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Risk Adjustment Coder Jobs in Chicago, IL (NOW HIRING)

PB Coder

Chicago, IL · On-site

$19.25 - $25.75/hr

The PB Coder is responsible for reviewing, analyzing, and accurately coding ambulatory and/or hospital-based encounters. This role performs initial charge review for E/M visits, diagnostic tests, and ...

PB Coder

Chicago, IL

$19.25 - $25.75/hr

The PB Coder is responsible for reviewing, analyzing, and accurately coding ambulatory and/or hospital-based encounters. This role performs initial charge review for E/M visits, diagnostic tests, and ...

Medical Coder

Palatine, IL · On-site

$25 - $32/hr

A busy multi-specialty medical billing company is seeking an experienced and detail-oriented Medical Coder with a strong background in OB-GYN coding to join our team. Requirements: · Accurately ...

Inpatient Coder

Chicago, IL · On-site

$34 - $45/hr

Inpatient Coding Backgrounds We Are Seeking Facility Coding * Acute Care Inpatient * MS-DRG Assignment * ICD-10-CM & ICD-10-PCS Coding * Trauma and Critical Care * Surgical Inpatient Cases * Medical ...

Inpatient Coder

Chicago, IL · On-site

$35 - $42/hr

Inpatient Coder Location: 100% Remote Compensation: $35-42/hr Structure: 6 month-1 year Contract-to-Hire ABOUT THE ROLE Our client is seeking experienced Inpatient Coders to join a large-scale ramp ...

Inpatient Coder

Chicago, IL · On-site

$65 - $90/hr

Inpatient Coding Backgrounds We Are Seeking Facility Coding * Acute Care Inpatient * MS-DRG Assignment * ICD-10-CM & ICD-10-PCS Coding * Trauma and Critical Care * Surgical Inpatient Cases * Medical ...

New

Medical Coder - Remote

Chicago, IL · Remote

$50 - $80/hr

Medical Coder Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on ...

Medical Coder II

Warrenville, IL · On-site

$24.86 - $37.29/hr

Medical Coder II The Medical Coder II plays a key role in our hospital's revenue cycle by accurately coding diagnoses and procedures in accordance with established coding guidelines. This position is ...

Inpatient Medical Coder Location (City, State): Remote (U.S.) Industry: Healthcare / Health Information Management Pay: $30 - $40/hr Benefits: This position is eligible for medical, dental, vision ...

Medical Coder II

Warrenville, IL · Remote

$24.86 - $37.29/hr

Medical Coder II The Medical Coder II plays a key role in our hospital's revenue cycle by accurately coding diagnoses and procedures in accordance with established coding guidelines. This position is ...

Lead Coder - Clinic

Munster, IN · On-site

$68 - $95/hr

Lead Coder - Clinic Location: Munster, IN Position Summary: Under the direction of the Coding Supervisor, serves as leader for the charge and coding portion of the revenue cycle to ensure full and ...

Medical Coder - Remote

North Chicago, IL · Remote

$19.25 - $25.50/hr

Medical Coder - Inpatient/Outpatient Specialty: Medical Coding - Inpatient and Outpatient (multi-specialty coding backlog support) Place of Work (City/State): North Chicago, IL (supported facility ...

Medical Coder II

Warrenville, IL · Remote

$24.86 - $37.29/hr

Medical Coder II The Medical Coder II plays a key role in our hospital's revenue cycle by accurately coding diagnoses and procedures in accordance with established coding guidelines. This position is ...

Coder - Clinic (remote)

Merrillville, IN · Remote

$18.50 - $24.50/hr

Coder - Clinic Location : St. John Outpatient Center, St. John, IN 46373; Remote availability Job Summary : Under general supervision and according to industry standards, identifies and assigns ...

Coder - Clinic (remote)

Merrillville, IN · Remote

$18.50 - $24.50/hr

Coder - Clinic Location: Munster, IN Remote availability Job Summary : Under general supervision and according to industry standards, identifies and assigns diagnostic and procedure codes for ...

