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Hedis Chart Review Jobs (NOW HIRING)

Medica

HEDIS Program Consultant III

Minnetonka, MN · On-site

$78K - $134K/yr

The HEDIS Program Consultant III is part of the HEDIS Audit and Submissions team and is primarily ... Coordinate with the Clinical Quality Review team and external vendors on chart review sampling and ...

Imedica

HEDIS Program Consultant III

Minnetonka, MN

$78K - $134K/yr

The HEDIS Program Consultant III is part of the HEDIS Audit and Submissions team and is primarily ... Coordinate with the Clinical Quality Review team and external vendors on chart review sampling and ...

Integrated Resources INC

HEDIS NURSE

New York, NY · On-site

$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 ...

Integrated Resources INC

HEDIS RN/LPN

Jacksonville, FL · On-site

$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 ...

Imedica

HEDIS Program Consultant III

Madison, WI

$78K - $134K/yr

The HEDIS Program Consultant III is part of the HEDIS Audit and Submissions team and is primarily ... Coordinate with the Clinical Quality Review team and external vendors on chart review sampling and ...

Integrated Resources INC

HEDIS LPN RN

New York, NY · On-site

$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 ...

Integrated Resources INC

HEDIS RN LPN

New York, NY · On-site

$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 ...

Aegis Medical Group

Be Seen First

HEDIS Coordinator

Clermont, FL · On-site

$16.50 - $20/hr

The HEDIS Coordinator plays a crucial role in ensuring quality healthcare delivery within a primary ... Document and log chart audits for tracking and reporting purposes * Report patient information to ...

New

Aegis Medical Group

Be Seen First

HEDIS Coordinator

Holiday, FL · On-site

$16.50 - $20/hr

The HEDIS Coordinator plays a crucial role in ensuring quality healthcare delivery within a primary ... Document and log chart audits for tracking and reporting purposes * Report patient information to ...

New

Integrated Resources INC

HEDIS RN/LPN

Columbia, MD · On-site

$30 - $39.75/hr

Responsibilities may include medical records reviews, data collection, chart abstractions ... Minimum RN associates degree, * LPN with strong HEDIS experience * Software skills are needed ...

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Hedis Chart Review information

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How much do hedis chart review jobs pay per hour?

As of Jul 16, 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.

How to get experience with HEDIS?

To gain experience with HEDIS as a Hedis Chart Review professional, it is helpful to have a background in medical coding, healthcare quality measures, or clinical documentation. Many employers prefer candidates with familiarity in electronic health records (EHR) systems and knowledge of HEDIS specifications, which can be developed through on-the-job training, certifications, or relevant healthcare experience.

What are the main responsibilities of a HEDIS Chart Reviewer on a daily basis?

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 does a HEDIS reviewer do?

A HEDIS reviewer evaluates healthcare data to ensure compliance with quality measures used for performance measurement and reporting. They review medical records, verify accuracy, and ensure documentation aligns with HEDIS specifications, often using specialized tools and adhering to regulatory standards.

How to become an RN chart reviewer?

To become an RN chart reviewer, registered nurses typically need clinical experience in healthcare settings and familiarity with medical records and documentation. Additional training in chart review processes, coding, or compliance may be required, and some employers prefer certifications such as the Certified Professional Medical Auditor (CPMA) or similar credentials.

What healthcare jobs pay over $100k per year?

Hedis Chart Review specialists typically earn between $60,000 and $80,000 annually, but senior or managerial roles in healthcare administration, health informatics, or clinical leadership can exceed $100,000. Positions such as healthcare managers, clinical directors, and health information managers often require experience, certifications, and advanced skills with electronic health records (EHR) systems. Salary levels vary based on location, experience, and organization size.

What are the key skills and qualifications needed to thrive in the Hedis Chart Review position, and why are they important?

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 job?

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).

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What cities are hiring for Hedis Chart Review jobs? Cities with the most Hedis Chart Review job openings:
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Hedis Chart Review jobs near you
Infographic showing various Hedis Chart Review job openings in the United States as of July 2026, with employment types broken down into 3% As Needed, 81% Full Time, 14% Part Time, and 2% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $71,500 per year, or $34.4 per hour.

HEDIS Abstractor (LA Region)

Astrana Health, Inc.

Monterey Park, CA • On-site

$27 - $33/hr

Full-time

Re-posted 4 days ago

Job description

HEDIS Abstractor (LA Region)
Department: Quality - Quality Care Improvement
Employment Type: Full Time
Location: 1600 Corporate Center Dr., Monterey Park, CA 91754
Reporting To: Marie Halbrook
Compensation: $27.00 - $33.00 / hour
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.
What You'll Do
  • 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

Qualifications
  • 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 certification
  • Experience working with health plans, managed care organizations, or quality improvement departments
  • Knowledge of CMS Stars, risk adjustment, and population health initiatives strongly preferred

Environmental Job Requirements and Working Conditions
  • Our organization follows a hybrid work structure. This role will require travelling locally to provider offices located in Los Angeles 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 - $32.00 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.

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