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Hedis Coder Jobs (NOW HIRING)

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, 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

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

Integrated Resources

RN HEDIS /LPN

Trenton, NJ · On-site

$30.25 - $40/hr

Trenton NJ Immediate interview Experience in HEDIS chart audits or medical records reviews LPN or Coder with HEDIS experience required. Position Comments: LPN Auditors for HEDIS Audit Season or ...

Integrated Resources

HEDIS RN/LPN

Trenton, NJ · On-site

$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.

Integrated Resources INC

HEDIS RN/LPN

Trenton, NJ · On-site

$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.

Integrated Resources INC

RN HEDIS /LPN

Trenton, NJ

$30.25 - $40/hr

Trenton NJ Immediate interview Experience in HEDIS chart audits or medical records reviews LPN or Coder with HEDIS experience required. Position Comments: LPN Auditors for HEDIS Audit Season or ...

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Hedis Coder information

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How much do hedis coder jobs pay per hour?

As of Sep 2, 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 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.

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.

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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 1% As Needed, 77% Full Time, 8% Part Time, and 14% Contract. Highlights an 57% Physical, 2% Hybrid, and 41% Remote job distribution, with an average salary of $57,182 per year, or $27.5 per hour.

HEDIS Abstractor

Astrana Health, Inc.

Monterey Park, CA • Hybrid

$27 - $33/hr

Full-time

Re-posted 22 days ago

Job description

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 San Francisco bay 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 - $33.00 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.