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Before School Hedis Coder Jobs (NOW HIRING)

Astrana Health, Inc.

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 ...

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 ...

Astrana Health, Inc.

HEDIS Abstractor

Monterey Park, CA · On-site

$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 LVN Case Manager

Victorville, CA · On-site

$27.66 - $29.07/hr

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 ...

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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 Sep 4, 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.

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Before School Hedis Coder jobs near you

HEDIS Abstractor

Astrana Health, Inc.

Monterey Park, CA • Hybrid

$27 - $33/hr

Full-time

Re-posted 24 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.