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Senior Hcc Risk Adjustment Coder Jobs in Illinois

Senior Manager Fraud Risk Mitigation

Schaumburg, IL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

This may include adjustments to on-site requirements or schedule expectations, as necessary. Position Overview The Senior Manager Fraud Risk Mitigation leads Paylocity's fraud prevention, detection ...

Nurse Practitioner

Champaign, IL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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

Champaign, IL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

SageSure, a leader in catastrophe-exposed property insurance, is seeking a Senior Catastrophe Risk ... Strong coding and data analysis skills (e.g., Python, R, SQL). * Experience working with geospatial ...

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 ...

Director, Revenue Accounting

Downers Grove, IL · On-site

$125K - $188K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Partner with Revenue Cycle to ensure accurate charge capture, coding, billing, and collections ... Lead accounting for shared savings, downside risk, quality bonuses, risk adjustment, and ...

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 ...

Showing results 21-40

Senior Hcc Risk Adjustment Coder information

What does a Senior HCC Risk Adjustment Coder do?

A Senior HCC Risk Adjustment Coder reviews medical records and assigns appropriate ICD-10 codes to ensure accurate risk adjustment for healthcare organizations. Their work supports proper reimbursement and compliance by identifying and coding Hierarchical Condition Categories (HCCs) based on clinical documentation. Senior coders typically have advanced knowledge of coding guidelines, risk adjustment models, and relevant regulations such as Medicare Advantage requirements. They may also audit coding work, provide training, and help implement best practices within their teams.

What are some common challenges faced by Senior HCC Risk Adjustment Coders, and how can they be addressed?

Senior HCC Risk Adjustment Coders often encounter challenges such as keeping up with frequent coding guideline updates, navigating complex electronic health record systems, and ensuring accurate documentation to support risk adjustment scores. To address these, staying current with industry training and certification requirements is essential, as is developing strong communication skills to collaborate effectively with providers and other coding professionals. Regular auditing and feedback can also help maintain high accuracy and compliance, contributing to both individual and team success.

What are the key skills and qualifications needed to thrive as a Senior HCC Risk Adjustment Coder?

To thrive as a Senior HCC Risk Adjustment Coder, you need in-depth knowledge of ICD-10-CM coding, risk adjustment methodologies, and a relevant credential such as CPC, CRC, or CCS. Familiarity with coding software, EHR systems, and risk adjustment analytics platforms is essential. Attention to detail, analytical thinking, and strong communication skills distinguish top performers in this role. These skills ensure accurate documentation and coding, directly impacting healthcare organizations' compliance and financial outcomes.

What are the most commonly searched types of Hcc Risk Adjustment Coder jobs in Illinois?

The most popular types of Hcc Risk Adjustment Coder jobs in Illinois are:

What cities in Illinois are hiring for Senior Hcc Risk Adjustment Coder jobs?

Cities in Illinois with the most Senior Hcc Risk Adjustment Coder job openings:

Senior Associate Risk Manager- Global Payments Network Risk

Capital One

Riverwoods, IL • On-site

Full-time

Re-posted 4 days ago


Capital One rating

7.7

Company rating: 7.7 out of 10

Based on 147 frontline employees who took The Breakroom Quiz

91st of 171 rated banks


Job description

Senior Associate Risk Manager- Global Payments Network Risk

Are you ready to lead from the front line of a top 10 bank? Do you thrive in a high-visibility environment where your strategic relationship-building translates directly into innovative risk solutions? As a Senior Risk Associate at Capital One, you won't just monitor risk-you will partner with business leaders to actively shape our defense strategies, ensuring the company remains stable, resilient, and profitable.

We are seeking highly motivated Risk Management professionals who blend sharp organizational prowess with exceptional communication skills. In this role, you will enjoy significant exposure across multiple lines of business, empowering you to design, champion, and implement progressive frameworks that safeguard our enterprise.

Responsibilities:

  • Strategic Risk Consulting: Serve as a trusted advisor to core business areas, providing tailored guidance and proactive risk mitigation strategies relative to their specific business lines.

  • Stakeholder & Client Management: Cultivate, leverage, and sustain key executive relationships across the enterprise to foster deep collaboration and break down silos.

  • Reporting Excellence: Own, enhance, and execute internal and external reporting processes, ensuring flawless documentation that aligns with complex regulatory and internal expectations.

  • Framework Alignment: Map and adjust localized business processes to seamlessly align with overarching Capital One corporate requirements and risk frameworks.

  • Governance Documentation: Author, review, and continuously refine critical governance documents, including policies, standards, procedures, and operational guidelines.

  • Tool & Method Development: Design and optimize risk management processes, tools, templates, and job aids. Craft and deliver high-impact presentations to train and guide teams on risk methodology usage.

  • Cross-Functional Collaboration: Partner effectively with specialized teams across the enterprise-including Operational Risk Management, Enterprise Risk Management, Compliance, Business Risk Offices, Information Technology, Basel Program, Internal Audit, and Regulatory Relations-to achieve unified risk objectives.

Basic Qualifications:

  • Bachelor's Degree or military experience

  • At least 1 year of experience in project or process management

Preferred Qualifications:

  • At least 2 years of experience in project or process management

  • At least 1 year of experience in Risk Management

  • At least 2 years of experience creating and delivering executive-level presentations and communications

  • At least 1 year of experience leading organizational change management

At this time, Capital One will not sponsor a new applicant for employment authorization for this position.

The minimum and maximum full-time annual salaries for this role are listed below, by location. Please note that this salary information is solely for candidates hired to perform work within one of these locations, and refers to the amount Capital One is willing to pay at the time of this posting. Salaries for part-time roles will be prorated based upon the agreed upon number of hours to be regularly worked.

McLean, VA: $96,500 - $110,100 for Sr. Risk Associate


New York, NY: $105,300 - $120,100 for Sr. Risk Associate


Richmond, VA: $87,700 - $100,100 for Sr. Risk Associate


Riverwoods, IL: $87,700 - $100,100 for Sr. Risk Associate








Candidates hired to work in other locations will be subject to the pay range associated with that location, and the actual annualized salary amount offered to any candidate at the time of hire will be reflected solely in the candidate's offer letter.

This role is also eligible to earn performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI). Incentives could be discretionary or non discretionary depending on the plan.

Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other benefits that support your total well-being. Learn more at theCapital One Careers website. Eligibility varies based on full or part-time status, exempt or non-exempt status, and management level.

This role is expected to accept applications for a minimum of 5 business days.No agencies please. Capital One is an equal opportunity employer (EOE, including disability/vet) committed to non-discrimination in compliance with applicable federal, state, and local laws. Capital One promotes a drug-free workplace. Capital One will consider for employment qualified applicants with a criminal history in a manner consistent with the requirements of applicable laws regarding criminal background inquiries, including, to the extent applicable, Article 23-A of the New York Correction Law; San Francisco, California Police Code Article 49, Sections 4901-4920; New York City's Fair Chance Act; Philadelphia's Fair Criminal Records Screening Act; and other applicable federal, state, and local laws and regulations regarding criminal background inquiries.

If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation, please contact Capital One Recruiting at 1-800-304-9102 or via email at RecruitingAccommodation@capitalone.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodations.

For technical support or questions about Capital One's recruiting process, please send an email to Careers@capitalone.com

Capital One does not provide, endorse nor guarantee and is not liable for third-party products, services, educational tools or other information available through this site.

Capital One Financial is made up of several different entities. Please note that any position posted in Canada is for Capital One Canada, any position posted in the United Kingdom is for Capital One Europe and any position posted in the Philippines is for Capital One Philippines Service Corp. (COPSSC).


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