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

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

Nurse Practitioner

Schererville, IN ยท On-site

$112K - $140K/yr

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

Nurse Practitioner

Chicago, IL ยท On-site

$120K - $151K/yr

Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care. * Presents patient cases and provides ...

Job Cost Accountant

Libertyville, IL ยท On-site

$63K - $85K/yr

Cost Code Controls & Data Integrity * Manage Cost Codes: Open, maintain, and close specific cost ... Risk to ensure accuracy of project records. Cross-Functional Backup Support * Contract Adjustments:

Through proactive risk monitoring, timely reconciliations, precise tax compliance, and adherence to ... If not propose adjustment. * Supervise the completion of Sales & Use Tax returns timely and ...

Credit Manager

Vernon Hills, IL ยท On-site

$90K - $100K/yr

Through proactive risk monitoring, timely reconciliations, precise tax compliance, and adherence to ... If not propose adjustment. * Supervise the completion of Sales & Use Tax returns timely and ...

Through proactive risk monitoring, timely reconciliations, precise tax compliance, and adherence to ... If not propose adjustment. * Supervise the completion of Sales & Use Tax returns timely and ...

Process paid bordereaux values into Subscribe (sub-totalled by risk code, territory, settlement ... We make reasonable adjustments throughout the recruitment process and during employment. Please let ...

Credit Manager

Vernon Hills, IL ยท On-site

$90 - $100/hr

Through proactive risk monitoring, timely reconciliations, precise tax compliance, and adherence to ... If not propose adjustment. * Supervise the completion of Sales & Use Tax returns timely and ...

Senior Underwriting Assistant

Chicago, IL ยท On-site

$60K - $68K/yr

This role assists the underwriters by screening risk offerings and with pre and post-binding ... Performs quality control of adjustments prior to underwriting review; documents discrepancies and ...

Credit Manager

Vernon Hills, IL ยท On-site

$90 - $100/hr

Through proactive risk monitoring, timely reconciliations, precise tax compliance, and adherence to ... Calculate quarterly sales returns/allowances reserve requirements and propose adjustments if ...

Showing results 21-40

Risk Adjustment Coding information

See Chicago, IL salary details

$17

$30

$73

How much do risk adjustment coding jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for risk adjustment coding in Chicago, IL is $30.17, according to ZipRecruiter salary data. Most workers in this role earn between $22.55 and $29.95 per hour, depending on experience, location, and employer.

What is risk adjustment coding?

Risk adjustment coding is the process of assigning standardized diagnosis codes to patient records to accurately reflect their health status and predict future healthcare costs. These codes are used by health plans and government programs to adjust payments based on the complexity and severity of patient conditions. Proper risk adjustment coding ensures fair reimbursement and supports quality care management by identifying high-risk patients who may require additional resources.

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

To thrive as a Risk Adjustment Coder, you need a solid understanding of medical coding, healthcare regulations, and anatomy, typically supported by certification such as CPC or CRC. Familiarity with coding software, EHR systems, and risk adjustment models like HCC or CMS-HCC is crucial. Attention to detail, analytical thinking, and effective communication are standout soft skills for this role. These skills ensure accurate coding, compliance, and optimized reimbursement, which are vital for healthcare organizations' financial and regulatory success.

What are some common challenges faced by professionals in risk adjustment coding, and how can they be managed?

Risk adjustment coders often encounter challenges such as keeping up with frequent updates to coding guidelines, ensuring complete and accurate documentation, and managing high volumes of medical records. To address these challenges, effective time management, continuous education on coding standards (like ICD-10-CM), and regular communication with healthcare providers are essential. Many coders also rely on auditing tools and ongoing feedback from team leads to improve accuracy and compliance, fostering a collaborative and supportive work environment.

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

AspectRisk Adjustment CodingMedical Coding
CredentialsCPR, CPC, or CCS certifications often preferredCPR, CPC, or CCS certifications
Work EnvironmentHealthcare facilities, insurance companies, remoteHospitals, clinics, physician offices
Industry UsageHealth plans, risk adjustment programsGeneral healthcare billing and documentation

Risk Adjustment Coding focuses on assigning codes that predict healthcare costs and risk for insurance purposes, often requiring understanding of patient risk factors. Medical Coding covers a broader range of diagnoses and procedures for billing and documentation. While both roles require similar certifications, their work environments and industry applications differ significantly.

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, certifications, and location. Entry-level positions may start around $45,000, while experienced coders with certifications like CPC or CCS can earn over $80,000. The role often requires knowledge of medical coding systems and familiarity with healthcare data analysis.

How to get into risk adjustment coding?

To enter risk adjustment coding, individuals typically need a medical coding certification such as CPC or CCS, along with knowledge of medical records and coding guidelines. Experience in healthcare or medical billing can be beneficial, and familiarity with electronic health records (EHR) systems is often required. Ongoing education and staying current with coding updates are important for success in this field.

What do risk adjustment coders do?

Risk adjustment coders review and assign medical codes to patient records to accurately reflect diagnoses and health conditions, which are used to calculate risk scores for insurance reimbursement and quality measurement. They ensure coding accuracy and compliance with industry standards, often using coding tools and guidelines such as ICD-10 and CPT. Attention to detail and knowledge of medical documentation are essential for this role.

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:

What are popular job titles related to Risk Adjustment Coding jobs in Chicago, IL?

For Risk Adjustment Coding jobs in Chicago, IL, the most frequently searched job titles are:

Infographic showing various Risk Adjustment Coding job openings in Chicago, IL as of August 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $62,756 per year, or $30.2 per hour.

