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Senior Hcc Risk Adjustment Coder Jobs in Illinois

BDO

IT Senior Manager, Risk Advisory Services

Chicago, IL · On-site

$160 - $190/hr

The Senior Manager, Risk Advisory Services is responsible for all aspects of practice administration including time entry, client contract administration, billings, collections, and adjustments to ...

Socket.dev

Model Risk Senior Specialist

Virginia, IL · On-site

$150 - $210/hr

About the role We are looking for a Senior Model Risk Management & Validation Specialist to join ... Act as a hands‑on AI practitioner within MRM: use AI coding assistants, agentic workflows, and ...

Strive Health

Nurse Practitioner

Champaign, IL · On-site

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 ...

Strive Health

Nurse Practitioner

Chicago, IL · On-site

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 ...

3B Staffing LLC

Data Systems Analyst

Chicago, IL · Remote

... and risk adjustment data, alongside internal systems such as EMR , CRM, HR etc. to maintain a ... Partner closely with data engineering and senior analysts to ensure scalable, accurate, and well ...

3B Staffing LLC

Data Systems Analyst

Chicago, IL · Remote

... and risk adjustment data, alongside internal systems such as EMR , CRM, HR etc. to maintain a ... Partner closely with data engineering and senior analysts to ensure scalable, accurate, and well ...

Strive Health

Nurse Practitioner

Chicago, IL · 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 ...

SageSure

Senior Catastrophe Risk Analyst

Chicago, IL · On-site

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 ...

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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 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 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 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 Hcc Risk Adjustment Coder jobs near you

IT Senior Manager, Risk Advisory Services

BDO USA

Chicago, IL • On-site

Full-time

Retirement

Posted 19 days ago

BDO USA rating

8.2

Company rating: 8.2 out of 10

Based on 29 frontline employees who took The Breakroom Quiz

9th of 23 rated bookkeepers and accountants

Job description


Job Summary
Working under the authority of a Principal, the Senior Manager, Risk Advisory Services is responsible for managing and delivering high value solutions to multiple clients in technology environments to analyze system security and access controls, backup recovery procedures and IS organization and administration practices. Additionally, the Senior Manager, Risk Advisory Services is charged with overseeing all aspects of an internal audit, SOX or consulting engagement to include planning, field work, engagement wrap up and report composition, along with providing recommendations regarding client risks. In this role, the Senior Manager, Risk Advisory Services is charged with managing a team of professionals through all stages of internal audit or consulting engagements to include planning, field work, engagement wrap up and report composition, along with providing recommendations regarding engagement economics and legal risks to the Firm. The Senior Manager, Risk Advisory Services is responsible for ensuring exceptional client service and high-quality engagement deliverables. The Senior Manager, Risk Advisory Services is also responsible for developing new business with existing clients and prospects of the Firm, including the identification of target companies. The Senior Manager, Risk Advisory Services also supports the practice Principal with all aspects of client pursuits, including all phases of the client proposal process. The Senior Manager, Risk Advisory Services is responsible for all aspects of practice administration including time entry, client contract administration, billings, collections, and adjustments to engagement realization when needed.
Job Duties
  • Oversees the documentation and testing of application and automated controls on a wide range of software application packages
  • Acts as a high level contact for clients regarding all questions and information, including progress, challenges encountered, and issues identified
  • Conducts informational interviews and facilitates meetings with client management members during engagement process, as needed
  • Works closely with the Engagement Partner to ensure effective communication of control gaps and suggested improvements to processes, controls and overall risk management to client Audit Committee and management
  • Ensures that the client service team appropriately analyze client's processes, risks and controls
  • Ensures that the client service team provides exceptional client service and develops advanced level deliverables and/or solutions to client issues
  • Oversees the development of risk-based audit plans as well as ensures the development of efficient and effective project plans
  • Reviews, approves and seeks Partner approval of engagement budgets and identifies opportunities to improve engagement efficiencies
  • Ensures the preparation of periodic and timely billings, collections and makes timely recommendations to the engagement Partner of adjustments to engagement realization, as needed
  • Leads assigned client engagements and underlying economics to ensure engagement metrics are achieved
  • Identifies and informs managers and staff to utilize all available research aids (as practical), including databases and trade publications, to develop understanding of client's industry
  • Identifies, grows and maintains strategic relationships with client personnel, including members of client management
  • Prepares formal and informal presentations for client meetings and seeks Partner review and approval of presentations prior to delivery
  • Collaborates with both RAS and other practice partners to bring the best solutions to our clients and prospects and thus expand our presence in the marketplace
  • Identifies new business opportunities to expand the Risk Advisory Services practice and communicates such opportunities to his/her practice partner
  • Works directly with the Partner to develop draft proposals and reports, and completes research, as needed
  • Works under the supervision of the practice partner to manage marketing and business development activities within practice, including but not limited to refreshing marketing materials and website content, as needed
  • Develops thought leadership for the RAS practice under the direction of the Partner by developing whitepapers and presentations on topics relevant to clients and the profession
  • Fosters a positive demeanor, learning attitude and client service mentality with managers, seniors and staff
  • Ability to travel 30% of the time
  • Other duties as required

Supervisory Responsibilities:
  • Supervises the workload of Managers, Senior Associates and Associates, as needed, on assigned engagements and reviews work product
  • Ensures Managers, Senior Associates and Associates are trained on all relevant software
  • Evaluates the performance of Managers, Senior Associates and Associates and assists in the development of goals and objectives to enhance professional development
  • Delivers periodic performance feedback and completes performance evaluations for Senior Associates and Associates in accordance with Firm guidance
  • Acts as mentor to Managers, Senior Associates and Associates, as appropriate
  • Acts as a leader and projects a professional, positive attitude toward client and firm personnel

