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Hedis Coder Jobs (NOW HIRING)

Astrana Health, Inc.

HEDIS Abstractor

Monterey Park, CA · On-site

$27 - $33/hr

Interpret and apply HEDIS measure specifications, coding guidelines, and NCQA technical requirement * Review and validate data for accuracy, completeness, and compliance with HEDIS standards

Astrana Health, Inc.

HEDIS Abstractor

Monterey Park, CA · Hybrid

$27 - $33/hr

Interpret and apply HEDIS measure specifications, coding guidelines, and NCQA technical requirement * Review and validate data for accuracy, completeness, and compliance with HEDIS standards

Astrana Health

HEDIS Abstractor

Monterey Park, CA · Hybrid

$27 - $33/hr

Interpret and apply HEDIS measure specifications, coding guidelines, and NCQA technical requirement * Review and validate data for accuracy, completeness, and compliance with HEDIS standards

Confident Staff Solutions

Medical Coder

Tyler, TX · On-site

$17.75 - $23.50/hr

About the job Medical Coder Company Overview: Confident Staff Solutions is a leading staffing ... Overview: We are offering a HEDIS course to individuals looking to start working as a HEDIS ...

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How much do hedis coder jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for hedis coder in the United States is $27.49, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $34.62 per hour, depending on experience, location, and employer.

What does a Hedis Coder do?

A Hedis Coder typically spends their day reviewing patient medical records, abstracting relevant data, and accurately coding information to support HEDIS quality measures. You’ll collaborate closely with quality assurance teams, healthcare providers, and data analysts to ensure compliance and accurate reporting. Meeting deadlines during the annual HEDIS data collection season can be a challenge, requiring both speed and precision. This role often offers opportunities to expand into quality improvement or supervisory roles as you gain experience and demonstrate expertise. The work is usually done in a healthcare facility or remotely, with a heavy emphasis on independence and careful review of medical documentation.

What skills and qualifications are needed to be a Hedis Coder?

To thrive as a Hedis Coder, you need a thorough understanding of medical terminology, ICD-10 and CPT coding systems, and healthcare quality measurement, usually supported by experience in medical coding and sometimes a coding certification (such as CPC or CCS). Familiarity with HEDIS reporting tools, electronic health records (EHR) systems, and data abstraction software is crucial. Attention to detail, analytical thinking, and effective communication are important soft skills that help ensure data accuracy and collaborative workflow. These competencies are essential for accurately extracting and reporting healthcare data to improve care quality and meet regulatory standards.

What is a Hedis Coder?

A HEDIS Coder is a healthcare professional responsible for reviewing and abstracting medical records to ensure compliance with the Healthcare Effectiveness Data and Information Set (HEDIS) measures. They analyze patient data, identify gaps in care, and help healthcare providers improve quality performance. HEDIS Coders work with electronic health records (EHRs) and collaborate with healthcare teams to ensure accurate reporting. Their role is crucial in enhancing patient outcomes and meeting regulatory requirements.

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Hedis Coder jobs near you
Infographic showing various Hedis Coder job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 78% In-person, 11% Hybrid, and 11% Remote job distribution, with an average salary of $57,182 per year, or $27.5 per hour.

Telehealth Medical Coder - CRC Required - Remote

CareTalk Health

Remote

$19.25 - $25.50/hr

Full-time

Posted 14 days ago

Job description

Job Title: Medical Coder - Virtual Clinic (AWV & HEDIS Gap Closure) - Remote
Location: Remote - United States
Employment Type: FT W2
**CRC Certified Medical Coder needed to support Medicare Annual Wellness Visits (AWVs), HEDIS gap closure, and virtual care documentation. 100% Remote.
CareTalk Health
CareTalk Health is a virtual medical practice that specializes in Clinical Process Outsourcing (CPO). We partner with healthcare organizations to build and manage patient and member populations.
About the Role
The Medical Coder is responsible for accurate and compliant coding of telehealth encounters, with a primary focus on Medicare Annual Wellness Visits (AWVs) and HEDIS gap-closure services. This role ensures proper assignment of ICD-10, CPT, and HCPCS codes, supports quality-measure capture, and maintains compliance with CMS, HEDIS, and payer-specific requirements.
Schedule: Monday-Friday 9-5:30pm EST
What You'll Do
What We're Looking For
Key Responsibilities
1) Develop and implement a compliant coding program in collaboration with CTH leadership to support accurate billing practices, audit readiness, and regulatory compliance.
2) Encounter Coding and Review
  • Assign appropriate ICD-10-CM diagnosis codes based on provider documentation.
  • Code CPT/HCPCS services for:
    • Initial AWV (G0438)
    • Subsequent AWV (G0439)
  • Ensure telehealth modifiers and place-of-service codes are correct.

3) HEDIS Gap-Closure Coding
  • Validate coding for HEDIS measures including CBP, EED, SPC, SUPD, OMW, BCS, GSD, KED, and COL.
  • Confirm diagnosis and procedure codes support measure closure.
  • Flag incomplete or non-compliant documentation.

4) Documentation Audit
  • Review charts for missing ICD-10 codes, incomplete AWV elements, and unsupported diagnoses.
  • Provide feedback to providers and nursing staff on documentation deficiencies.

5) Compliance and Quality Assurance
  • Ensure adherence to CMS, HEDIS, and telehealth coding guidelines.
  • Participate in internal coding audits and quality reviews.

6) Provider and Staff Support
  • Serve as a coding resource for providers, nurses, and quality teams.
  • Assist with coding education and documentation improvement.

Key Performance Indicators (KPIs)
  • Coding accuracy rate ≥95%
  • Charts coded within 24-48 hours
  • Denial rate related to coding errors
  • HEDIS gap closure supported by accurate coding

Required
  • CRC Certification
  • Minimum 2 years outpatient or telehealth coding experience
  • Experience with Medicare AWV and HEDIS measures
  • Familiarity with telehealth billing rules

Preferred
  • Medicare Advantage or risk-adjustment experience
  • Experience in a virtual or high-volume clinic
  • Knowledge of CCM, RTM, or APCM programs

Core Competencies
  • Strong CMS and HEDIS coding knowledge
  • Attention to detail and compliance
  • Independent remote work capability
  • Strong communication with clinical teams

Technical Requirements:
• Computer: Windows or Apple Computer ONLY (NO Chromebooks, Linux Machines, or Smartphones) Must have at least Windows 10 or MacOS 13.
• Headphones: Wired headphones required for optimal audio quality.
• Internet Speed: Meet minimum internet speed requirements (50 MBPS download speed and 20 MBPS upload speed), with a wired connection to the router. Must have an ethernet cable connecting computer directly into router
• Browser and System: Use Google Chrome with Amazon Workspaces (regardless of computer type).
• Video Capability Required: Required for video calls. (Webcam) Laptops will come with a built in webcam which is fine. If it doesn't you'll need to get one.
• Recommended Equipment: A second monitor is suggested for laptop users; dual monitors for PC users.
Why CareTalk Health
CareTalk Health is a fast-growing telehealth organization that delivers high-quality virtual care at scale. This role offers the opportunity to shape contractor operations, influence performance outcomes, and support innovative care models across a nationwide clinical workforce.
CareTalk Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
California applicants: Please review our California Applicant Privacy Notice at Collection before applying. The notice explains the categories of personal information we collect, how we use and retain it, whether we sell or share it, and your privacy rights under California law: https://caretalkhealth.com/california-privacy-notice.

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