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Hedis Auditor Jobs (NOW HIRING)

University Health

Coding Educator/Auditor

San Antonio, TX · On-site

$25.10 - $40.25/hr

... HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC ... The Coding Educator & Auditor must maintain a valid credential offered by the accrediting bodies ...

University Health

Coding Educator/Auditor

San Antonio, TX · Remote

$23.50 - $26.75/hr

... HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC ... The Coding Educator & Auditor must maintain a valid credential offered by the accrediting bodies ...

University Health

Coding Educator/Auditor

San Antonio, TX · Remote

$25.10 - $40.25/hr

... HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC ... The Coding Educator & Auditor must maintain a valid credential offered by the accrediting bodies ...

University Health

Coding Educator/Auditor

San Antonio, TX · On-site

$25.10 - $40.25/hr

... HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC ... LICENSURE/CERTIFICATION The Coding Educator & Auditor must maintain a valid credential offered by ...

University Health

Coding Educator/Auditor

San Antonio, TX · On-site

$23.50 - $26.75/hr

... HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC ... LICENSURE/CERTIFICATION The Coding Educator & Auditor must maintain a valid credential offered by ...

University Health

Coding Educator/Auditor

San Antonio, TX · On-site

$25.10 - $40.25/hr

... HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC ... LICENSURE/CERTIFICATION The Coding Educator & Auditor must maintain a valid credential offered by ...

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How much do hedis auditor jobs pay per hour?

As of Sep 5, 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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Hedis Auditor jobs near you
Infographic showing various Hedis Auditor job openings in the United States as of August 2026, with employment types broken down into 50% Full Time, and 50% Contract. Highlights an 50% In-person, and 50% Remote job distribution, with an average salary of $62,612 per year, or $30.1 per hour.

HEDIS Reviewer II in 100% Remote (Should be local to New Jersey or Nearby)

Amicis Global

Jersey City, NJ • Remote

$33/hr

Contractor

Re-posted 12 days ago

Job description

Title: HEDIS Reviewer II
Location: 100% Remote (Should be local to New Jersey or Nearby)
Duration: 07 Months
Shift Timing: 08:00 AM - 05:00 PM (Monday - Friday)
Pay Rate: $30.00 - $33.00/- on W2
 
 
Pre Screening Questionnaire:
Is the name listed on your resumes your legal name and spelt correctly, if not please provide that name?
Do you have an alternate phone number to what is already on your resume?
Are you able to work Monday thru Friday, 8 am to 5 pm your local time (January thru May) without interruption?
Do you have anything that requires time off or would prevent you from working the above required schedule (January thru May)?
Please list 3 different Microsoft Office Suite Programs you have experience with and how many years you've worked in each one.
Are you able to connect the Healthcare provided laptop to your home internet modem via an ethernet cable connection? (Not through WiFi connections)
Are you able to carry equipment that weighs up to 20lbs?
 
Kindly share your most updated resume.
 
 
Summary:
"Participates in the collection and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to the start of the assignment.
This position interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and populates a data collection tool to support compliance with HEDIS and CMS performance measures. Ensures accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements. The candidate must be proficient with databases and with conducting 100% of work activities on the computer.
Must commit to the duration of the project with the understanding that work hours can be varied. Due to proprietary information, employers must inform employers if they are planning to accept employment with another company.
 
Roles and Responsibilities:
HEDIS Medical Record Review (MRR) Abstractor II
"• 0-3 years of experience auditing and abstracting medical records required
• Candidates must commit to attend all required training and conference calls assigned for the project.
• Candidate must return all equipment that is supplied to them in good working condition and in a timely manner at the end of the project
• Medical knowledge/terminology is required.
• Ability to read and interpret medical records.
• Professional demeanor and good work ethic.
• Computer savvy: Microsoft Word, Excel, email, and Adobe reader required. Know how to save a file to a folder.
• Excellent verbal and written communication skills – clear, concise and appropriate.
• Conscientious problem solver, willing to learn, and take personal pride in their work performance/accuracy.
• Exceptional attention to detail and excellent analytical, investigation, and problem-solving skills
• Proven organizational and time management skills including the ability to meet required deadlines
• Must keep all information collected in a safe, organized and confidential manner while maintaining confidentiality of PHI, HIPAA Privacy and Security Rules "
"• Workspace able to accommodate laptop and up to 2 monitors
• Reliable internet connection
• Private uninterrupted workspace to maintain HIPAA Privacy and Security Rules "
"• Must have flexibility to drive within their assigned geographic area; requiring reliable transportation.
• Must be able to lift 25 lbs.
• Must dress in business casual attire and maintain a professional appearance.
• Working knowledge and experience may be required with the usage of hand held scanners, iPods, flash drives and laptops (as applicable) in order to collect, save, rename, and transfer confidential information.
"• Complete assigned abstraction and data entry each day.
• Work with provider offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters
• Locate and review ALL assigned medical charts, perform abstraction, copy all supporting documentation per specifications and data entered into the applicable software system ALL assigned abstracts.
•Prioritize and accurately complete tasks within established times
•Identifying trends and documentation of areas for improvement
•Maintaining project productivity levels while maintaining accuracy requirements for abstraction and data entry activities.
Work from home in the New Jersey area. Position will potentially make onsite visits to provider offices therefore MUST live IN or NEAR New Jersey.
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