Qualifications, Knowledge, Skills and Abilities
Education:
  • Bachelor's degree in Accounting, Finance, Information Systems, or Business Intelligence, required
  • MBA or other relevant advanced degree, preferred

Experience:
  • Ten (10) years of experience with a public accounting firm or Fortune 1000 company performing Risk Assessments, internal audits, Sarbanes-Oxley Readiness services, internal control assessments, management consulting as a Financial, Operational or Information Technology Subject Matter Expert, required
  • Experience performing audits within a public accounting environment, required
  • Experience performing audits of particular industries (manufacturing, retail, distribution, energy, etc.), based upon the RAS practice's need, required
  • Significant supervisory experience, required
  • Experience performing process reviews, systems reviews and reviews of application controls, required
  • Experience with internal controls including process control design, preparation of flowcharts & control matrices, documentation and testing of controls, and identification and reporting of control "gaps," required
  • Experience conducting audit planning, developing audit programs, performing testing, preparing work papers, and drafting audit reports, required
  • Experience in client marketing to include but is not limited experience successfully managing multiple client pursuits and proposal efforts, preferred

License/Certifications:
  • Certificate of Internal Auditor ("CIA"), Certified Public Accountant ("CPA"), Certified Information System Auditor ("CISA"), or equivalent certifications, required

Software:
  • Proficient in the use of Microsoft Office Suite, including Excel, Word, PowerPoint, required
  • Experience with ACL and/or IDEA, and MS Access, preferred
  • Experience in the use of various assurance applications and research tools as is appropriate for this level, preferred

Other Knowledge, Skills & Abilities:
  • Solid understanding and experience planning and coordinating all stages of an internal audit
  • Knowledge of internal accounting controls and professional standards and regulations
  • Superior verbal and written communication skills, specifically business / report writing
  • Ability to adapt style and messaging to effectively communicate with professionals at all levels both within the client organization and the firm
  • Ability to successfully multi-task while working independently and within a group environment
  • Recognition as a though leader with respect to the topics of governance, risk and control.
  • Superior analytical and diagnostic skills and ability to break down complex issues and implementing appropriate resolutions
  • Capability to work in a demanding, deadline driven environment with a focus on details and accuracy
  • Ability to collaborate with partners and managers within other service lines and industries, as well as RAS leaders.
  • Solid project management skills
  • Solid US GAAP and GAAS knowledge and familiarity with SEC and PCAOB reporting rules. Knowledge of IFRS, a plus
  • Solid grasp of general IT control concepts
  • Excellent people development and delegation skills, including training/instruction and engagement scheduling and budgeting
  • Executive presence to act as primary contact for clients while preparing and presenting to clients and potential clients
  • Ability to resolve complex business issues
  • Capacity to build and maintain strong relationships with internal and client personnel

Individual salaries that are offered to a candidate are determined after consideration of numerous factors including but not limited to the candidate's qualifications, experience, skills, and geography.
California Range: $160,000 - $190,000
Colorado Range: $160,000 - $190,000
Illinois Range: $160,000 - $190,000
Maryland Range: $160,000 - $190,000
Massachusetts Range: $160,000 - $190,000
Minnesota Range: $160,000 - $190,000
New Jersey Range: $160,000 - $190,000
NYC/Long Island/Westchester Range: $160,000 - $190,000
Washington Range: $160,000 - $190,000
Vermont Range: $160,000 - $190,000
Washington DC Range: $160,000 - $190,000
About Us
At BDO, how we show up matters. We build strong relationships by supporting one another, our clients, and our communities with care, curiosity, and a commitment to helping one another grow and succeed. Here, you'll find meaningful work, leaders invested in your success, and opportunities to build a career around what matters most to you.
Our purpose is to be the people our clients count on to grow with confidence and achieve what matters most. Our values guide how we bring that purpose to life each day. Together, they shape how we work with one another, serve our clients, and create meaningful impact.
BDO provides assurance, tax, and advisory services to clients across the U.S. and around the world. No matter your role, you'll be part of a team helping clients navigate complexity and move forward with clarity.
We are proud to be an ESOP company, offering participants a stake in the firm's success through beneficial ownership and a unique opportunity to enhance their financial well-being. As a qualified retirement plan, the ESOP is a meaningful addition to our comprehensive compensation and Total Rewards benefits* offerings. It also reinforces an ownership mindset that strengthens our connection to one another, our clients, and the future we're building together.
Learn more about our benefits: BDO Total Rewards encompass more than traditional benefits. Click here to find out more!
*Benefits may be subject to eligibility requirements.
Equal Opportunity Employer, including disability/vets
Click here to find out more!

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About BDO

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At BDO, culture is the first order of business. We succeed when we cultivate a conscious and caring corporate culture that puts people at the center of everything we do. In essence, the business of our business is to help people thrive every day. This mindset powers our growth by supporting the development of our people, the success of our clients, and the betterment of our communities. It means taking an expansive view of what’s possible, and committing ourselves to achieving exceptional outcomes. At BDO, we are cultivating a culture where our professionals thrive in their work of providing middle market leaders with insight-driven perspectives and assurance, tax and advisory services, helping companies take business as usual to better than usual.

Industry

Administrative assistance services and accounting services

Company size

10,000+ Employees

Headquarters location

Chicago, IL, US

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