Coder - Clinic (remote)

Merrillville, IN · On-site +1

$20.89 - $33.43/hr

Coder - Clinic Location: Munster, IN Remote availability Job Summary : Under general supervision and according to industry standards, identifies and assigns diagnostic and procedure codes for ...

Showing results 21-40

Risk Adjustment Coder information

See Chicago, IL salary details

$16

$28

$44

How much do risk adjustment coder jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for risk adjustment coder in Chicago, IL is $28.34, according to ZipRecruiter salary data. Most workers in this role earn between $19.57 and $35.67 per hour, depending on experience, location, and employer.

What is a risk adjustment coder?

Risk Adjustment Coders are healthcare professionals who review and analyze patient medical records to ensure accurate coding of diagnoses and procedures for risk adjustment purposes. Their work is crucial for health plans and providers, as it affects reimbursement rates and compliance with government programs like Medicare Advantage and the Affordable Care Act. These coders use specialized knowledge of coding systems, such as ICD-10, to assign appropriate codes that reflect patients’ health status and help organizations receive proper funding for patient care.

What are the key skills and qualifications needed to thrive as a risk adjustment coder, and why are they important?

To thrive as a Risk Adjustment Coder, you need a solid understanding of medical coding (especially ICD-10-CM), healthcare regulations, and risk adjustment methodologies, typically supported by certifications like CRC or CPC. Proficiency with coding software, electronic health records (EHR) systems, and auditing tools is essential. Attention to detail, analytical thinking, and strong organizational skills set top performers apart in this role. These competencies ensure accurate coding, compliance, and optimal reimbursement for healthcare organizations.

What are some common challenges faced by risk adjustment coders, and how can they be overcome?

Risk Adjustment Coders often encounter challenges such as interpreting complex medical documentation and ensuring accurate code assignment to reflect patient risk profiles. Keeping up with frequent updates to coding guidelines and payer requirements can also be demanding. To overcome these challenges, coders should engage in continuous education, actively participate in team discussions to clarify ambiguities, and utilize available coding resources or auditing tools. Strong communication with providers and attention to detail are key to maintaining compliance and high-quality coding standards.

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

AspectRisk Adjustment CoderMedical Coder
CertificationsCPR, RHIT, CCS, or CPC often preferredCCS, CPC, or CPC-H
Work EnvironmentHealthcare facilities, insurance companies, remoteHospitals, clinics, physician offices
Industry UsageHealth plans, risk adjustment programsGeneral medical billing and coding

Both Risk Adjustment Coders and Medical Coders require similar certifications and work in healthcare settings. However, Risk Adjustment Coders focus on coding for risk adjustment models used by insurance companies, while Medical Coders handle broader medical billing and coding tasks. Understanding these differences helps professionals choose the right career path and employers.

How much do risk adjustment coders make in the US?

Risk adjustment coders in the US typically earn between $50,000 and $75,000 annually, depending on experience, certification, and location. Experienced coders with certifications like CPC or CCS may earn higher salaries, especially in healthcare hubs or with specialized skills in coding software and compliance.

How to become a risk adjustment coder?

To become a risk adjustment coder, individuals typically need a high school diploma or equivalent, followed by specialized training in medical coding and risk adjustment principles. Certification through organizations like the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA) is often required or preferred, and proficiency with coding tools and medical record review is essential.

Is risk adjustment coding a good career?

Risk adjustment coding is a growing field within healthcare that involves reviewing medical records and assigning codes to accurately reflect patient health status for insurance purposes. It requires knowledge of medical terminology, coding systems like ICD-10, and often certification such as CPC, making it a stable career with opportunities for advancement and specialization.

What are the most commonly searched types of Risk Adjustment Coder jobs in Chicago, IL?

The most popular types of Risk Adjustment Coder jobs in Chicago, IL are:

What job categories do people searching Risk Adjustment Coder jobs in Chicago, IL look for?

