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Hedis Coder Jobs in Texas (NOW HIRING)

Altegra Health

Remote Certified Coder

Dallas, TX · Remote

$22.25 - $30.50/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk ...

Altegra Health

Remote Certified Coder

Dallas, TX · On-site +1

$22.25 - $30.50/hr

Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ... Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk ...

University Health

Coding Educator

San Antonio, TX · On-site

$25.10 - $40.25/hr

Trains new Coding Specialist(s), Technician(s), and Associate(s). Promotes the Health System ... HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC)

University Health

Coding Educator

San Antonio, TX · On-site

$25.10 - $40.25/hr

Trains new Coding Specialist(s), Technician(s), and Associate(s). Promotes the Health System ... HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC)

University Health

Coding Educator/Auditor

San Antonio, TX

$23.50 - $26.75/hr

Trains new Coding Specialist(s), Technician(s), and Associate(s). Promotes the Health System ... HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC)

University Health

Coding Educator/Auditor

San Antonio, TX · On-site

$25.10 - $40.25/hr

Trains new Coding Specialist(s), Technician(s), and Associate(s). Promotes the Health System ... HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC)

University Health

Coding Educator/Auditor

San Antonio, TX · On-site

$25.10 - $40.25/hr

... HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC ... Implements Coding Education programs for professional and facility Service lines, including ongoing ...

University Health

Coding Educator/Auditor

San Antonio, TX · Remote

$25.10 - $40.25/hr

... HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC ... Implements Coding Education programs for professional and facility Service lines, including ongoing ...

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Hedis Coder information

What does a typical day look like for a Hedis Coder?

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 are the key skills and qualifications needed to thrive in the Hedis Coder position, and why are they important?

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 job?

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 are the most commonly searched types of Hedis Coder jobs in Texas? The most popular types of Hedis Coder jobs in Texas are:
What are popular job titles related to Hedis Coder jobs in Texas? For Hedis Coder jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Hedis Coder jobs in Texas look for? The top searched job categories for Hedis Coder jobs in Texas are:
Hedis Coder jobs near you
Infographic showing various Hedis Coder job openings in Texas as of July 2026, with employment types broken down into 1% As Needed, 86% Full Time, 11% Part Time, and 2% Contract. Highlights an 57% Physical, 3% Hybrid, and 40% Remote job distribution.
HEDIS Specialist

HEDIS Specialist

Integrated Resources INC

El Paso, TX

Full-time

Posted 17 days ago

Job description

Company Description

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.

Job Description

Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection and abstraction of medical records and other data in collaboration with other HEDIS staff.

Essential Functions:

  • Assists the Manager in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review.
  • Participates in meetings with vendors for the medical record collection process.
  • Assists Manager with medical record vendor oversight.
  • Assists Manager in training abstractor staff and participates in the medical record IRR.
  • Identifies member service gaps based on data loaded in the HEDIS application.
  • Collects medical records and reports from provider offices based on member needed services reports and gaps and loads data into the HEDIS application.
  • Works with the corporate HEDIS team to monitor accuracy of abstracted records as required by HEDIS specifications.
  • Participates in scheduled meetings with the corporate HEDIS team, vendors and HEDIS auditors.
  • Assists the QI staff with physician and member interventions and incentive efforts as needed.
  • Provides data collection and report development support for Quality Improvement studies and performance improvement projects.
  • Assists as needed in support of accreditation activities such as NCQA reviews, CAHPS and state audits.

Knowledge/Skills/Abilities:

  • Proficient with PC-based systems and the ability to learn new information systems and software programs.
  • Ability to work with large files and data sets.
  • Basic understanding of Health Plan billing practices and information systems.
  • Strong communication and teaming/interpersonal skills; strong leadership capabilities.
  • Ability to initiate and maintain cross-team relationships.
  • Excellent verbal and written communication skills.
  • Ability to abide by policies.
  • Maintain regular attendance based on agreed-upon schedule.
  • Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
Qualifications
  • State Licensed Vocational Nurse or Registered Health Information Technician (RHIT), or Certified Medical Record Technician with training in coding procedures.

Required Experience:

  • 5+ years coding and medical record abstraction experience.
  • 5+ years managed care experience.
  • Basic knowledge of HEDIS and NCQA.

Required Licensure/Certification:

  • Licensed LVN/LPN, Registered Health Information Technician (RHIT), or Certified Medical Record Technicians.
Additional Information

Kind Regards,

Kavita Kumari

Clinical Recruiter

Integrated Resources, Inc.

IT Life Sciences Allied Healthcare CRO

DIRECT # - 732-844-8726

Integrated Resources logo

About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

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