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Remote Risk Adjustment Coder Jobs in Rockford, IL

Inpatient Coder - HIM

Beloit, WI · Remote

$24.60 - $36.90/hr

Beloit Memorial Hospital is looking to add an Inpatient Coder to our Team! * Shift: 1st * Schedule: 8am - 4:30pm * Hours per week: 40 * Benefits Status: Eligible * Department: Health Information ...

Identify & recommend adjustments needed to client accounts. * Pursue collection activities and ... Remote ( eligible candidates must live in WI, IL, or IA ) Compensation & Rewards * Starting Pay ...

Identify & recommend adjustments needed to client accounts. * Pursue collection activities and ... Remote ( eligible candidates must live in WI, IL, or IA ) Compensation & Rewards * Starting Pay ...

Remote Risk Adjustment Coder information

See Rockford, IL salary details

$15

$27

$43

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

As of Aug 3, 2026, the average hourly pay for remote risk adjustment coder in Rockford, IL is $27.51, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $34.66 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.

What are the most commonly searched types of Risk Adjustment Coder jobs in Rockford, IL? The most popular types of Risk Adjustment Coder jobs in Rockford, IL are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Rockford, IL look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Rockford, IL are:
What cities near Rockford, IL are hiring for Remote Risk Adjustment Coder jobs? Cities near Rockford, IL with the most Remote Risk Adjustment Coder job openings:

Inpatient Coder - HIM

Beloit Health System

Beloit, WI • Remote

$24.60 - $36.90/hr

Full-time

Posted 10 days ago


Beloit Health System rating

4.9

Company rating: 4.9 out of 10

Based on 19 frontline employees who took The Breakroom Quiz


Job description

Beloit Memorial Hospital is looking to add an Inpatient Coder to our Team!

  • Shift: 1st
  • Schedule: 8am - 4:30pm
  • Hours per week: 40
  • Benefits Status: Eligible
  • Department: Health Information Management

The Inpatient Coder is responsible for providing accurate diagnostic and procedural codes (ICD-10-CM, ICD-10-PCS and CPT-4 and HCPCS) for billing purposes as well as for collection and retrieval of statistical data. The inpatient coder also ensures coding accuracy, proper DRG assignment and adherence to all federal, state and payer regulations. Is also responsible for accurately abstracting information from the patient's medical record.

  • Assigns appropriate codes to inpatient, observation and ambulatory surgery records.
  • Demonstrates effective written and verbal communication with medical staff
  • Determines the sequence of diagnoses according to coding guidelines
  • Abstracts information from the patient's medical record
  • Recognizes and resolves coding problems with limited supervision
  • Maintains knowledge of payer requirements in adherence to coding compliance
  • Reviews and corrects denials sent back from billing
  • Works with medical staff regarding documentation and charge issues
  • Understands and abides by HIPAA guidelines

JOB REQUIREMENTS

  • High school diploma or equivalent.
  • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Associate (CCA), Certified Outpatient Coding (COC), or equivalent coding credential preferred (If not certified, certification must be obtained within one year of hire.)
  • Minimum of 2-3 years of inpatient coding experience in a hospital setting preferred
  • Understanding of medical terminology, anatomy, physiology, and disease processes.
  • Experience reviewing complex medical records and assigning accurate DRGs.
  • Knowledge of Medicare , Medicaid and commercial payer rules and reimbursement guidelines.
  • Familiarity with EHR systems and encoder software.
  • Strong computer and data entry skills
  • Strong analytical and critical-thinking skills.
  • Excellent attention to detail, commitment to accuracy with ability to maintain quality in a high-volume environment
  • Good verbal and written communication skills
  • Maintains certification in good standing at all times
  • Must adhere to established Beloit Health System and department policies, rules and regulations
  • Maintain ethical conduct and abide by all HIPAA guidelines
  • Reporting Relationship: HIM Coding Manager

Apply today to join our team!


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