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Assistant Hedis Jobs in California (NOW HIRING)

Astrana Health, Inc.

HEDIS Abstractor

Monterey Park, CA · Hybrid

$27 - $33/hr

Description The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting ... Support continuous quality improvement initiatives and assist with reporting activities as needed

Astrana Health, Inc.

HEDIS Abstractor

Monterey Park, CA · On-site

$27 - $33/hr

HEDIS Abstractor Department: Quality - Quality Care Improvement Employment Type: Full Time Location ... Support continuous quality improvement initiatives and assist with reporting activities as needed

Astrana Health

HEDIS Abstractor

Monterey Park, CA · Hybrid

$27 - $33/hr

The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive ... Support continuous quality improvement initiatives and assist with reporting activities as needed

Actalent

HEDIS LVN Case Manager

Victorville, CA · On-site

$27.66 - $29.07/hr

... best practices. * Assist with preparation and support for regulatory audits related to HEDIS ... measures and quality performance. * Participate in and support annual training activities to ...

S & S Management

Be Seen First

HEDIS Coordinator

Alhambra, CA · On-site

$25 - $26/hr

Work independently in provider offices while maintaining communication with the HEDIS team. * Assist with other HEDIS, quality improvement, medical record review, and risk adjustment activities as ...

New

AMPLA HEALTH

Quality Assistant (30460)

Yuba City, CA · On-site

$29.81 - $40.24/hr

Full Time - 30460Quality Assistant About the Position Ampla Health is seeking a detail-oriented and ... Review EHR and payer platform data to monitor and improve HEDIS and UDS quality measures. * Train ...

Kheir Clinic

Care Coordinator

Los Angeles, CA · On-site

$23 - $28/hr

Participate in or assist with additional HEDIS-related projects or other duties as assigned and necessary by the leadership team. * Other duties as assigned. ----- Kheir Clinic provides equal ...

Astiva Health

Quality Improvement Coordinator

Orange, CA · On-site

$23 - $26/hr

... care. * Assist with audits and reviews to ensure data accuracy and validity. * Attend health plan meetings as requested by department leadership. * Stay updated on HEDIS and risk adjustment ...

Kheir Clinic

Care Coordinator

Los Angeles, CA · On-site

$23 - $28/hr

Participate in or assist with additional HEDIS-related projects or other duties as assigned and necessary by the leadership team. * Other duties as assigned. ----- Kheir Clinic provides equal ...

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Assistant Hedis information

What are the roles and responsibilities of an Assistant HEDIS?

An Assistant HEDIS supports the Healthcare Effectiveness Data and Information Set (HEDIS) process by assisting with data collection, record review, and reporting for healthcare organizations. Their responsibilities typically include gathering medical records, verifying data accuracy, coordinating with providers, and helping with documentation to ensure compliance with HEDIS measures. They play a key role in quality improvement initiatives and help organizations meet regulatory and accreditation requirements.

What are the key skills and qualifications needed to thrive as an Assistant HEDIS?

To thrive as an Assistant HEDIS, you need a solid understanding of healthcare quality measures, data collection, and medical terminology, often supported by a background in health information management or a related field. Familiarity with HEDIS software, electronic medical records (EMRs), and proficiency in Microsoft Excel are typically required, and certification as a Registered Health Information Technician (RHIT) is a plus. Strong attention to detail, organizational skills, and effective communication are essential soft skills for managing sensitive data and collaborating with clinical staff. These abilities ensure accurate data reporting, compliance with healthcare standards, and contribute to the overall quality improvement efforts of healthcare organizations.

What is the difference between Assistant Hedis vs Hedis Coordinator?