The top searched job categories for Risk Adjustment Coder jobs in Chicago, IL are:

What cities near Chicago, IL are hiring for Risk Adjustment Coder jobs?

Cities near Chicago, IL with the most Risk Adjustment Coder job openings:

Infographic showing various Risk Adjustment Coder job openings in Chicago, IL as of August 2026, with employment types broken down into 74% Full Time, 14% Part Time, and 12% Contract. Highlights an 70% In-person, and 30% Remote job distribution, with an average salary of $58,952 per year, or $28.3 per hour.

$19.25 - $25.75/hr

Full-time

Re-posted 11 days ago


Job description

The PB Coder is responsible for reviewing, analyzing, and accurately coding ambulatory and/or hospital-based encounters. This role performs initial charge review for E/M visits, diagnostic tests, and procedures across multiple specialty departments to determine the appropriate assignment of CPT, ICD-10, HCPCS codes, and modifiers for reporting physician services to third-party payers. The PB Coder ensures all coding aligns with established coding standards, regulatory requirements, and reimbursement policies.
Essential Duties and Responsibilities:
  • Analyzes provider documentation to assure appropriate Evaluation & Management (E/M) levels are assigned using the correct CPT and current Evaluation and Management Guidelines
  • Analyzes provider documentation to assure that appropriate CPT codes are assigned for surgeries and other diagnostic procedures. Ensures that all coding aligns with coding standards, regulatory requirements and other reimbursement policies such as surgical global package
  • Interprets outpatient office visit notes/hospital patient encounters and charge documents to determine services provided and accurately assign CPT, Modifiers, and ICD-10 DX coding to these services
  • Performs comprehensive review of all types of encounters to assure all vital information such as patient identification, signatures, attestation, and dates are present in the record. Evaluate documentation for consistency and adequacy. Ensure diagnosis accurately reflects the care and treatment rendered
  • Monitors and follows up to ensure all services billed are captured and coded with their assigned coding responsibilities
  • Follows and adheres to all WWT policies such as Coding Audit Policy and Physician Coding Query In-Basket Policy
  • Provide real time feedback to providers on all coding changes and trends via EPIC in basket message
  • Regularly participate and engage all coding meetings and other ad-hoc meetings as needed. Works in coordination with other members of the physician's office/departments as necessary
  • Collaborates with Coding Management Team for special coding and billing projects if assigned
  • Resolving coding denials assigned by applying coding knowledge and skills. Apply coding knowledge and skills to resolve coding denials from payers and works with management and various departments
  • Maintains active coding credentials and CEU's required for coding roles
  • Performs other related duties as required and assigned

Knowledge, Skills & Abilities
  • Knowledge and understanding of medical coding and billing systems and regulatory requirements
  • Communication - communicates clearly and concisely, verbally and in writing
  • Persistence - comfortable pursuing, rebutting and escalating issues as appropriate
  • Goal-oriented - holds him/herself accountable to achieving shared professional and personal goals.
  • Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
  • Interpersonal skills - establishing and maintaining effective working relationships with employees, and external parties.
  • PC skills - demonstrates high proficiency in Microsoft Office applications, especially Microsoft Excel, and others as required
  • Writing skills -advanced writing skills with ability to present a compelling argument, punctuate properly, spell correctly and transcribe accurately

Education/Experience:
  • Certified professional coder CCS-P, CPC, RHIT or RHIA through AAPC or AHIMA with a minimum of two years' experience with CPT/ICD-10 coding of multispecialty services preferred. Responsible for maintaining continuing education per certification requirements
  • Clear understanding of protocols and procedures in a medical office including health information management, confidentiality, and safety
  • Organize and prioritize responsibilities while remaining flexible to changing demands
  • Excellent written and oral communication skills, with the ability to interact with patients, families, staff and others.
  • Strong analytical skills and attention to detail
  • Ability to establish priorities and work independently
  • Must have high level of discretion and judgment