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Remote Risk Adjustment Coding Jobs in Chicago, IL

Allied

Quality Assurance Auditor

Chicago, IL · On-site +1

$48K - $50K/yr

... plan coders as needed for all new and existing revisions, along with compiling and reporting ... Our remote friendly culture offers flexibility and the comfort of working from home, while also ...

Amiculum

Experienced medical writer - USA

Chicago, IL · On-site +1

If you require any adjustments or have specific needs, please contact Becka or Steven from our ... Job code: CPT407 Career opportunities Medical writing Role Publications Locations USA (Remote ...

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Remote Risk Adjustment Coding information

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$17

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$24

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

As of Jun 20, 2026, the average hourly pay for remote risk adjustment coding in Chicago, IL is $22.15, according to ZipRecruiter salary data. Most workers in this role earn between $18.56 and $23.51 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 medical coding, anatomy, and healthcare regulations, typically backed by a coding certification such as CPC, CRC, or CCS. Familiarity with coding software, electronic health record (EHR) systems, and risk adjustment models like HCC is essential. Attention to detail, critical thinking, and strong written communication are crucial soft skills for interpreting clinical documentation and ensuring coding accuracy. These skills and qualifications are vital to accurately capture patient risk, ensure compliance, and optimize reimbursement for healthcare organizations.

What is remote risk adjustment coding?

Remote risk adjustment coding is the process of reviewing and assigning medical codes to patient diagnoses and procedures from a remote location, usually at home. The purpose is to ensure that healthcare organizations accurately report the health status of their patients, which affects reimbursement from health plans. Coders use specialized knowledge of ICD-10-CM coding and risk adjustment models, such as HCC (Hierarchical Condition Category) coding, to capture all relevant chronic conditions. This position requires attention to detail, compliance with regulations, and strong analytical skills.

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

AspectRemote Risk Adjustment CodingRemote Medical Coding
CertificationsRHIA, RHIT, CPC, CCSCPC, CCS, CCS-P
Work EnvironmentHealthcare organizations, insurance companiesHospitals, clinics, insurance companies
Industry UsageHealth insurance, risk adjustment programsMedical billing, claims processing

Remote Risk Adjustment Coding focuses on analyzing patient data for insurance risk assessments, requiring specific risk adjustment certifications. Remote Medical Coding involves coding diagnoses and procedures for billing purposes. While both roles require coding certifications, Risk Adjustment Coding emphasizes risk analysis within insurance, whereas Medical Coding centers on billing accuracy.

How does working remotely as a Risk Adjustment Coder impact collaboration with healthcare teams and ongoing professional development?

As a remote Risk Adjustment Coder, you'll often collaborate with clinical staff, auditors, and other coders through secure digital platforms and regular virtual meetings. While remote work offers flexibility, it also means that proactive communication is essential to ensure accurate coding and compliance with regulations. Many organizations provide virtual training sessions, access to coding forums, and ongoing education to help you stay updated on industry changes and coding standards. Building relationships with your team and participating in online professional communities can further support your growth and help overcome the isolation that sometimes comes with remote work.
What are the most commonly searched types of Risk Adjustment Coding jobs in Chicago, IL? The most popular types of Risk Adjustment Coding jobs in Chicago, IL are:
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What job categories do people searching Remote Risk Adjustment Coding jobs in Chicago, IL look for? The top searched job categories for Remote Risk Adjustment Coding jobs in Chicago, IL are:
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Remote Risk Adjustment Coding jobs near you
Quality Assurance Auditor

Quality Assurance Auditor

Allied Benefit Systems

Chicago, IL • Remote

Full-time

Medical, Dental, Vision, Life, PTO

Posted 8 days ago

Allied Benefit Systems rating

8.1

Company rating: 8.1 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

86th of 428 rated business services

Job description

POSITION SUMMARY 

Working independently and in groups the Quality Assurance Auditor will be responsible for the completion of multiple audit tasks including but not limited to auditing the builds of plan coders as needed for all new and existing revisions, along with compiling and reporting results and trends accurately.  The QA Auditor is also responsible for auditing outgoing correspondence from the Medical Review, Appeals, and Refund teams, as well as complete audit of claim adjustments by the Rapid Response team.  The QA Auditor will interpret the benefits in the plan documents to determine how benefits are payable and tracked/reported in the QicLink system. 

ESSENTIAL FUNCTIONS  

• Log and track data to be audited 

• Audit outgoing correspondence from the Medical Review, Appeals, and Refund teams 

• Conduct complete audit of claim adjustments by the Rapid Response team 

• Communicate and coordinate with other departments involved in the audit process 

• Audit new and existing plans built by plan coders for all new and existing revisions 

• Assist with current audit programs in place as well as identify ways to improve audit results 

• Track and report audit trends and communicate training requirements to Management based on audit results 

• Monitor and track audit progress to ensure all audit task are complete by the determined deadline 

• Audit data for accuracy as well as workflow compliance 

• Other duties as assigned 

EDUCATION 

• Bachelor's degree or equivalent work experience required.  

EXPERIENCE & SKILLS 

• Minimum 5 years of comprehensive experience with auditing medical, dental, and vision claims required. 

• Proficient in Microsoft Word and Microsoft Excel 

• Some familiarity with plan coding  

• Strong written and verbal communication skills required 

• Ability to effectively manage assigned workload, including multiple task and competing priorities  

COMPETENCIES  

  • Accountability 

  • Analytical Thinking 

  • Collaboration 

  • Communication 

  • Customer Focus 

  • Functional Expertise 

  • Initiative 

PHYSICAL DEMANDS 

• This is an office environment requiring extended sitting and computer work 

WORK ENVIRONMENT  

• Remote 

Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Compensation is not limited to base salary.  Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.

Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time.  All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process.  It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role. 

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