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Hedis Abstraction Jobs (NOW HIRING)

Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection, and abstraction of medical records and other data in ...

Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection and abstraction of medical records and other data in ...

HEDIS Specialist

Troy, MI · On-site

$35 - $40/hr

MUST HAVE medical record abstraction experience (5+ years) * 5+ years managed care experience * Basic knowledge of HEDIS and NCQA. * Basic Microsoft Office Products experience, Adobe or Nitro PDF, a ...

HEDIS Record Reviewer

Milwaukee, WI · On-site

$29.75 - $39.50/hr

The HEDIS Record Reviewer performs accurate and efficient medical record review and abstraction for ... Medical record review and abstraction is performed in the client office and at various provider ...

HEDIS Data Reviewer

$40 - $44.59/hr

Perform medical record abstraction including data entry into tool, overread, and quality review using applicable HEDIS, State, and project-specific technical specifications. * Apply structured ...

Perform medical record abstraction including data entry into tool, overread, and quality review using applicable HEDIS, State, and project-specific technical specifications. * Apply structured ...

HEDIS RN / LPN

Baton Rouge, LA

$29 - $38.50/hr

Performs provider/practitioner medical record reviews, abstraction and data entry for HEDIS and HEDIS-like measures as part of HEDIS Operations Reviews assigned medical records in order to abstract ...

HEDIS Reviewer

MI · Remote

$44 - $45/hr

Position: HEDIS Reviewer - Work From Home (Michigan Only) Location: Remote - Must reside in ... Complete assigned medical record abstraction and data entry daily. * Review medical charts, copy ...

HEDIS RN/LPN

Latham, NY

$29.25 - $38.75/hr

Documents abstraction findings in HEDIS database tool Hours for this Position: Mon-Fri daytime Advantages of this Opportunity: * Competitive salary, negotiable based on relevant experience * Benefits ...

Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection and abstraction of medical records and other data in ...

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Hedis Abstraction information

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How much do hedis abstraction jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for hedis abstraction in the United States is $30.10, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $31.73 per hour, depending on experience, location, and employer.

What is HEDIS abstraction?

HEDIS abstraction is the process of reviewing medical records and extracting specific data to measure the quality of care provided by healthcare organizations, according to HEDIS (Healthcare Effectiveness Data and Information Set) standards. This information is used by insurance companies and healthcare providers to assess performance and ensure compliance with quality metrics. HEDIS abstractors must be detail-oriented and knowledgeable about medical terminology, coding, and documentation standards.

How do I become a Hedis Abstraction?

To become a HEDIS Abstraction specialist, you typically need a background in healthcare or medical coding, along with experience in medical record review and data abstraction. Certification in HEDIS or medical coding (such as CPC or CCS) can enhance job prospects, and familiarity with electronic health records (EHR) systems is often required.

What skills do you need to be a Hedis Abstraction?

Hedis Abstraction requires strong attention to detail, excellent data management skills, and knowledge of healthcare coding and documentation standards. Proficiency in electronic health records (EHR) systems and understanding of healthcare quality measures are also important. Good communication skills and the ability to work independently are beneficial for success in this role.

What does a Hedis Abstraction do?

A HEDIS Abstraction specialist reviews and extracts data from medical records to ensure compliance with Healthcare Effectiveness Data and Information Set (HEDIS) measures. They analyze clinical documentation, enter data into databases, and support quality improvement initiatives, often using electronic health record (EHR) systems. Attention to detail and knowledge of healthcare guidelines are essential for this role.

What skills and qualifications are needed to thrive as a HEDIS abstractor?

To thrive as a HEDIS Abstractor, you need a thorough understanding of medical terminology, health records, and quality measurement standards, often supported by a clinical background such as nursing or health information management. Familiarity with HEDIS software platforms, electronic medical records (EMRs), and sometimes certifications like RHIT or RN are commonly required. Attention to detail, strong organizational skills, and effective communication set high-performing abstractors apart. These competencies are crucial to ensure accurate data collection, compliance with quality initiatives, and support for healthcare organizations’ performance improvement.

What is the difference between Hedis Abstraction vs Medical Records Coordinator?