Nurse Practitioner

Strive Health

Merrillville, IN โ€ข On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 21 days ago


Job description

How You'll Make An Impact
At Strive Health, patients come first. We're on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through every stage of their health journey.
Our work reduces emergency visits, improves outcomes, and helps patients live fuller lives. You'll work alongside passionate Strivers who care deeply about making an impact, show up for one another as One Team, and find ways to elevate the everyday.
If you're looking for meaningful work where your contributions truly matter, you'll feel right at home at Strive!
Benefits & Perks
  • Hybrid-Remote Flexibility -Work from home while fulfilling in-person needs at the office, clinic, or patient home visits.
  • Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts.
  • Financial & Retirement Support - Competitive compensation with a performance-based bonus program, 401k with employer match, and financial wellness resources.
  • Time Off & Leave - Paid holidays, vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves.
  • Wellness & Growth - Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend.

To learn more about our offerings, click here.
How You'll Make An Impact
As a Clinical Lead within our interdisciplinary team, you do more than treat a diagnosis-you are the visionary architect of a better life for patients navigating the complexities of CHF, CKD/ESKD, and other chronic conditions. At Strive, we have shattered the constraints of the 15-minute office visit. Here, you are granted the true autonomy to provide longitudinal, deeply personal care that meets patients exactly where they are: in their homes and via telehealth.
In this role, you will harness the power of advanced analytics, cutting-edge technology platforms, and seamless interdisciplinary collaboration to ensure world-class care reaches the right patient at the precise moment they need it. As the trusted navigator for a dedicated panel, you will blend high-touch clinical expertise with a radical "whole-person" approach. Your mission is to move the needle on what truly matters:
  • Keeping patients out of the hospital.
  • Slowing disease progression, ensuring every individual feels seen, heard, and deeply cared for.

Strive is fiercely committed to advancing technology that makes the Nurse Practitioner role as efficient as it is impactful. We are obsessed with reducing administrative burden, clearing the path so you can reclaim your time for what you do best: meaningful clinical care and transformative patient engagement.
The Day to Day
  • Manages a defined patient panel with accountability for quality, cost and outcomes. Collaborates with external providers and care teams to ensure goals, treatment, and care plan alignment.
  • Obtains patient history, performs physical exam, orders and interprets diagnostic tests and formulates a plan for individual patient short-term and longitudinal needs.
  • Ensures assessment and plan of care incorporate best practices for chronic kidney care including management of all stages of CKD, ESKD and heart failure. Will support transitions to renal replacement therapy, transplant, or conservative care) as well as participation in shared decision-making and end-of-life/advanced care planning discussions.
  • Accurately documents and captures diagnoses to support risk adjustment (HCC coding), identify and address care gaps related to HEDIS and preventative care.
  • Presents patient cases and provides clinical support for clinical rounds and interdisciplinary team meetings.
  • Serves patients and performs patient visits in multiple care settings a including patient home, telehealth visits or dialysis clinics/partner MD space (where applicable).
  • Responsible for maintaining current board certification and state-specific continuing education requirements.
  • Adheres to expectations outlined in Strive's documentation policy
  • Provides in-person patient care which may include standing, sitting, walking, pushing, pulling, and lifting.

Minimum Qualifications
  • Master's degree in Nursing or similar field.
  • 2+ years experience as a Family Nurse Practitioner (NP), Primary Care Nurse Practitioner (NP) or equivalent with specialization in cardiology (CHF) or Nephrology (CKD)
  • 2+ years experience with Electronic Health Records (EHR)
  • Current state specific licensure.
  • National Board Certification.
  • Current Drug Enforcement Administration (DEA) license or eligible to obtain within 90 days of hire.
  • Current BLS or CPR Certification.
  • Efficient and reliable transportation, including an active driver's license, allowing for the ability to travel across an assigned region to meet patient needs. Locations may include offices, clinics, and patient homes.
  • Basic computer and Microsoft Office skills
  • Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms.

Preferred Qualifications
  • Demonstrated expertise in CKD management (Stages 3-5), ESRD care, and dialysis management (hemodialysis and/or peritoneal dialysis, HHD), including medication optimization, volume assessment, and complication management
  • Experience leading care transitions across settings (hospital โ†’ outpatient โ†’ dialysis) with a focus on reducing readmissions and ensuring continuity of care
  • Proven ability to deliver comprehensive patient education on kidney disease progression, dialysis modality selection (home vs. in-center), and kidney transplant pathways to support informed, shared decision-making
  • 2+ years experience with Electronic Health Records (EHR).
  • Wound Care certification
  • Experience using audio-visual technology platforms

About You
  • Demonstrated proficiency in clinical assessment, diagnosis, planning, implementation, documentation, and evaluation of complex chronic patients.
  • Excellent communicator, team builder, and evidence of results.
  • Demonstrated knowledge and understanding of data and managing clinical, financial, and patient satisfaction outcomes.
  • Excels at developing and fostering strong patient and family relationships that center on engagement, trust, honesty, empathy, follow-through and doing what's best for the patient.

Annual Salary Range: $112,000.00-$140,000.00. **This role is eligible for a geographic differential of 8% if located within 50 miles of the Chicago Metro area. This position is also eligible for a target annual bonus of 10%
Final compensation will be determined based on location, experience, and qualifications.
Strive Health is an equal opportunity employer and drug free workplace. At this time Strive Health is unable to provide work visa sponsorship. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Please apply even if you feel you do not meet all qualifications. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to talentacquisition@strivehealth.com.
We do not accept unsolicited resumes from outside recruiters/placement agencies. Strive Health will not pay fees associated with resumes presented through unsolicited means.