Newark, NJ · On-site
$31.50 - $41.75/hr
Hedis Auditor Rn/Lpn Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on ...
Newark, NJ · On-site
$31.50 - $41.75/hr
Hedis Auditor Rn/Lpn Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on ...
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.
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.
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.
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.
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.
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.
Conducts internal auditing for compliance with regulatory and accreditation standards, and monitors ... Must be RN, LPN, Medical Coder, or Medical Records Specialist * 3+ years of experience with HEDIS ...
Conducts internal auditing for compliance with regulatory and accreditation standards, and monitors ... Must be RN, LPN, Medical Coder, or Medical Records Specialist * 3+ years of experience with HEDIS ...
OR · Remote
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 ...
OR · Remote
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 ...
Newark, NJ · Hybrid
$31.75 - $41.75/hr
This request is for the 2018 HEDIS audit, Position is responsible for performing medical record reviews and data extraction for the HEDIS audit. Prior HEDIS experience required. Must have an active ...
Newark, NJ · Hybrid
$31.75 - $41.75/hr
This request is for the 2018 HEDIS audit, Position is responsible for performing medical record reviews and data extraction for the HEDIS audit. Prior HEDIS experience required. Must have an active ...
Houston, TX · On-site
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 ...
Houston, TX · On-site
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 ...
Conducts internal auditing for compliance with regulatory and accreditation standards, and monitors ... Can be RN/LPN / Medical Coder / Medical Records Specialist * 3+ years experience with HEDIS ...
Conducts internal auditing for compliance with regulatory and accreditation standards, and monitors ... Can be RN/LPN / Medical Coder / Medical Records Specialist * 3+ years experience with HEDIS ...
Philadelphia, PA · On-site
Assists as necessary in the HEDIS Road Map and all other documents required by auditors. * Able to assimilate into team within minimum amount of assistance * Assures the ongoing high performance ...
Philadelphia, PA · On-site
Assists as necessary in the HEDIS Road Map and all other documents required by auditors. * Able to assimilate into team within minimum amount of assistance * Assures the ongoing high performance ...
Philadelphia, PA · On-site
Assists as necessary in the HEDIS Road Map and all other documents required by auditors. * Able to assimilate into a team within a minimum amount of assistance. * Assures the ongoing high-performance ...
Philadelphia, PA · On-site
Assists as necessary in the HEDIS Road Map and all other documents required by auditors. * Able to assimilate into a team within a minimum amount of assistance. * Assures the ongoing high-performance ...
Newark, NJ · On-site
$40 - $42/hr
The HEDIS Nurse Auditor is responsible for conducting quality audits related to state audits, HEDIS measures, and quality-related complaints and referrals. * This role also supports data analysis and ...
Newark, NJ · On-site
$40 - $42/hr
The HEDIS Nurse Auditor is responsible for conducting quality audits related to state audits, HEDIS measures, and quality-related complaints and referrals. * This role also supports data analysis and ...
Philadelphia, PA · On-site
Assists as necessary in the HEDIS Road Map and all other documents required by auditors. Able to assimilate into team within minimum amount of assistance Assures the ongoing high performance level of ...
Philadelphia, PA · On-site
Assists as necessary in the HEDIS Road Map and all other documents required by auditors. Able to assimilate into team within minimum amount of assistance Assures the ongoing high performance level of ...
... auditors. Ensures all data sent to HEDIS software vendor are accurate and meet HEDIS reporting timeline. Ensures all HEDIS supplemental data sources are gathered and are completed Improves HEDIS ...
... auditors. Ensures all data sent to HEDIS software vendor are accurate and meet HEDIS reporting timeline. Ensures all HEDIS supplemental data sources are gathered and are completed Improves HEDIS ...
MI · Remote
$44 - $45/hr
Position: HEDIS Reviewer - Work From Home (Michigan Only) Location: Remote - Must reside in ... Required Qualifications: * 4+ seasons of experience auditing and abstracting medical records.
Quick apply
MI · Remote
$44 - $45/hr
Position: HEDIS Reviewer - Work From Home (Michigan Only) Location: Remote - Must reside in ... Required Qualifications: * 4+ seasons of experience auditing and abstracting medical records.
Newark, NJ · On-site
The HEDIS Nurse Auditor is responsible for conducting quality audits related to state audits, HEDIS measures, and quality-related complaints and referrals. * This role also supports data analysis and ...
Newark, NJ · On-site
The HEDIS Nurse Auditor is responsible for conducting quality audits related to state audits, HEDIS measures, and quality-related complaints and referrals. * This role also supports data analysis and ...
