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Hedis Chart Review Jobs (NOW HIRING)

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 ...

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 ...

HEDIS NURSE

Manhattan, NY ยท 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 ...

New

HEDIS RN/LPN

Jacksonville, FL

$28 - $37/hr

HEDIS Nurse Location: Jacksonville, FL Duration: 5+ Months This positon is responsible for the ... Responsibilities includes medical records reviews, data collection, chart abstractions, reporting ...

HEDIS NURSE

New York, NY

$33 - $43.75/hr

Responsibilities includes medical records reviews, data collection, chart abstractions, reporting ... This position is responsible for HEDIS data collection and reports to the Quality Management ...

HEDIS RN LPN

Manhattan, NY ยท On-site

$33.25 - $44/hr

HEDIS RN LPN Following are the position details: HEDIS 2015 Record Collection- Temps to assist with ... Responsibilities includes medical records reviews, data collection, chart abstractions, reporting ...

New

HEDIS LPN RN

Manhattan, NY ยท On-site

$33.25 - $44/hr

HEDIS LPN RN A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized ... Responsibilities includes medical records reviews, data collection, chart abstractions, reporting ...

New

HEDIS LPN RN

New York, NY

$33 - $43.75/hr

HEDIS 2015 Record Collection- Temps to assist with record collection and data abstractions and/or ... Responsibilities includes medical records reviews, data collection, chart abstractions, reporting ...

HEDIS RN LPN

New York, NY

$33 - $43.75/hr

HEDIS 2015 Record Collection- Temps to assist with record collection and data abstractions and/or ... Responsibilities includes medical records reviews, data collection, chart abstractions, reporting ...

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Hedis Chart Review information

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$47

How much do hedis chart review jobs pay per hour?

As of Aug 13, 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 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.

How to become a Hedis Chart Review?

To become a HEDIS Chart Reviewer, candidates typically need a background in healthcare, nursing, or medical coding, along with knowledge of HEDIS measures and medical record review processes. Certification in medical coding or health information management can enhance job prospects, and familiarity with electronic health records (EHR) systems is often required. Relevant experience in clinical documentation or quality assurance is also beneficial.

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.

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 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 August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $71,500 per year, or $34.4 per hour.

HEDIS Abstractor (NorCal Region)

Astrana Health

Monterey Park, CA โ€ข Hybrid

$27 - $33/hr

Full-time

Re-posted 2 days ago


Job description

The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care gaps. This role is responsible for ensuring accurate collection, validation, and submission of clinical data in accordance with NCQA HEDIS technical specifications and regulatory guidelines. The HEDIS Abstractor collaborates with internal quality teams, providers, and external audit vendors to improve measure performance, maintain compliance, and support successful HEDIS audits.ย 
  • 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
  • Interpret and apply HEDIS measure specifications, coding guidelines, and NCQA technical requirement
  • Review and validate data for accuracy, completeness, and compliance with HEDIS standards
  • Conduct quality assurance (QA) reviews of abstracted records and audit findings
  • Collaborate with providers, clinics, health plans, and internal departments to obtain required medical documentation
  • Partner with external audit vendors to support medical record retrieval, validation and audit readiness activities
  • Analyze abstraction results and identify trends, discrepancies, or opportunities for process improvement
  • Ensure compliance with HIPAA and all applicable privacy and confidentiality regulations
  • Maintain productivity and accuracy standards while meeting project deadlines
  • Support continuous quality improvement initiatives and assist with reporting activities as needed
  • Other duties as assigned
  • High school diploma or equivalent required; associate or bachelor's degree in healthcare-related field
  • Have at least 2 years of HEDIS abstraction or medical record review experience
  • Strong knowledge of NCQA HEDIS measure specifications and quality improvement processes
  • Proficiency with ICD-10, CPT, HCPCS, and other clinical coding systems
  • Experience performing QA reviews and supporting HEDIS audit activities
  • Familiarity with EMR/EHR systems and healthcare documentation workflows
  • Strong analytical, organizational, and problem-solving skills
  • Excellent attention to detail and accuracy
  • Ability to work independently and manage multiple priorities in a fast-paced environment
  • Strong written and verbal communication skills
You're great for the role if:
  • Certified Professional Coder (CPC), RHIT, RHIA, LVN/LPN, RN, or other healthcare-related certificationย 
  • Experience working with health plans, managed care organizations, or quality improvement departments
  • Knowledge of CMS Stars, risk adjustment, and population health initiatives strongly preferred
  • Our organization follows a hybrid work structure. This role will require travelling locally to provider offices located in San Francisco bay area for up to 35% of the time. When not conducting onsite visits, the role supports remote work.
  • The annual total compensation target pay range for this role is: $27.00 - $33.00 per hour. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.