HEDIS Specialist I
Irving, 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.
HEDIS Specialist I
Irving, 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.
HEDIS Specialist
Chicago, IL · 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.
HEDIS Specialist
Chicago, IL · 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.
HEDIS Specialist
El Paso, 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.
HEDIS Specialist
El Paso, 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.
Remote HEDIS Specialist
OR · On-site +1
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 ...
Remote HEDIS Specialist
OR · On-site +1
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 ...
HEDIS Retriever
Spring Hill, FL · On-site
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 ...
HEDIS Retriever
Spring Hill, FL · On-site
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 ...
HEDIS AUDITOR RN/ LPN
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 ...
HEDIS AUDITOR RN/ LPN
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 ...
HEDIS Specialist I
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 ...
HEDIS Specialist I
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 ...
HEDIS QI Retriever
Orlando, FL · On-site
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 ...
HEDIS QI Retriever
Orlando, FL · On-site
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 ...
Hedis analyst
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 ...
Hedis analyst
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 ...
HEDIS Analyst
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 ...
HEDIS Analyst
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 ...
HEDIS Analyst
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 ...
HEDIS Analyst
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 ...
HEDIS Reporting Lead
Philadelphia, PA · On-site
... 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 ...
HEDIS Reporting Lead
Philadelphia, PA · On-site
... 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 ...
HEDIS Reviewer
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
HEDIS Reviewer
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.
HEDIS NURSE
$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 ...
HEDIS NURSE
$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 ...
HEDIS RN/LPN
Trenton, NJ · On-site
$30.25 - $40/hr
Trenton, New Jersey LPN Auditors for HEDIS Audit Season or Certified Coders need for HEDIS 2016 Experience in HEDIS chart audits or medical records reviews LPN or Coder with HEDIS experience required.
HEDIS RN/LPN
Trenton, NJ · On-site
$30.25 - $40/hr
Trenton, New Jersey LPN Auditors for HEDIS Audit Season or Certified Coders need for HEDIS 2016 Experience in HEDIS chart audits or medical records reviews LPN or Coder with HEDIS experience required.
HEDIS Over Reader Nurse - Remote - Contract
Austin, TX · Remote
$42/hr
Auditing experience preferred. DUTIES AND RESPONSIBILITIES: * Accurately and efficiently over-read medical record abstractions performed by the HEDIS abstraction staff on a daily basis according to ...
Quick apply
HEDIS Over Reader Nurse - Remote - Contract
Austin, TX · Remote
$42/hr
Auditing experience preferred. DUTIES AND RESPONSIBILITIES: * Accurately and efficiently over-read medical record abstractions performed by the HEDIS abstraction staff on a daily basis according to ...
HEDIS RN/LPN
Jacksonville, FL · On-site
$28 - $37/hr
Must have prior experience working on a HEDIS audit (at least 1 season) Must have an active RN or LPN license in Florida Responsible for completing auditing and/or medical records review projects.
HEDIS RN/LPN
Jacksonville, FL · On-site
$28 - $37/hr
Must have prior experience working on a HEDIS audit (at least 1 season) Must have an active RN or LPN license in Florida Responsible for completing auditing and/or medical records review projects.
RN HEDIS /LPN
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 ...
RN HEDIS /LPN
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 ...
Are you an experienced Chart Reviewer / QI Clerk / HEDIS Abstractor looking for a new opportunity ... auditing, review, abstractor Strong computer skills Commitment to abide by all patient health ...
Are you an experienced Chart Reviewer / QI Clerk / HEDIS Abstractor looking for a new opportunity ... auditing, review, abstractor Strong computer skills Commitment to abide by all patient health ...
HEDIS LPN RN
New York, NY · On-site
$33 - $43.75/hr
... completing auditing and/or medical records review projects. Responsibilities includes medical records reviews, data collection, chart abstractions, reporting and analyses. Must have good ...
HEDIS LPN RN
New York, NY · On-site
$33 - $43.75/hr
... completing auditing and/or medical records review projects. Responsibilities includes medical records reviews, data collection, chart abstractions, reporting and analyses. Must have good ...
Hedis Auditor information
See salary details
$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
How much do hedis auditor jobs pay per hour?
As of Sep 6, 2026, the average hourly pay for hedis auditor 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 a Hedis auditor?
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.
What skills and qualifications are needed to be a Hedis auditor?
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.
What are common challenges Hedis auditors face in their daily work?
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.
How to become a Hedis Auditor?
To become a Hedis Auditor, candidates typically need a background in healthcare, nursing, or health information management, along with knowledge of HEDIS measures and auditing processes. Relevant certifications such as Certified HEDIS Professional (CHP) or similar can enhance qualifications. Strong analytical skills and experience with healthcare data and electronic health records are also important for this role.
How to get experience in Hedis Auditor?
To gain experience as a HEDIS Auditor, individuals typically start by obtaining a relevant healthcare or coding certification such as CPC or CCS, and then seek entry-level positions or internships in healthcare quality or auditing. Developing skills in medical record review, data analysis, and familiarity with HEDIS measures through on-the-job training or online courses can also enhance qualifications.
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Job description
Company Description
Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.
Job Description
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 in 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 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.
Qualifications
- 0-2 years coding and medical record abstraction experience.
- 0-2 years managed care experience. Basic knowledge of HEDIS and NCQA.
- Experience with EMR systems.
Additional Information
Kind Regards,
Kavita Kumari
Clinical Recruiter
Integrated Resources, Inc.
IT Life Sciences Allied Healthcare CRO
DIRECT # - 732-844-8726
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