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Hedis Chart Review Jobs (NOW HIRING)

tenavistaffing

HEDIS Chart Retrieval Nurse

Pittsburgh, PA · Remote

$29.25 - $38.75/hr

HEDIS Chart Retrieval Nurse Position Overview The HEDIS Chart Retrieval Nurse supports the health ... You will coordinate record retrieval, review incoming records for completeness, upload ...

Integrated Resources

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.

Integrated Resources

RN HEDIS /LPN

Trenton, NJ · On-site

$30.25 - $40/hr

Trenton NJ Immediate interview Experience in HEDIS chart audits or medical records reviews LPN or Coder with HEDIS experience required. Position Comments: LPN Auditors for HEDIS Audit Season or ...

Integrated Resources INC

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.

Integrated Resources INC

RN HEDIS /LPN

Trenton, NJ · On-site

$30.25 - $40/hr

Trenton NJ Immediate interview Experience in HEDIS chart audits or medical records reviews LPN or Coder with HEDIS experience required. Position Comments: LPN Auditors for HEDIS Audit Season or ...

Managed Staffing

HEDIS Reviewer / HEDIS Quality

TX · Remote

$34 - $35/hr

The ideal candidates will review medical records, interpret clinical data, and ensure accurate ... Prior experience performing chart audits. * Strong knowledge of medical terminology and ability to ...

Actalent

HEDIS LPN

Saint Louis, MO · On-site

$32 - $40/hr

HEDIS Licensed Practical Nurse (LPN) The HEDIS Licensed Practical Nurse (LPN) reviews, abstracts ... The position focuses on medical record review, chart abstraction, electronic medical record ...

Astrana Health

HEDIS Abstractor

Monterey Park, CA · Hybrid

$27 - $33/hr

Perform medical record abstraction and chart review for HEDIS and quality improvement initiatives * Identify and close HEDIS care gaps through accurate review and documentation of clinical records

US Tech Solutions

Medical Billing Coder

Wellesley, MA · Remote

$20.50 - $27.50/hr

This role will also assist with building the medical chart review program at Client's Duties and ... Experience in performing HEDIS chart abstractions; Experience in Risk Adjustment audit HCC ...

Pacer Group

HEDIS Data Reviewer

Three to five years of experience working with HEDIS data, medical record review, chart abstraction, chart collection, quality reporting, QRS, STARs, or similar healthcare quality initiatives ...

Pacer Group

HEDIS Data Reviewer

$40 - $44.59/hr

Three to five years of experience working with HEDIS data, medical record review, chart abstraction, chart collection, quality reporting, QRS, STARs, or similar healthcare quality initiatives ...

Integrated Resources

HEDIS NURSE

Manhattan, NY · On-site

$33.25 - $44/hr

Hedis Nurse Integrated Resources, Inc., is led by a seasoned team with combined decades in the ... Responsibilities includes medical records reviews, data collection, chart abstractions, reporting ...

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Hedis Chart Review information

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How much do hedis chart review jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for hedis chart review in the United States is $34.38, according to ZipRecruiter salary data. Most workers in this role earn between $29.09 and $38.46 per hour, depending on experience, location, and employer.

What is a HEDIS Chart Review?

A HEDIS Chart Review job involves reviewing medical records to collect and validate data for the Healthcare Effectiveness Data and Information Set (HEDIS). This data helps measure healthcare performance and ensures compliance with quality standards. Professionals in this role analyze patient charts, identify missing information, and input findings into a reporting system. The job is typically seasonal and requires attention to detail, knowledge of medical terminology, and familiarity with electronic health records (EHRs).

What does a HEDIS Chart Reviewer do?

As a HEDIS Chart Reviewer, your daily responsibilities typically include reviewing patient medical records to abstract relevant data, ensuring all information aligns with HEDIS compliance requirements. You'll collaborate with clinical and quality assurance teams to resolve data discrepancies and may need to contact medical offices for additional documentation. Maintaining accurate and thorough records, adhering to data security protocols, and meeting both accuracy and productivity metrics are also essential aspects of the job. This role is often deadline-driven, requiring reliable time management and the ability to handle confidential patient information with the utmost professionalism.

What are the key skills and qualifications needed to thrive in the HEDIS Chart Review position?

