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Hedis Chart Reviewer Jobs (NOW HIRING)

Pyramid Consulting

HEDIS RN or LPN

Mount Laurel, NJ · On-site

$30 - $39.50/hr

... chart auditing/abstraction experience which will include 1 year experience with HEDIS for RNs. * ... Visit physicians' offices to retrieve and review specific requested documentation from medical ...

Careers Integrated Resources Inc

HEDIS RN/LPN

Columbia, MD · On-site

$29.75 - $39.25/hr

Hedis Rn/Lpn Integrated Resources, Inc., is led by a seasoned team with combined decades in the ... Responsibilities may include medical records reviews, data collection, chart abstractions ...

New

Pyramid Corporation

HEDIS RN or LPN

Mount Laurel, NJ · On-site

$30 - $39.50/hr

... chart auditing/abstraction experience which will include 1 year experience with HEDIS for RNs. * ... Visit physicians' offices to retrieve and review specific requested documentation from medical ...

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 ...

Essen Medical Associates

Quality Intern

Bronx, NY · On-site

$15.75 - $20.75/hr

Chart Review & Data Abstraction * Review electronic medical records to identify and close care gaps for HEDIS measures such as diabetes, hypertension, cholesterol management, and preventive ...

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Hedis Chart Reviewer information

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How much do hedis chart reviewer jobs pay per hour?

As of Aug 12, 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.
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Hedis Chart Reviewer jobs near you
Infographic showing various Hedis Chart Reviewer job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 80% Full Time, 15% Part Time, and 3% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $62,159 per year, or $29.9 per hour.

HEDIS RN or LPN

Pyramid Consulting

Mount Laurel, NJ • On-site

$30 - $39.50/hr

Other

Re-posted 7 days ago

Job description

Hedis Nurse (Regional Assignments)

Requirements:

  • Must be registered nurse or LPN. Bachelor's degree preferred.
  • 3-5 years' clinical experience.
  • 3-5 years' chart auditing/abstraction experience which will include 1 year experience with HEDIS for RNs.
  • Flexibility to travel - must have own transportation to area clinics/hospitals as needed.
  • For field nurses, experience scheduling office appointments and traveling to physician offices is preferred.
  • If candidate is an LPN, they must have 2 years of clinical and HEDIS experience. EMR/EHR experience a plus.
  • Must have basic knowledge of how to use a laptop computer and smart phone.

Provided by company: Computer equipment, encrypted zip drives and mobile phone for uploading, transferring and scanning files to our secure file transfer site. Responsibilities include:

  • Visit physicians' offices to retrieve and review specific requested documentation from medical records
  • Scan relevant components of the medical record to support reviews performed
  • Upload all scanned medical records daily
  • Maintain lines of communication with the assigned clinical lead, project coordinator and project manager
  • Successfully complete required training, testing and quality assessment
  • Communicate effectively and professionally with office managers, health systems and any other facility or care provider
  • Schedule and confirm all appointments based on your independent assignment for efficiency
  • Must be willing to travel, have a reliable means of transportation, valid driver's license and auto insurance
  • Abide by all HIPAA and Independence patient confidentiality requirements
  • Availability of at least 8 hours a day, 5 days per week.
  • Business attire required
  • This contract is project based employment and is not considered full time permanent employment

Interviewing immediately, training (paid) is required for ~2 weeks, beginning in January:

  • Jan 7th thru 11th - candidates will expect to be in Philadelphia M-F from 8:30am to 5pm
  • Jan 15th thru 18th and Jan 25th - training on measures - candidates will expect to be in Philly M-F from 8:30am to 5pm (unless otherwise specified)

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