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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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All JobsHcc Risk Adjustment Coding JobsWork From Home Hcc Risk Adjustment Coding JobsWork From Home Hcc Risk Adjustment Coding Jobs in Elmhurst, IL

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 26, 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 the key skills and qualifications needed to thrive as a work from home HCC risk adjustment coder?

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 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 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.

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Work From Home Hcc Risk Adjustment Coding jobs near you

Coding Investigator Auditor - Work From Home

Health Care Service Corporation

Chicago, IL • Remote

$55K - $123K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 15 days ago

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job SummaryThis position is responsible for auditing clinical, billing, coding and lowest cost setting reviews for services pre and post payment utilizing medical, contractual, legislative, policy, and other information to validate claims submitted and billed. Conducting research. Preparing documentation of findings and consulting with special investigation and the affordability of care area as needed. Coordinating with all departments involved in each case required such as medical director special investigations, customer service, pass, network management, marketing, case management, medical review, legal, pricing and database.

Required Job Qualifications:

  • Bachelor's degree; one year of business experience, law enforcement experience, or regulatory agency experience may substitute for each year of college.
  • Certified Coding Certification, or acquire within 24 months of hire
  • 3 years of experience in claims processing operations and reporting systems, including 2 years of experience in auditing or developing computer system reports.
  • Knowledge of accreditation, i.e. URAC, NCQA standards and health insurance legislation.
  • Awareness of claims processes and claims processing systems.
  • PC proficiency to include Microsoft Word and Excel and health insurance databases.
  • Verbal and written communication skills with ability to communicate to physicians, members and providers and compose and explain document findings.
  • Organizational skills and prioritization skills

Preferred Job Qualifications:

  • Current AAPC Medical Coding Certification

#LI-MW2

#LI-Remote

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range$55,900.00 - $123,500.00

Exact compensation may vary based on skills, experience, and location.

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