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Before School Hedis Coder Jobs (NOW HIRING)

Astrana Health

HEDIS Abstractor

Monterey Park, CA · Hybrid

$27 - $33/hr

Interpret and apply HEDIS measure specifications, coding guidelines, and NCQA technical requirement ... High school diploma or equivalent required; associate or bachelor's degree in healthcare-related ...

Actalent

Hedis Specialist

Victorville, CA

$27.66 - $29.07/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

High school diploma or equivalent. * At least one year of experience with HEDIS/STAR and medical ... The dress code for this position is scrubs. Job Type & Location This is a Contract position based ...

New

Pacer Group

HEDIS Data Reviewer

... before delays occur. * Adapt to changing project needs, measure updates, workflow changes, tool ... High school diploma or GED required. * Bachelor's degree preferred. * LPN, CNS, APRN, or RN ...

Pacer Group

HEDIS Data Reviewer

$40 - $44.59/hr

... before delays occur. * Adapt to changing project needs, measure updates, workflow changes, tool ... High school diploma or GED required. * Bachelor's degree preferred. * LPN, CNS, APRN, or RN ...

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Before School Hedis Coder information

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How much do before school hedis coder jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for before school hedis coder in the United States is $22.42, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $24.04 per hour, depending on experience, location, and employer.

What is the difference between Before School Hedis Coder vs School Hedis Coder?

AspectBefore School Hedis CoderSchool Hedis Coder
CertificationsHEDIS coding certification, medical coding credentialsHEDIS coding certification, medical coding credentials
Work EnvironmentPart-time, flexible hours, outpatient clinics or officesPart-time, school-based clinics or healthcare settings
Employer & IndustryHealthcare providers, insurance companies, Medicaid/Medicaid managed careSchool districts, educational health programs, Medicaid

Both Before School Hedis Coders and School Hedis Coders require similar certifications and work in healthcare-related environments. The main difference lies in their work settings: Before School Hedis Coders typically work in outpatient clinics or healthcare offices before school hours, while School Hedis Coders focus on school-based health programs. Both roles support Medicaid and HEDIS data collection, but their specific work environments and employer types differ.

What cities are hiring for Before School Hedis Coder jobs?

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The most popular types of Hedis Coder jobs are:

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Before School Hedis Coder jobs near you

Telehealth Medical Coder - CRC Required - Remote

CareTalk Health

Remote

$19.25 - $25.50/hr

Full-time

Posted 17 days ago

Job description

Job Title: Medical Coder - Virtual Clinic (AWV & HEDIS Gap Closure) - Remote
Location: Remote - United States
Employment Type: FT W2
**CRC Certified Medical Coder needed to support Medicare Annual Wellness Visits (AWVs), HEDIS gap closure, and virtual care documentation. 100% Remote.
CareTalk Health
CareTalk Health is a virtual medical practice that specializes in Clinical Process Outsourcing (CPO). We partner with healthcare organizations to build and manage patient and member populations.
About the Role
The Medical Coder is responsible for accurate and compliant coding of telehealth encounters, with a primary focus on Medicare Annual Wellness Visits (AWVs) and HEDIS gap-closure services. This role ensures proper assignment of ICD-10, CPT, and HCPCS codes, supports quality-measure capture, and maintains compliance with CMS, HEDIS, and payer-specific requirements.
Schedule: Monday-Friday 9-5:30pm EST
What You'll Do
What We're Looking For
Key Responsibilities
1) Develop and implement a compliant coding program in collaboration with CTH leadership to support accurate billing practices, audit readiness, and regulatory compliance.
2) Encounter Coding and Review
  • Assign appropriate ICD-10-CM diagnosis codes based on provider documentation.
  • Code CPT/HCPCS services for:
    • Initial AWV (G0438)
    • Subsequent AWV (G0439)
  • Ensure telehealth modifiers and place-of-service codes are correct.

3) HEDIS Gap-Closure Coding
  • Validate coding for HEDIS measures including CBP, EED, SPC, SUPD, OMW, BCS, GSD, KED, and COL.
  • Confirm diagnosis and procedure codes support measure closure.
  • Flag incomplete or non-compliant documentation.

4) Documentation Audit
  • Review charts for missing ICD-10 codes, incomplete AWV elements, and unsupported diagnoses.
  • Provide feedback to providers and nursing staff on documentation deficiencies.

5) Compliance and Quality Assurance
  • Ensure adherence to CMS, HEDIS, and telehealth coding guidelines.
  • Participate in internal coding audits and quality reviews.

6) Provider and Staff Support
  • Serve as a coding resource for providers, nurses, and quality teams.
  • Assist with coding education and documentation improvement.

Key Performance Indicators (KPIs)
  • Coding accuracy rate ≥95%
  • Charts coded within 24-48 hours
  • Denial rate related to coding errors
  • HEDIS gap closure supported by accurate coding

Required
  • CRC Certification
  • Minimum 2 years outpatient or telehealth coding experience
  • Experience with Medicare AWV and HEDIS measures
  • Familiarity with telehealth billing rules

Preferred
  • Medicare Advantage or risk-adjustment experience
  • Experience in a virtual or high-volume clinic
  • Knowledge of CCM, RTM, or APCM programs

Core Competencies
  • Strong CMS and HEDIS coding knowledge
  • Attention to detail and compliance
  • Independent remote work capability
  • Strong communication with clinical teams

Technical Requirements:
• Computer: Windows or Apple Computer ONLY (NO Chromebooks, Linux Machines, or Smartphones) Must have at least Windows 10 or MacOS 13.
• Headphones: Wired headphones required for optimal audio quality.
• Internet Speed: Meet minimum internet speed requirements (50 MBPS download speed and 20 MBPS upload speed), with a wired connection to the router. Must have an ethernet cable connecting computer directly into router
• Browser and System: Use Google Chrome with Amazon Workspaces (regardless of computer type).
• Video Capability Required: Required for video calls. (Webcam) Laptops will come with a built in webcam which is fine. If it doesn't you'll need to get one.
• Recommended Equipment: A second monitor is suggested for laptop users; dual monitors for PC users.
Why CareTalk Health
CareTalk Health is a fast-growing telehealth organization that delivers high-quality virtual care at scale. This role offers the opportunity to shape contractor operations, influence performance outcomes, and support innovative care models across a nationwide clinical workforce.
CareTalk Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
California applicants: Please review our California Applicant Privacy Notice at Collection before applying. The notice explains the categories of personal information we collect, how we use and retain it, whether we sell or share it, and your privacy rights under California law: https://caretalkhealth.com/california-privacy-notice.

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