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Work From Home Hcc Risk Adjustment Coding Jobs in Elmhurst, IL

Zing Health Holdings, Inc.

Director, Coding

Chicago, IL · Remote

... from the medical record. You will also set coding guidelines and maintain highest coding data ... Work closely with full risk provider organizations to ensure highest quality charts and adherence ...

Next Step Systems

FPGA Engineer - Work From Home

Chicago, IL · On-site +1

$133K - $172K/yr

Responsibilities: - Architect and code FPGA designs in a hardware description language, producing ... Work From Home, Financial, Trading, Chicago Recruiters, Information Technology Jobs, IT Jobs, ...

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Work From Home Hcc Risk Adjustment Coding information

See Elmhurst, IL salary details

$15

$27

$43

How much do work from home hcc risk adjustment coding jobs pay per hour?

As of Aug 2, 2026, the average hourly pay for work from home hcc risk adjustment coding in Elmhurst, IL is $27.38, according to ZipRecruiter salary data. Most workers in this role earn between $18.89 and $34.47 per hour, depending on experience, location, and employer.

What is work from home HCC risk adjustment coding?

Work from home HCC (Hierarchical Condition Category) risk adjustment coding involves reviewing medical records and assigning appropriate diagnosis codes to reflect the health status of patients for insurance and Medicare purposes. Coders ensure that all relevant conditions are accurately documented to support proper reimbursement and compliance with regulations. Working remotely allows coders to complete these tasks from home, often using secure online systems provided by their employer. This role requires a solid understanding of medical terminology, coding systems like ICD-10-CM, and risk adjustment models.

What are some common challenges faced by Work From Home HCC Risk Adjustment Coders, and how can they be managed?

Work From Home HCC Risk Adjustment Coders often face challenges such as maintaining consistent productivity, managing complex medical records, and staying current with evolving coding guidelines. Without in-person supervision, it can be difficult to stay focused and avoid distractions, so setting up a dedicated workspace and sticking to a structured schedule is essential. Additionally, regular communication with team members and participating in ongoing training can help coders stay updated and collaborate effectively. Leveraging secure technology for remote access and adhering strictly to HIPAA regulations is also crucial to ensure data privacy and compliance.

What are the key skills and qualifications needed to thrive as a Work From Home HCC Risk Adjustment Coder, and why are they important?

To thrive as a Work From Home HCC Risk Adjustment Coder, you need a strong understanding of ICD-10-CM coding, knowledge of Hierarchical Condition Categories (HCC), and typically a certification such as CPC or CRC. Familiarity with electronic medical record (EMR) systems and coding software is essential for accurate and efficient code assignment. Attention to detail, self-motivation, and strong communication skills help ensure compliance and productivity in a remote environment. These skills are crucial to ensure accurate risk adjustment coding, which impacts healthcare reimbursement and quality reporting.

What is the difference between Work From Home Hcc Risk Adjustment Coding vs Work From Home Medical Coding Specialist?

AspectWork From Home Hcc Risk Adjustment CodingWork From Home Medical Coding Specialist
CertificationsAHIMA or AAPC HCC certifications, coding credentialsCPH, CPC, or equivalent medical coding certifications
Work EnvironmentRemote, healthcare insurance industryRemote, healthcare or hospital settings
Industry UsageHealth insurance, risk adjustment programsHospitals, clinics, insurance companies
Job FocusRisk adjustment, HCC coding for Medicare/MedicaidGeneral medical coding, billing, and documentation

Work From Home Hcc Risk Adjustment Coding specialists focus on coding for risk adjustment models, primarily in insurance and Medicare programs, requiring specific HCC certifications. In contrast, Work From Home Medical Coding Specialists handle broader medical coding tasks across various healthcare settings. Both roles are remote and require coding credentials, but their industry focus and job responsibilities differ.

What are popular job titles related to Work From Home Hcc Risk Adjustment Coding jobs in Elmhurst, IL? For Work From Home Hcc Risk Adjustment Coding jobs in Elmhurst, IL, the most frequently searched job titles are:
What cities near Elmhurst, IL are hiring for Work From Home Hcc Risk Adjustment Coding jobs? Cities near Elmhurst, IL with the most Work From Home Hcc Risk Adjustment Coding job openings:
Work From Home Hcc Risk Adjustment Coding jobs near you

Director, Coding

Zing Health Holdings, Inc.

Chicago, IL • Remote

Full-time

Re-posted 10 days ago

Job description

COMPANY OVERVIEW

Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health aims to return the physician and the member to the center of the health care equation. Members receive individualized assistance to make their transition to Zing Health as easy as possible. Zing Health offers members the ability to personalize their plans, access to facilities designed to help them better meet their healthcare needs and a dedicated care team. For more information on Zing Health, visit www.myzinghealth.com.

SUMMARY DESCRIPTION:

As the Director of Coding, you will maintain responsibility for accurate coding and abstracting of clinical information from the medical record. You will also set coding guidelines and maintain highest coding data quality and integrity. You will work to set up a coding team as the team expands to support prospective and retrospective chart reviews. You will continuously track and train the staff to ensure accuracy and completion of coding. You will work with contracted provider groups to provide training and guidance for coding. Experience working with Medicare Health plans is a must.

ESSENTIAL FUNCTIONS: 

  • Ensure coding practices and health plan coding guidelines meet national coding and compliance guidelines
  • Hire and train new coding staff members in the team
  • Provides necessary education for coding staff including ICD10, CPT2 and other necessary standards
  • Continuously monitor and audit team's work on coding accuracy and completion metrics.
  • Build training and audit framework to support provider organizations managing our members
  • Work closely with full risk provider organizations to ensure highest quality charts and adherence to plan's coding guidelines
  • Work closely with vendors providing chart extraction or health assessment capabilities to ensure highest quality adherence to coding guidelines
  • Help other departments with coding reviews, questions and clarifications.


QUALIFICATIONS AND REQUIREMENTS:

JOB REQUIREMENTS:

Required Qualifications

  • Thorough knowledge of ICD-10-CM and CPT coding principles and rules
  • Must be Certified Coder (AAPC or AHIMA)
  • Experience with encoders and computerized abstracting systems
  • Capacity to work independently
  • Effective written and verbal communication skills
  • Minimum 15+ years of coding experience
  • Knowledge and experience of Medicare Risk Adjustment guidelines

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