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Hedis Chart Jobs (NOW HIRING)

Medical Billing Coder

Wellesley, MA · Remote

$20.50 - $27.50/hr

Experience in performing HEDIS chart abstractions; Experience in Risk Adjustment audit HCC extraction. * Experience of healthcare delivery systems is preferred. Proven project leadership skills and ...

HEDIS RN/LPN

Columbia, MD

$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 ...

Referral Coordinator

Mount Dora, FL

$16 - $20.75/hr

The Quality 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 ...

Referral Coordinator

Mount Dora, FL

$16 - $21/hr

The Quality 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 ...

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Hedis Chart information

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How much do hedis chart jobs pay per hour?

As of Jul 23, 2026, the average hourly pay for hedis chart in the United States is $30.10, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $31.73 per hour, depending on experience, location, and employer.

What is the difference between Hedis Chart vs Medical Coder?

AspectHedis ChartMedical Coder
CredentialsTypically requires knowledge of HEDIS measures, healthcare documentation, and coding standardsRequires coding certifications like CPC, CCS, or CCS-P
Work EnvironmentHealthcare facilities, insurance companies, or consulting firmsHospitals, clinics, insurance companies, or coding service providers
Industry UsageUsed for quality measurement and healthcare reportingUsed for medical record coding and billing
Primary FocusChart review for HEDIS compliance and quality metricsAccurate medical record coding for billing and documentation

The main difference between a Hedis Chart specialist and a Medical Coder lies in their focus. Hedis Chart professionals concentrate on reviewing healthcare charts to ensure compliance with HEDIS quality measures, while Medical Coders focus on translating medical records into standardized codes for billing and documentation. Both roles require healthcare knowledge, but their specific tasks and certifications differ.

What are HEDIS chart abstractors?

HEDIS chart abstractors are healthcare professionals who review and extract clinical information from patient medical records to support the Healthcare Effectiveness Data and Information Set (HEDIS) reporting process. Their work helps healthcare organizations measure and report on the quality of care provided to patients, ensuring compliance with national standards set by the National Committee for Quality Assurance (NCQA). HEDIS chart abstractors typically need a strong understanding of medical terminology, medical records, and quality measurement requirements. Their efforts directly impact a health plan’s quality scores and reputation.

What are some common challenges faced by professionals working in HEDIS chart abstraction, and how can they be addressed?

Professionals in HEDIS chart abstraction often encounter challenges such as incomplete or inconsistent medical records, tight reporting deadlines, and the need to navigate various electronic health record (EHR) systems. To address these issues, it helps to develop strong attention to detail, effective time management skills, and familiarity with multiple EHR platforms. Collaborating closely with healthcare providers and team members can also improve data accuracy and streamline the abstraction process.

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

To thrive as a HEDIS Chart Abstractor, you need a background in healthcare, strong knowledge of HEDIS measures, and experience with medical record review, often supported by a nursing or health information degree. Familiarity with electronic health record (EHR) systems, chart abstraction tools, and HEDIS-specific software like NCQA's tools is typically required. Attention to detail, analytical thinking, and strong organizational skills are essential soft skills for this role. These skills ensure accurate data collection and reporting, which are critical for healthcare quality improvement and compliance.
More about Hedis Chart jobs
What cities are hiring for Hedis Chart jobs? Cities with the most Hedis Chart job openings:
What states have the most Hedis Chart jobs? States with the most job openings for Hedis Chart jobs include:
Infographic showing various Hedis Chart job openings in the United States as of July 2026, with employment types broken down into 2% As Needed, 81% Full Time, 15% Part Time, and 2% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $62,612 per year, or $30.1 per hour.
Medical Billing Coder

Medical Billing Coder

US Tech Solutions

Wellesley, MA • Remote

$20.50 - $27.50/hr

Full-time

Posted 27 days ago


Job description

Company Description

US Tech Solutions is a global staff augmentation firm providing a wide-range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit our website www.ustechsolutions.com.

We are constantly on the lookout for professionals to fulfill the staffing needs of our clients, sets the correct expectation and thus becomes an accelerator in the mutual growth of the individual and the organization as well.

Keeping the same intent in mind, we would like you to consider the job opening with US Tech Solutions that fits your expertise and skillset.

Job Description

Medical Record Reviewer will primarily be responsible for completing medical record reviews (on-site, remote and/or in-house) in support of the Medicare risk adjustment retrospective initiative and Risk Adjustment Data Validation (RADV) Audits. This role will also assist with building the medical chart review program at Client's

Duties and Responsibilities

  • Utilize comprehensive knowledge American Hospital Association (AHA) coding principles of CPT, HCPCS, ICD9-CM/ICD10-CM diagnosis and procedure codes to evaluate medical record documentation for HCC risk adjustment related activities including Medicare Advantage and Commercial Risk adjustment supplemental diagnosis capture, Medicare and Commercial RADV support, and the auditing of Client's medical chart retrieval and coding vendors.
  • Collect and document chart and coding information as required for Commercial Risk Adjustment and Medicare Advantage Risk Adjustment Client's data collection procedures and systems. 
  • Assist with building the medical chart review program at Client's including defining the operating policies and procedures, mentoring team members and input into infrastructure needs and organization. 
  • Utilize coding expertise to inform Revenue Management strategy development activities and may support initiatives related to coding such as provider office education.
  • Responsible for developing and maintaining internal and vendor based coding guidelines.
  • Provide subject matter expertise on projects related to coding practices including provider education and communications.
  • Prepare reports of the data gathered and received from Client's providers/members, ensuring reports are completed with the highest quality and integrity and that all work is in full compliance with Client's and Regulatory requirements.
  • Participate in all required training - maintaining of coding certification or other professional credentials
  • Completing inter-rater reliability testing as requested 
  • Abide by all HIPAA and associated patient confidentiality requirements.
  • Coordinate with third party and internal auditors as required.
  • Other duties and projects as needed.
Qualifications

Minimum Requirements

  1. Bachelor's Degree; Clinical experience or licensed nursing professional and 3-5 years related experience. RHIA, RHIT, CCS or CPC-H with demonstrated outpatient coding experience required. ICD -9/ICD-10 certification required. 
  2. Experience in performing HEDIS chart abstractions; Experience in Risk Adjustment audit HCC extraction.
  3. Experience of healthcare delivery systems is preferred. Proven project leadership skills and ability to mentor and motivate others in the team. 
  4.  Advanced PC skills (e.g., Excel, Access, etc.) required; Excellent written and verbal communication skills, customer service skills, organization and problem solving skills, research skills, and the ability to work independently.
Additional Information

Thanks & Regards

Dishant

781-684-9064


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About US Tech Solutions

Sourced by ZipRecruiter

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.

Industry

It services

Company size

1,001 - 5,000 Employees

Headquarters location

Jersey City, NJ, US

Year founded

2000

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