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Senior Hcc Risk Adjustment Coder Jobs in Chicago, IL

Wintrust

Risk Management Officer

Rosemont, IL · On-site

... SR 11-7/OCC 2011-12 and Model Risk Management (MRM) policy and procedures. * Develop a model ... Evaluate the model adjustments, such as overlays and buffers, wherever applicable. Ongoing Process ...

Wintrust

Risk Management Officer

Rosemont, IL · Hybrid

... SR 11-7/OCC 2011-12 and Model Risk Management (MRM) policy and procedures. * Develop a model ... Evaluate the model adjustments, such as overlays and buffers, wherever applicable. Ongoing Process ...

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All JobsHcc Risk Adjustment Coder JobsSenior Hcc Risk Adjustment Coder JobsSenior Hcc Risk Adjustment Coder Jobs in Chicago, IL

Senior Hcc Risk Adjustment Coder information

See Chicago, IL salary details

$17

$30

$73

How much do senior hcc risk adjustment coder jobs pay per hour?

As of Jul 15, 2026, the average hourly pay for senior hcc risk adjustment coder 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 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, and why are they important?

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 Chicago, IL? The most popular types of Hcc Risk Adjustment Coder jobs in Chicago, IL are:
Senior Hcc Risk Adjustment Coder jobs near you

Director, Revenue Accounting

Dulyhealthandcare

Downers Grove, IL • On-site

$125K - $188K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 13 days ago

Job description

At Duly Health and Care, you are supported to do your best work and make a meaningful impact every day. You will be part of a collaborative, physician-led team that works as one and puts patients at the center of everything we do.

With a connected network of providers, care teams, and services across primary and specialty care, surgery centers, imaging, lab, and therapy, you are part of a system designed to deliver high-quality, coordinated care. Together, we create an environment where you can grow, contribute, and help improve the experience and outcomes for every patient we serve.

Benefits:

Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance.

Access to a mental health benefit at no cost.

Employer provided life and disability insurance.

$5,250 Tuition Reimbursement per year.

Immediate 401(k) match.

40 hours paid volunteer time off.

A culture committed to community engagement and social impact.

Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.

The Director of Revenue Accounting leads all revenue recognition, financial reporting, and accounting operations related to FeeforService (FFS) and ValueBased Care (VBC) reimbursement models. This role ensures accurate GAAPcompliant revenue accounting across professional, facility, capitation, shared savings, quality incentives, and riskbased arrangements. The director partners with Revenue Cycle, Population Health, Contracting, FP&A, and Clinical Operations to translate complex reimbursement structures into accurate financial results and actionable insights.

Director, Revenue Accounting

  • Full-Time
  • Monday-Friday
  • Location: Downers Grove, IL
  • Work Schedule: Hybrid

Responsibilities:

Revenue Recognition & Accounting Leadership

  • Oversee revenue recognition for FFS, capitation, shared savings, quality incentives, and riskadjusted revenue.
  • Ensure compliance with GAAP, healthcare revenue accounting standards, and payor contract requirements.
  • Lead monthly and quarterly revenue close processes, including accruals, reconciliations, and variance analysis.
  • Develop and maintain accounting policies for both traditional and alternative payment models.

FeeforService (FFS) Revenue Oversight

  • Partner with Revenue Cycle to ensure accurate charge capture, coding, billing, and collections.
  • Monitor denials, underpayments, and payor behavior to ensure accurate net revenue.
  • Oversee reconciliation of billed vs. recognized revenue and identify trends impacting financial performance.

ValueBased Care (VBC) Revenue Oversight

  • Lead accounting for shared savings, downside risk, quality bonuses, risk adjustment, and attributionbased payments.
  • Manage payor settlements, reconciliation statements, and dispute resolution.
  • Collaborate with Population Health and Actuarial teams to validate performance metrics and financial projections.
  • Ensure accurate accruals for expected VBC revenue based on utilization, quality, and risk scoring.
  • Financial Reporting & Analysis
  • Produce executivelevel reporting on revenue performance across FFS and VBC portfolios.
  • Analyze trends in utilization, payor mix, risk scores, and contract performance.
  • Support budgeting and forecasting for both traditional and alternative reimbursement streams.
  • Provide insights to leadership on revenue risks, opportunities, and strategic implications.
  • CrossFunctional Collaboration
  • Work with Contracting to evaluate payor agreements and financial impact.
  • Partner with Clinical Operations and Population Health to connect financial outcomes with care delivery initiatives.
  • Collaborate with IT/Data teams to ensure integrity of claims, encounter, and attribution data.
  • Leadership & Team Development
  • Lead and mentor a team of revenue accountants.
  • Build scalable processes and internal controls to support organizational growth.
  • Foster a culture of accuracy, accountability, and continuous improvement


Qualifications:

If you are committed to putting our patients first and helping shape the future of care, you belong at Duly.

  • Bachelor's degree in accounting, Finance, or related field.
  • 4+ years of progressive accounting experience preferably in healthcare.
  • Knowledge of FFS reimbursement, VBC models, and GAAP a plus.
  • Some experience with revenue recognition for capitation, shared savings, and riskbased contracts.
  • Leadership experience managing accounting or revenue teams.
  • CPA or MBA.
  • Experience in a health system, large medical group, ACO, MSO, or payor.
  • Familiarity with risk adjustment methodologies, actuarial concepts, and claims analytics.
  • Knowledge of ERP systems and healthcare revenue tools.
  • Technical accounting expertise
  • Deep understanding of healthcare reimbursement
  • Riskbased contract analysis

The compensation for this role includes a base pay range of $125k-188k, with the actual pay determined by factors such as skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives. Base pay is only a portion of the total rewards package.

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