HEDIS Consultant
East Hartford, CT · On-site
· HEDIS Coding Quality Assurance Auditor · We are seeking a knowledgeable and experienced AAPC/AHIMA · Certified Professional Coder to assist with QA of HEDIS measures charts. · Must have prior ...
East Hartford, CT · On-site
· HEDIS Coding Quality Assurance Auditor · We are seeking a knowledgeable and experienced AAPC/AHIMA · Certified Professional Coder to assist with QA of HEDIS measures charts. · Must have prior ...
East Hartford, CT · On-site
· HEDIS Coding Quality Assurance Auditor · We are seeking a knowledgeable and experienced AAPC/AHIMA · Certified Professional Coder to assist with QA of HEDIS measures charts. · Must have prior ...
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
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
Required Experience: * 5+ years coding and medical record abstraction experience. * 5+ years managed care experience. * Basic knowledge of HEDIS and NCQA. Required Licensure/Certification
Required Experience: * 5+ years coding and medical record abstraction experience. * 5+ years managed care experience. * Basic knowledge of HEDIS and NCQA. Required Licensure/Certification
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
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
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
Quick apply
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
Required Experience: * 5+ years coding and medical record abstraction experience. * 5+ years managed care experience. * Basic knowledge of HEDIS and NCQA. Required Licensure/Certification
Required Experience: * 5+ years coding and medical record abstraction experience. * 5+ years managed care experience. * Basic knowledge of HEDIS and NCQA. Required Licensure/Certification
Experience: * 0-2 years coding and medical record abstraction experience. 0-2 years managed care experience. * Basic knowledge of HEDIS and NCQA. Licensure/Certification is a plus. * Registered ...
Experience: * 0-2 years coding and medical record abstraction experience. 0-2 years managed care experience. * Basic knowledge of HEDIS and NCQA. Licensure/Certification is a plus. * Registered ...
Qualifications * 0-2 years coding and medical record abstraction experience. * 0-2 years managed care experience. Basic knowledge of HEDIS and NCQA. * Experience with EMR systems. Additional ...
Qualifications * 0-2 years coding and medical record abstraction experience. * 0-2 years managed care experience. Basic knowledge of HEDIS and NCQA. * Experience with EMR systems. Additional ...
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
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
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
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
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
Quick apply
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
San Francisco, 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
Quick apply
San Francisco, 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
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
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
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
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
Spring Hill, FL · On-site
Must be RN, LPN, Medical Coder, or Medical Records Specialist * 3+ years of experience with HEDIS measurements and HEDIS auditing * Managed Care experience Additional Information Are you an ...
Spring Hill, FL · On-site
Must be RN, LPN, Medical Coder, or Medical Records Specialist * 3+ years of experience with HEDIS measurements and HEDIS auditing * Managed Care experience Additional Information Are you an ...
New York, NY · On-site
$20.50 - $27.25/hr
We are seeking a knowledgeable and experienced AAPC/AHIMA Certified Professional Coder to assist with QA of HEDIS measures charts. Must have prior experience working with HEDIS measures, QA of HEDIS ...
New York, NY · On-site
$20.50 - $27.25/hr
We are seeking a knowledgeable and experienced AAPC/AHIMA Certified Professional Coder to assist with QA of HEDIS measures charts. Must have prior experience working with HEDIS measures, QA of HEDIS ...
Identify opportunities to improve measure capture, coding accuracy, and documentation through ... Experience with NCQA HEDIS measures and reporting processes. * Familiarity with Medicare Stars ...
Identify opportunities to improve measure capture, coding accuracy, and documentation through ... Experience with NCQA HEDIS measures and reporting processes. * Familiarity with Medicare Stars ...
$30.25 - $40/hr
Trenton, New Jersey LPN Auditors for HEDIS Audit Season or Certified Coders need for HEDIS 2016 Experience in HEDIS chart audits or medical records reviews LPN or Coder with HEDIS experience required.
$30.25 - $40/hr
Trenton, New Jersey LPN Auditors for HEDIS Audit Season or Certified Coders need for HEDIS 2016 Experience in HEDIS chart audits or medical records reviews LPN or Coder with HEDIS experience required.
Experience with provider coding practices using CPT, ICD-10 codes, and DRG's. * Understanding of ... HEDIS program management required. * Proven leadership or mentoring skills with a data analysis ...
New
Experience with provider coding practices using CPT, ICD-10 codes, and DRG's. * Understanding of ... HEDIS program management required. * Proven leadership or mentoring skills with a data analysis ...
New
Harrisburg, PA · On-site
$83K - $157K/yr
Identify opportunities to improve measure capture, coding accuracy, and documentation through ... Experience with NCQA HEDIS measures and reporting processes. * Familiarity with Medicare Stars ...
Harrisburg, PA · On-site
$83K - $157K/yr
Identify opportunities to improve measure capture, coding accuracy, and documentation through ... Experience with NCQA HEDIS measures and reporting processes. * Familiarity with Medicare Stars ...
$18.33 is the 25th percentile. Wages below this are outliers.
$15.87 - $18.38
26% of jobs
$18.38 - $20.89
9% of jobs
$20.89 - $23.40
12% of jobs
The median wage is $24.66 / hr.
$23.40 - $25.92
9% of jobs
$25.92 - $28.43
11% of jobs
$28.43 - $30.94
5% of jobs
$32.83 is the 75th percentile. Wages above this are outliers.
$30.94 - $33.46
6% of jobs
$33.46 - $35.97
5% of jobs
$35.97 - $38.48
5% of jobs
$38.48 - $41
3% of jobs
$41 - $43.51
10% of jobs
$15
$27
$43
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.
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.
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.

· HEDIS Coding Quality Assurance Auditor
· We are seeking a knowledgeable and experienced AAPC/AHIMA
· Certified Professional Coder to assist with QA of HEDIS measures charts.
· Must have prior experience working with HEDIS measures, QA of HEDIS measures results, and must be able to do independent research and reading of requirements from the NCQA manual.
· Experience - 6 - 8 Years.
Sourced by ZipRecruiter
Software development
11 - 50 Employees
Lisle, IL, US
2009