Remote HEDIS Specialist
OR · Remote
Remote worker with ability to read and write in Spanish and medical records. Under the direction of ... Participates in scheduled meetings with the corporate HEDIS team, vendors and HEDIS auditors.
OR · Remote
Remote worker with ability to read and write in Spanish and medical records. Under the direction of ... Participates in scheduled meetings with the corporate HEDIS team, vendors and HEDIS auditors.
OR · Remote
Remote worker with ability to read and write in Spanish and medical records. Under the direction of ... Participates in scheduled meetings with the corporate HEDIS team, vendors and HEDIS auditors.
Saint Paul, MN · Remote
$32 - $37/hr
Risk Adjustment Coding Auditor (Remote) Location: 100% Remote (Approved U.S. States Only ... HEDIS and/or STARS experience * Provider education experience * RADV audit experience * CPMA or ...
Saint Paul, MN · Remote
$32 - $37/hr
Risk Adjustment Coding Auditor (Remote) Location: 100% Remote (Approved U.S. States Only ... HEDIS and/or STARS experience * Provider education experience * RADV audit experience * CPMA or ...
Saint Paul, MN · Remote
$32 - $37/hr
Risk Adjustment Coding Auditor (Remote) Location: 100% Remote (Approved U.S. States Only ... HEDIS and/or STARS experience * Provider education experience * RADV audit experience * CPMA or ...
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Saint Paul, MN · Remote
$32 - $37/hr
Risk Adjustment Coding Auditor (Remote) Location: 100% Remote (Approved U.S. States Only ... HEDIS and/or STARS experience * Provider education experience * RADV audit experience * CPMA or ...
MI · Remote
$44 - $45/hr
Remote - Must reside in Michigan (MI) Schedule: Monday - Friday, 8:00 AM - 5:00 PM Job Summary ... Required Qualifications: * 4+ seasons of experience auditing and abstracting medical records.
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MI · Remote
$44 - $45/hr
Remote - Must reside in Michigan (MI) Schedule: Monday - Friday, 8:00 AM - 5:00 PM Job Summary ... Required Qualifications: * 4+ seasons of experience auditing and abstracting medical records.
Austin, TX · Remote
$42/hr
Auditing experience preferred. DUTIES AND RESPONSIBILITIES: * Accurately and efficiently over-read ... Utilizes various software applications to support HEDIS operations by entering data and / or ...
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Austin, TX · Remote
$42/hr
Auditing experience preferred. DUTIES AND RESPONSIBILITIES: * Accurately and efficiently over-read ... Utilizes various software applications to support HEDIS operations by entering data and / or ...
$40 - $44.59/hr
Remote (work in eastern time) Duration: 3 Months Schedule: 8:30 AM - 5:00 PM EST Pay Range: $40.00 ... Apply structured abstraction and auditing criteria to determine whether medical record ...
$40 - $44.59/hr
Remote (work in eastern time) Duration: 3 Months Schedule: 8:30 AM - 5:00 PM EST Pay Range: $40.00 ... Apply structured abstraction and auditing criteria to determine whether medical record ...
... HEDIS auditor concerns as needed. Qualifications * Bachelor's degree in a quantitative/research ... Ability to work with team members in a remote or office environment * Ability to train and lead ...
... HEDIS auditor concerns as needed. Qualifications * Bachelor's degree in a quantitative/research ... Ability to work with team members in a remote or office environment * Ability to train and lead ...
... HEDIS auditor concerns as needed. Qualifications * Bachelor's degree in a quantitative/research ... Ability to work with team members in a remote or office environment * Ability to train and lead ...
... HEDIS auditor concerns as needed. Qualifications * Bachelor's degree in a quantitative/research ... Ability to work with team members in a remote or office environment * Ability to train and lead ...
Preferred Qualifications • Certified Professional in Health Quality (CPHQ), Certified HEDIS Compliance Auditor (CHCA) or Registered Health Information Technician (RHIT), with training in coding ...
Preferred Qualifications • Certified Professional in Health Quality (CPHQ), Certified HEDIS Compliance Auditor (CHCA) or Registered Health Information Technician (RHIT), with training in coding ...
Position Location: 100% Remote This is a full-time, remote position that offers a flexible schedule ... and HEDIS, as applicable; * Accurately score audits utilizing proper scoring methodology;
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Position Location: 100% Remote This is a full-time, remote position that offers a flexible schedule ... and HEDIS, as applicable; * Accurately score audits utilizing proper scoring methodology;
Jersey City, NJ · Remote
$33/hr
HEDIS Reviewer II Location: 100% Remote (Should be local to New Jersey or Nearby) Duration: 07 ... HEDIS Medical Record Review (MRR) Abstractor II "* 0-3 years of experience auditing and abstracting ...
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Jersey City, NJ · Remote
$33/hr
HEDIS Reviewer II Location: 100% Remote (Should be local to New Jersey or Nearby) Duration: 07 ... HEDIS Medical Record Review (MRR) Abstractor II "* 0-3 years of experience auditing and abstracting ...