Santa Fe Springs, CA · On-site
$25/hr
Perform data validation, auditing, and investigation activities to ensure the accuracy, completeness, and integrity of HEDIS data and supporting documentation. * Research and resolve data ...
New
Quick apply
Santa Fe Springs, CA · On-site
$25/hr
Perform data validation, auditing, and investigation activities to ensure the accuracy, completeness, and integrity of HEDIS data and supporting documentation. * Research and resolve data ...
New
Manhattan, NY · On-site
$33.25 - $44/hr
Hedis Nurse Integrated Resources, Inc., is led by a seasoned team with combined decades in the ... A Special Project Nurse/Medical Professional will be responsible for completing auditing and/or ...
New
Manhattan, NY · On-site
$33.25 - $44/hr
Hedis Nurse Integrated Resources, Inc., is led by a seasoned team with combined decades in the ... A Special Project Nurse/Medical Professional will be responsible for completing auditing and/or ...
New
Trenton, NJ · On-site
$30.25 - $40/hr
Position Comments: LPN Auditors for HEDIS Audit Season or Certified Coders need at least seven to nine additional staff for HEDIS 2016 Travel will be limited to NJ, and generally assigned within the ...
New
Trenton, NJ · On-site
$30.25 - $40/hr
Position Comments: LPN Auditors for HEDIS Audit Season or Certified Coders need at least seven to nine additional staff for HEDIS 2016 Travel will be limited to NJ, and generally assigned within the ...
New
$33 - $43.75/hr
A Special Project Nurse/Medical Professional will be responsible for completing auditing and/or ... This position is responsible for HEDIS data collection and reports to the Quality Management ...
$33 - $43.75/hr
A Special Project Nurse/Medical Professional will be responsible for completing auditing and/or ... This position is responsible for HEDIS data collection and reports to the Quality Management ...
$14.90 - $18.23
7% of jobs
$18.23 - $21.55
12% of jobs
$22.25 is the 25th percentile. Wages below this are outliers.
$21.55 - $24.87
28% of jobs
The median wage is $25.33 / hr.
$24.87 - $28.19
19% of jobs
$28.19 - $31.51
6% of jobs
$32.19 is the 75th percentile. Wages above this are outliers.
$31.51 - $34.83
12% of jobs
$34.83 - $38.16
8% of jobs
$38.16 - $41.48
2% of jobs
$41.48 - $44.80
0% of jobs
$44.80 - $48.12
1% of jobs
$48.12 - $51.44
4% of jobs
$14
$30
$51
Hedis Auditors need a solid understanding of HEDIS measures, healthcare data abstraction, medical record review, and regulatory compliance—often supported by a background in nursing, health information management, or a related healthcare field. Familiarity with HEDIS software platforms, electronic medical record (EMR) systems, and sometimes certifications such as Certified Professional in Healthcare Quality (CPHQ) are highly valuable. Strong attention to detail, analytical thinking, and excellent organizational and communication skills help auditors navigate complex documentation and collaborate with clinical teams. Mastering these competencies is vital to ensure accurate reporting, facilitate quality improvement, and support compliance within healthcare organizations.
Hedis Auditors often encounter challenges such as navigating incomplete or inconsistent medical records, managing large volumes of data within tight deadlines during the reporting season, and ensuring strict adherence to ever-evolving HEDIS guidelines. They may also face the need to collaborate with providers and office staff to retrieve additional documentation and clarify ambiguous entries. These obstacles require strong problem-solving skills and adaptability, making the role both demanding and professionally rewarding for those who enjoy detail-oriented work in a dynamic healthcare environment.
A HEDIS Auditor is a healthcare professional responsible for reviewing medical records and data to ensure compliance with the Healthcare Effectiveness Data and Information Set (HEDIS) measures. They analyze documentation from healthcare providers to validate coding accuracy and assess quality performance. Their role helps health plans meet regulatory requirements, improve patient outcomes, and achieve higher quality ratings. HEDIS Auditors must have a strong understanding of medical terminology, coding standards, and healthcare regulations.
$31.50 - $41.75/hr
Other
Posted 5 days ago
Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.
Job DescriptionThis request is for the 2018 HEDIS audit, Position is responsible for performing medical record reviews and data extraction for the HEDIS audit. Prior HEDIS experience required. Must have an active RN or LPN license. The new contract nurses will be onsite 100% migrating to working from home 4 days a week. How long that takes is dependent on how quickly they come up to speed. Travel to physician offices is very limited early on and may increase as we get closer to the end of the audit. We try to obtain as much as possible via phone and fax.
QualificationsPlease note: There is onsite training for at least up to 4-6 weeks depending on how quickly candidate catches up. There is weekly onsite meeting which candidate must attend and remote other days.