To thrive as a HEDIS Chart Review professional, you need a background in nursing or healthcare, knowledge of HEDIS measures, and experience reviewing medical charts for quality and compliance purposes. Familiarity with EHR systems, HEDIS abstraction software, and possibly certification as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) are commonly required. Attention to detail, strong organizational skills, and the ability to work independently are key soft skills for success in this position. These competencies help ensure accurate data collection and reporting, which are vital for healthcare organizations to meet quality standards and regulatory requirements.

How to become a Hedis Chart Review?

To become a HEDIS Chart Reviewer, candidates typically need a background in healthcare, such as nursing, medical assisting, or health information management. Relevant skills include attention to detail, knowledge of medical records, and familiarity with HEDIS measures; certifications like RHIT or RHIA can be beneficial. Training is often provided by employers, and the role may require experience with electronic health records (EHR) systems.

What does a Hedis Chart Review do?

A Hedis Chart Review involves examining patient medical records to ensure compliance with Healthcare Effectiveness Data and Information Set (HEDIS) measures. The reviewer assesses documentation accuracy and completeness to support quality reporting and improve healthcare outcomes, often using electronic health record systems. This role requires attention to detail and knowledge of healthcare guidelines.
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Infographic showing various Hedis Chart Review job openings in the United States as of September 2026, with employment types broken down into 88% Full Time, 4% Part Time, and 8% Contract. Highlights an 65% In-person, 4% Hybrid, and 31% Remote job distribution, with an average salary of $71,500 per year, or $34.4 per hour.

HEDIS Chart Retrieval Nurse

Pittsburgh, PA • Remote

tenavistaffing
See more jobs at tenavistaffingexternal

$29.25 - $38.75/hr

Contractor

Medical, PTO

Posted 18 days ago

Job description

HEDIS Chart Retrieval Nurse

Position Overview

The HEDIS Chart Retrieval Nurse supports the health plan's annual HEDIS quality data collection efforts by obtaining medical records needed to validate HEDIS measures and close documentation gaps.

In this role, you will conduct outbound outreach to physician offices, hospitals, clinics, and medical records departments to request required documentation. You will coordinate record retrieval, review incoming records for completeness, upload documentation into the health plan's secure system, and track retrieval progress throughout the project.

This is a fast-paced, deadline-driven role requiring strong communication, organization, attention to detail, and an understanding of clinical documentation and HEDIS quality measures.

Key Responsibilities

  • Conduct outbound calls to physician offices, hospitals, clinics, and medical records departments to request records required for HEDIS measures.
  • Clearly communicate the purpose of each request, required documentation, applicable date ranges, and release-of-information requirements.
  • Coordinate with provider office staff and medical records departments to determine the appropriate method for securely transmitting records.
  • Follow up on outstanding requests to ensure medical records are received within established project timelines.
  • Review received documentation for completeness and confirm that requested records have been provided.
  • Upload medical records into the health plan's secure portal or designated chart retrieval platform.
  • Maintain accurate documentation of outreach attempts, provider contacts, pending requests, completed retrievals, and follow-up activity.
  • Escalate delays, access issues, incomplete records, and other retrieval barriers to the project lead or supervisor.
  • Manage an assigned call queue and daily outreach workload to meet productivity and retrieval targets.
  • Maintain compliance with HIPAA requirements and protect all confidential and protected health information.
  • Perform additional project-related duties as assigned.

Qualifications

  • Active Registered Nurse (RN) or Licensed Practical Nurse (LPN/LVN) license.
  • (compacted license preferred or PA)
  • Minimum of 1 year of clinical, managed care, quality, medical records, or related healthcare experience.
  • Prior HEDIS, medical record retrieval, chart review, or chart abstraction experience preferred.
  • Working knowledge of medical terminology, clinical documentation, and EMR/EHR systems.
  • Familiarity with HEDIS quality measures and healthcare quality reporting preferred.
  • Strong telephone communication and provider outreach skills.
  • Strong attention to detail and ability to accurately document and track multiple record requests.
  • Ability to work independently in a remote, deadline-driven environment.

Contract Details

  • Monday through Friday schedule
  • Eastern Time business hours
  • Contract position: This contract does not include health insurance, paid time off, paid holidays, or other employee benefits.

Application Requirements

  • Must be legally authorized to work in the United States.
  • Candidates must be willing to complete a background check and drug screening if required.
  • Candidates will be asked to provide their home address and complete employment eligibility questions during the application process.

Interested in Learning More?

Apply directly or reach out to learn more about the opportunity.