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Hedis Auditor Remote Jobs (NOW HIRING)

HEDIS Reviewer

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.

HEDIS Data Reviewer

$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 ...

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;

... 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 ...

Coding Compliance Auditor

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 ...

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 ...

Coding Educator/Auditor

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 ...

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Hedis Auditor Remote information

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$14

$30

$51

How much do hedis auditor remote jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for hedis auditor remote 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.

How to become a certified Hedis auditor?

To become a certified Hedis auditor, professionals typically need a background in healthcare, coding, or auditing, along with experience in Medicaid or managed care. Certification programs such as the National Committee for Quality Assurance (NCQA) HEDIS certification or similar credentials are often pursued to demonstrate expertise. Additionally, knowledge of HEDIS measures, auditing procedures, and relevant software tools is essential.

Can you work remotely as a Hedis Auditor?

Yes, Hedis Auditor roles are often available as remote positions, allowing auditors to review healthcare data and compliance from home. These jobs typically require strong analytical skills, familiarity with healthcare coding and documentation, and the use of auditing tools or software. Remote work arrangements depend on the employer's policies and the specific job requirements.

What is the difference between Hedis Auditor Remote vs Hedis Reviewer?

AspectHedis Auditor RemoteHedis Reviewer
CertificationsTypically requires CPC, CCS, or similar coding/certificationOften requires similar coding or auditing certifications
Work EnvironmentRemote, independent auditing of healthcare recordsRemote or onsite review of medical documentation
Industry UsageUsed in healthcare quality and compliance auditsCommonly 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.

More about Hedis Auditor Remote jobs
What cities are hiring for Hedis Auditor Remote jobs? Cities with the most Hedis Auditor Remote job openings:
What are the most commonly searched types of Hedis Auditor jobs? The most popular types of Hedis Auditor jobs are:
What states have the most Hedis Auditor Remote jobs? States with the most job openings for Hedis Auditor Remote jobs include:
Infographic showing various Hedis Auditor Remote job openings in the United States as of August 2026, with employment types broken down into 77% Full Time, 8% Temporary, and 15% Contract. Highlights an 100% Remote job distribution, with an average salary of $62,612 per year, or $30.1 per hour.

Contractor

Re-posted 19 days ago


Job description

Company Description

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!

Job Description

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.

Qualifications

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

Additional Information

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. 


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About Healthcare Support

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.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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