Designs and develops reporting solutions to support Healthcare Effectiveness Data and Information Set (HEDIS) auditing, rate tracking, identification of targeted interventions, and performance metric ...
Designs and develops reporting solutions to support Healthcare Effectiveness Data and Information Set (HEDIS) auditing, rate tracking, identification of targeted interventions, and performance metric ...
Chicago, IL · On-site +1
... HEDIS clinical data set tied to technical specifications; auditing and review of electronic ... Fully remote This is a contract role with the possibility of conversion to full-time based on ...
Chicago, IL · On-site +1
... HEDIS clinical data set tied to technical specifications; auditing and review of electronic ... Fully remote This is a contract role with the possibility of conversion to full-time based on ...
OR · Remote
$75K - $90K/yr
... remote-first, high-growth environment. * Review medical records and clinical documentation to ... Strong understanding of HEDIS measures and E/M coding, with the ability to evaluate documentation ...
OR · Remote
$75K - $90K/yr
... remote-first, high-growth environment. * Review medical records and clinical documentation to ... Strong understanding of HEDIS measures and E/M coding, with the ability to evaluate documentation ...
Designs and develops reporting solutions to support Healthcare Effectiveness Data and Information Set (HEDIS) auditing, rate tracking, identification of targeted interventions, and performance metric ...
Designs and develops reporting solutions to support Healthcare Effectiveness Data and Information Set (HEDIS) auditing, rate tracking, identification of targeted interventions, and performance metric ...
San Antonio, TX · Remote
$23.50 - $26.75/hr
... HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC ... Provides onsite and remote quality assurance reviews/audits with appropriate compliance with ...
San Antonio, TX · Remote
$23.50 - $26.75/hr
... HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC ... Provides onsite and remote quality assurance reviews/audits with appropriate compliance with ...
Phoenix, AZ · Remote
$32 - $37/hr
HEDIS and/or STARS experience. * Provider education experience. * Risk Adjustment Data Validation ... remote position. Application Deadline This position is anticipated to close on Aug 4, 2026. About ...
Phoenix, AZ · Remote
$32 - $37/hr
HEDIS and/or STARS experience. * Provider education experience. * Risk Adjustment Data Validation ... remote position. Application Deadline This position is anticipated to close on Aug 4, 2026. About ...
San Antonio, TX · Remote
$25.10 - $40.25/hr
... HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC ... Provides onsite and remote quality assurance reviews/audits with appropriate compliance with ...
San Antonio, TX · Remote
$25.10 - $40.25/hr
... HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC ... Provides onsite and remote quality assurance reviews/audits with appropriate compliance with ...
This role is remote however candidates must live in Ohio. This role is laser focused on Quality ... Certified HEDIS Compliance Auditor (CHCA). * Registered Nurse (RN). If licensed, license must be ...
This role is remote however candidates must live in Ohio. This role is laser focused on Quality ... Certified HEDIS Compliance Auditor (CHCA). * Registered Nurse (RN). If licensed, license must be ...
Columbus, OH · On-site +1
$54K - $107K/yr
This role is remote however candidates must live in Ohio. This role is laser focused on Quality ... Certified HEDIS Compliance Auditor (CHCA). * Registered Nurse (RN). If licensed, license must be ...
Columbus, OH · On-site +1
$54K - $107K/yr
This role is remote however candidates must live in Ohio. This role is laser focused on Quality ... Certified HEDIS Compliance Auditor (CHCA). * Registered Nurse (RN). If licensed, license must be ...
$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
| Aspect | Hedis Auditor Remote | Hedis Reviewer |
|---|---|---|
| Certifications | Typically requires CPC, CCS, or similar coding/certification | Often requires similar coding or auditing certifications |
| Work Environment | Remote, independent auditing of healthcare records | Remote or onsite review of medical documentation |
| Industry Usage | Used in healthcare quality and compliance audits | Commonly used in healthcare plan reviews and compliance |
Both roles involve reviewing healthcare data for compliance and accuracy, often requiring similar certifications. Hedis Auditor Remote focuses on auditing for HEDIS measures, while Hedis Reviewer may involve broader medical record review. Both are remote positions within healthcare quality assurance, with overlapping skills and industry applications.

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Company Job Description/Day to Day Duties:
Remote worker with ability to read and write in Spanish and medical records. 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.
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 MHI 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.
Assists as needed in support of accreditation activities such as NCQA reviews, CAHPS and state audits.
Minimum Education/Qualifications/Licensures:
Must be bilingual, fluent in Spanish, they will be remote workers supporting Molina Puerto Rico
Licensed RN/LVN/LPN
HEDIS knowledge
Ability to read and understand medical records
Independent and able to work on their own
Interested in hearing more about this great opportunity? Please call and e-mail your resume to Brianne Salazar (Office number: 321-710-4799) for immediate consideration.
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003