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Hedis Chart Reviewer Jobs (NOW HIRING)

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 ...

Integrated Resources INC

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 ...

Aegis Medical Group

HEDIS Coordinator

Holiday, FL · On-site

The HEDIS Coordinator is the primary person to analyze patient chart data to confirm HEDIS measures ... Reviewing or creating various reports using Microsoft Excel. Ability to manipulate spreadsheets ...

Integrated Resources INC

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 ...

Medica

HEDIS Program Consultant III

Madison, WI · 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 ...

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 · 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 ...

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

Madison, WI · 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 ...

Aegis Medical Group

HEDIS Coordinator

Holiday, FL

The HEDIS Coordinator is the primary person to analyze patient chart data to confirm HEDIS measures are being met and addressed appropriately by the Physicians. This person will work closely and ...

Aegis Medical Group

HEDIS Coordinator

Holiday, FL

The HEDIS Coordinator is the primary person to analyze patient chart data to confirm HEDIS measures are being met and addressed appropriately by the Physicians. This person will work closely and ...

Integrated Resources INC

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 ...

Integrated Resources INC

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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All JobsHedis Chart Reviewer Jobs

Hedis Chart Reviewer information

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$10

$29

$48

How much do hedis chart reviewer jobs pay per hour?

As of Jul 23, 2026, the average hourly pay for hedis chart reviewer in the United States is $29.88, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $36.54 per hour, depending on experience, location, and employer.

What is a HEDIS Chart Reviewer?

A HEDIS Chart Reviewer is a healthcare professional responsible for reviewing medical records and charts to collect data for the Healthcare Effectiveness Data and Information Set (HEDIS). This data is used by health plans to measure performance on various dimensions of care and service. Reviewers examine patient charts to verify the accuracy of reported data, identify gaps in care, and ensure compliance with HEDIS guidelines. Their work helps health organizations improve patient outcomes and meet regulatory requirements.

What is the difference between Hedis Chart Reviewer vs Hedis Data Abstractor?

AspectHedis Chart ReviewerHedis Data Abstractor
Required CredentialsMedical coding certification, healthcare experienceMedical coding certification, healthcare experience
Work EnvironmentHealthcare facilities, insurance companiesHealthcare facilities, insurance companies
Employer & Industry UsageInsurance providers, healthcare organizationsInsurance providers, healthcare organizations
Common Search & ComparisonYesYes

The main difference between a Hedis Chart Reviewer and a Hedis Data Abstractor lies in their focus. The Hedis Chart Reviewer primarily reviews patient charts for compliance and accuracy, while the Hedis Data Abstractor extracts data from medical records for reporting purposes. Both roles require similar credentials and are used within healthcare and insurance industries, but their specific responsibilities differ based on the review versus data abstraction tasks.

How does a HEDIS Chart Reviewer typically collaborate with healthcare providers and medical records staff during the data collection process?

As a HEDIS Chart Reviewer, you will frequently interact with healthcare providers and medical records staff to request, access, and clarify patient documentation needed for accurate data abstraction. Building professional relationships and maintaining clear communication is key to efficiently obtaining the necessary records while respecting privacy regulations. Reviewers often coordinate schedules for on-site visits or remote access, and must be able to explain HEDIS requirements to ensure all relevant information is collected for quality reporting. This collaborative approach helps streamline the review process and ensures compliance with both healthcare standards and organizational protocols.

What are the key skills and qualifications needed to thrive as a HEDIS Chart Reviewer, and why are they important?

To thrive as a HEDIS Chart Reviewer, you need strong knowledge of medical terminology, clinical documentation, and HEDIS measures, typically supported by a background in nursing, health information management, or a related field. Familiarity with electronic medical record (EMR) systems, data abstraction tools, and sometimes specific certifications like RHIT or RN are commonly required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for success in this role. These skills ensure accurate data collection and reporting, which directly supports quality improvement and compliance in healthcare organizations.
More about Hedis Chart Reviewer jobs
What cities are hiring for Hedis Chart Reviewer jobs? Cities with the most Hedis Chart Reviewer job openings:
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Hedis Chart Reviewer jobs near you
Infographic showing various Hedis Chart Reviewer job openings in the United States as of July 2026, with employment types broken down into 100% Full Time. Highlights an 33% In-person, and 67% Remote job distribution, with an average salary of $62,159 per year, or $29.9 per hour.

HEDIS Abstractor (LA Region)

Astrana Health, Inc.

Monterey Park, CA • On-site

$27 - $33/hr

Full-time

Posted 11 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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