AspectAssistant HedisHedis Coordinator
CertificationsTypically requires a healthcare-related certification or experienceOften requires similar certifications, with additional case management or healthcare coordination credentials
Work EnvironmentAssists in clinical or administrative tasks within healthcare settingsManages HEDIS data collection and quality improvement initiatives in healthcare organizations
Employer & IndustryHealthcare providers, insurance companies, Medicaid/Medicaid managed careHealth plans, Medicaid agencies, healthcare quality organizations
Search & Comparison IntentPeople looking for entry-level or supportive roles in HEDISIndividuals seeking roles focused on HEDIS data management and quality assurance

The Assistant Hedis role primarily supports HEDIS-related tasks with a focus on assisting healthcare teams, while the Hedis Coordinator oversees data collection, analysis, and quality improvement efforts. Both roles require healthcare knowledge, but the Coordinator position typically involves more responsibility for data management and compliance.

What are the most commonly searched types of Hedis jobs in California?

The most popular types of Hedis jobs in California are:

What are popular job titles related to Assistant Hedis jobs in California?

For Assistant Hedis jobs in California, the most frequently searched job titles are:

What job categories do people searching Assistant Hedis jobs in California look for?

The top searched job categories for Assistant Hedis jobs in California are:

What cities in California are hiring for Assistant Hedis jobs?

Cities in California with the most Assistant Hedis job openings:

Assistant Hedis jobs near you

HEDIS Abstractor

Astrana Health, Inc.

Monterey Park, CA • Hybrid

$27 - $33/hr

Full-time

Re-posted 25 days ago

Job description

Description
The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care gaps. This role is responsible for ensuring accurate collection, validation, and submission of clinical data in accordance with NCQA HEDIS technical specifications and regulatory guidelines. The HEDIS Abstractor collaborates with internal quality teams, providers, and external audit vendors to improve measure performance, maintain compliance, and support successful HEDIS audits. 

What You'll Do
  • Perform medical record abstraction and chart review for HEDIS and quality improvement initiatives
  • Identify and close HEDIS care gaps through accurate review and documentation of clinical records
  • Interpret and apply HEDIS measure specifications, coding guidelines, and NCQA technical requirement
  • Review and validate data for accuracy, completeness, and compliance with HEDIS standards
  • Conduct quality assurance (QA) reviews of abstracted records and audit findings
  • Collaborate with providers, clinics, health plans, and internal departments to obtain required medical documentation
  • Partner with external audit vendors to support medical record retrieval, validation and audit readiness activities
  • Analyze abstraction results and identify trends, discrepancies, or opportunities for process improvement
  • Ensure compliance with HIPAA and all applicable privacy and confidentiality regulations
  • Maintain productivity and accuracy standards while meeting project deadlines
  • Support continuous quality improvement initiatives and assist with reporting activities as needed
  • Other duties as assigned

Qualifications
  • High school diploma or equivalent required; associate or bachelor’s degree in healthcare-related field
  • Have at least 2 years of HEDIS abstraction or medical record review experience
  • Strong knowledge of NCQA HEDIS measure specifications and quality improvement processes
  • Proficiency with ICD-10, CPT, HCPCS, and other clinical coding systems
  • Experience performing QA reviews and supporting HEDIS audit activities
  • Familiarity with EMR/EHR systems and healthcare documentation workflows
  • Strong analytical, organizational, and problem-solving skills
  • Excellent attention to detail and accuracy
  • Ability to work independently and manage multiple priorities in a fast-paced environment
  • Strong written and verbal communication skills
You're great for the role if:
  • Certified Professional Coder (CPC), RHIT, RHIA, LVN/LPN, RN, or other healthcare-related certification 
  • Experience working with health plans, managed care organizations, or quality improvement departments
  • Knowledge of CMS Stars, risk adjustment, and population health initiatives strongly preferred

Environmental Job Requirements and Working Conditions
  • Our organization follows a hybrid work structure. This role will require travelling locally to provider offices located in San Francisco bay area for up to 35% of the time. When not conducting onsite visits, the role supports remote work.
  • The annual total compensation target pay range for this role is: $27.00 - $33.00 per hour. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.