurse Practitioner | Remote 1099 | Structured Intake & Care NavigationAbout Baba

Baba is rebuilding healthcare for older adults.

Navigating healthcare can be overwhelming. By 2030, over 65 million older adults will make up nearly a quarter of the U.S. population, creating one of the largest and most urgent challenges in healthcare. Baba makes it easier by pairing older adults with an expert advocate (usually a nurse or social worker) who coordinates their care. Baba's insurance-covered advocates have supported thousands of families by writing insurance appeals, researching specialists, getting medical equipment and cheaper medications, and scheduling appointments.

Baba's investors include General Catalyst, Genius Ventures, Soma Capital, and Ground Up Ventures, along with angel investors who were founders or executives of leading companies. More than 50% of the Baba team are former founders, with backgrounds from MIT, Carnegie Mellon, Stripe, Palantir, and Liquid AI.

About the Role

As an Intake Consultations Nurse Practitioner at Baba, you’ll perform brief, structured telehealth visits that establish medical necessity for our care navigation programs. These intake visits are the cornerstone of Baba’s service— identifying high-risk conditions, unmet social needs, and confirming eligibility for ongoing care navigation services.

You’ll work with our care advocates and clinical operations team to ensure patients are enrolled safely, compliantly, and compassionately into the right level of support. This is a remote, 1099 (contractor) position, suitable for physicians seeking flexible, high-impact telehealth work.

What You’ll Do

  • Conduct initiating visits. Perform telehealth-based E/M or Annual Wellness Visits (AWVs) to establish medical necessity for care navigation services and identify high-risk conditions or unmet social needs.

  • Document findings in Baba’s platform, ensuring accurate coding and use of SDOH Z-codes, diagnoses, and risk factors.

  • Validate care plans. Develop and approve individualized care plans to ensure alignment with the patient’s medical treatment plan and documentation of continued medical necessity.

  • Collaborate with advocates and nurse care managers to finalize individualized care plans aligned with each patient’s medical and social needs.

What You Bring

  • Education: Completion of an accredited Nurse Practitioner program. (Required)

  • Licensure: Active Nurse Practitioner or APRN license, in good standing - licensed in multiple states. (Required)

  • Experience: 2+ years of experience in primary care, telehealth, or care management. (Required)

  • Familiarity with Medicare programs, including care navigation, incident-to requirements, and SDOH documentation.

  • Proficiency with EMRs, care management platforms, and telehealth workflows.

  • Bilingual a plus +

Why Join Baba

  • Help shape a new model of integrated, tech-enabled care advocacy that unites clinical oversight with social support.

  • Work remotely and flexibly while ensuring patients receive high-quality care.

  • Join a mission-driven team building the care copilot that every patient deserves.