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Remote Risk Adjustment Coder Jobs in Springfield, IL

Springfield Clinic

Certified Coder

Springfield, IL · On-site +1

$22.50 - $30/hr

Verifying and coding of the diagnosis, evaluation and management, procedures or other codes ... In office, remote optional based off productivity/accuracy standards PHI/Privacy Level HIPAA1

All JobsRisk Adjustment Coder JobsRemote Risk Adjustment Coder JobsRemote Risk Adjustment Coder Jobs in Springfield, IL

Remote Risk Adjustment Coder information

See Springfield, IL salary details

$14

$25

$40

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

As of Jun 18, 2026, the average hourly pay for remote risk adjustment coder in Springfield, IL is $25.44, according to ZipRecruiter salary data. Most workers in this role earn between $17.60 and $32.02 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 Springfield, IL? For Remote Risk Adjustment Coder jobs in Springfield, IL, the most frequently searched job titles are:
What job categories do people searching Remote Risk Adjustment Coder jobs in Springfield, IL look for? The top searched job categories for Remote Risk Adjustment Coder jobs in Springfield, IL are:
What cities near Springfield, IL are hiring for Remote Risk Adjustment Coder jobs? Cities near Springfield, 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 Springfield, IL as of June 2026, with employment types broken down into 82% Full Time, and 18% Contract. Highlights an 100% Remote job distribution, with an average salary of $52,923 per year, or $25.4 per hour.
Certified Coder

Certified Coder

Springfield Clinic

Springfield, IL • On-site, Remote

$22.50 - $30/hr

Full-time

Posted 5 days ago

Springfield Clinic rating

6.6

Company rating: 6.6 out of 10

Based on 57 frontline employees who took The Breakroom Quiz

558th of 873 rated healthcare providers

Job description

This position is responsible for reviewing clinical documentation and applying the correct coding and modifiers for clinical services performed in office and/or hospital setting an may include surgical and non-surgical procedural services. This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is compliant with regulatory regulations, provider documentation guidelines, and CPT documentation and CMS coding guidelines

Job Relationships

Reports to the Coding Unit Manager

Principal Responsibilities

  • Responsible for reviewing and analyzing documentation present in the medical record for professional services related to clinic, inpatient and/or outpatient services. 
  • Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record. 
  • Codes and/or reviews encounters to identify first-listed diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures with International Classification of Diseases (ICD10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS - all levels, and any other coding classification systems that may be required).
  • Examine all documents in the record for authorized signature and patient identification to ensure all documents contain sufficient documentation to support the diagnosis and treatment administered, and the results obtained are adequately described.
  • Communicates with hospitals/physicians to obtain additional documentation when needed to complete coding documentation requirements.
  • Responsible for charges to be posted in a timely fashion as directed by the Manager.
  • Assist other staff employees as necessary including training fellow coders in specialties of expertise.
  • Assist the Director or Manager with all projects in related scope of job knowledge and responsibility.
  • Comply with the Springfield Clinic incident reporting policy and procedures.
  • Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy.
  • Provide excellent customer service and adhere to Springfield Clinic's Code of Conduct and Ethics Standards.
  • Perform other job duties as assigned.

Education/Experience

  • High School graduate or GED minimum required: College degree in health-related field preferred. 
  • Coding experience in Professional & Facility Coding
  • 2 years of experience as a certified coder preferred

Licenses/Certificates

  • Must have one of the following AHIMA or AAPC certifications: CPC, CCS, CCS-P, RHIT, RHIA

Knowledge, Skills and Abilities

  • Expert knowledge of CPT, HCPCS, E/M leveling, Modifiers and ICD-10-CM diagnostic coding required. 
  • Proficient computer skills using MS-Word, Excel, PowerPoint, Outlook, Teams, Microsoft Edge, and EncoderPro.
  • Preferred knowledge using Athena, Ingenious Med and RCX.
  • Utilize Official Guidelines for Coding and Reporting, Coding Clinics and CPT for coding accuracy.   
  • Provide excellent customer service internal and external and adhere to Springfield Clinic's Code of Conduct and Ethics Standards.
  • Strong analytical and communication skills.
  • Attend, as directed, conferences, in-services and workshops toward further professional development and job knowledge.
  • Maintain credentialing CEUs 
  • Follow all Clinic operation procedures and policies.

Working Environment

  • In office, remote optional based off productivity/accuracy standards

PHI/Privacy Level

HIPAA1

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