AspectHedis AbstractionMedical Records Coordinator
CertificationsTypically requires knowledge of HEDIS measures, healthcare data, and sometimes coding certificationsOften requires medical records management certifications or health information management credentials
Work EnvironmentHealthcare organizations, insurance companies, or quality improvement teamsHospitals, clinics, or healthcare facilities managing patient records
Primary ResponsibilitiesExtracting and analyzing data for HEDIS reporting to improve quality scoresManaging, organizing, and ensuring accuracy of patient medical records

While both roles involve healthcare data, Hedis Abstraction focuses on extracting and analyzing data for quality metrics, whereas Medical Records Coordinators manage and maintain patient records. Understanding these differences helps in choosing the right career path or job focus within healthcare data management.

What are common challenges faced by HEDIS abstractors, and how can they be addressed?

HEDIS Abstractors often encounter challenges such as interpreting complex medical records, meeting tight deadlines during reporting season, and ensuring data accuracy amidst large volumes of information. Staying current with changing HEDIS measures and payer requirements can also be demanding. These challenges can be addressed by participating in ongoing training, utilizing standardized abstraction tools, collaborating closely with clinical teams for clarification, and maintaining robust organizational systems to manage tasks efficiently.
More about Hedis Abstraction jobs
What states have the most Hedis Abstraction jobs? States with the most job openings for Hedis Abstraction jobs include:
Infographic showing various Hedis Abstraction job openings in the United States as of August 2026, with employment types broken down into 90% Full Time, 4% Part Time, and 6% Contract. Highlights an 63% In-person, 6% Hybrid, and 31% Remote job distribution, with an average salary of $62,612 per year, or $30.1 per hour.

HEDIS Specialist I

Integrated Resources INC

Houston, TX • On-site

Full-time

Re-posted 22 days ago


Job description

Job Description

TITLE: HEDIS SPECIALIST I.

DURATION: 3+ MONTHS.

SHIFT TIMES 8:00 AM TO 5:00 PM MONDAY TO FRIDAY, SOME OT MIGHT BE REQUIRED AVERAGE OF 10-15 DURING PROJECT.

LOCATION: HOUSTON, TX 77084.

Duties:

  • Medical records retrieval, naming charts, uploading charts, cleaning up medical records and going to other sites (doctor offices) to retrieve medical records. Contacting provider offices to request records, naming records based off of spreadsheet.
  • Experience with EMR systems, medical records, and at least one-year HEDIS experience.
  • Microsoft Office - Word, Excel and Outlook (intermediate level, data entry).
  • Microsoft Office knowledge.
  • Training: 3-day training via WebEx.
  • Will be able to expense for mileage.

Top 3 skills:

  • Time management.
  • Communication.
  • Multi-tasking.

Summary:

  • Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection, and abstraction of medical records and other data in collaboration with other HEDIS staff.

Essential Functions:

  • Assists the Manager in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review.
  • Participates in meetings with vendors for the medical record collection process. Assists Manager with medical record vendor oversight.
  • Assists Manager in training abstractor staff and participates in the medical record IRR.
  • Identifies member service gaps based on data loaded into the HEDIS application. Collects medical records and reports from provider offices based on member needed services reports and gaps and loads data into the HEDIS application.
  • Works with the corporate HEDIS team to monitor the accuracy of abstracted records as required by HEDIS specifications.
  • Participates in scheduled meetings with the corporate HEDIS team, vendors, and HEDIS auditors.
  • Assists the QI staff with physician and member interventions and incentive efforts as needed. Provides data collection and report development support for Quality Improvement studies and performance improvement projects.
  • Assists as needed in support of accreditation activities such as NCQA reviews, CAHPS, and state audits.
Qualifications

Knowledge/Skills/Abilities:

  • Proficient with PC-based systems and the ability to learn new information systems and software programs.
  • Ability to work with large files and data sets Basic understanding of Health Plan billing practices and information systems.
  • Strong communication and teaming/interpersonal skills; strong leadership capabilities.
  • Ability to initiate and maintain cross-team relationships.
  • Excellent verbal and written communication skills. Ability to abide by policies Maintain regular attendance based on the agreed-upon schedule.
  • Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
  • Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers, and customers.

Required Education:

  • State Licensed Vocational Nurse or Registered Health Information Technician (RHIT), or Certified Medical Record Technician with training in coding procedures. Required.

Experience:

  • 0-2 years coding and medical record abstraction experience. 0-2 years managed care experience.
  • Basic knowledge of HEDIS and NCQA. Licensure/Certification is a plus.
  • Registered Health Information Technician (RHIT), or Certified Medical Record Technicians.
Additional Information
  • 0-2 years coding and medical record abstraction experience. 0-2 years managed care experience.
  • Basic knowledge of HEDIS and NCQA. Licensure/Certification is a plus.

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About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996