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Hedis Coder Jobs (NOW HIRING)

Epitec

Quality Audit Specialist

Chicago, IL · On-site

$40 - $45/hr

Apply HEDIS code sets and value sets appropriately. * Collaborate with internal teams, providers, and vendors to improve data quality. * Maintain documentation and reporting tied to HEDIS compliance ...

Astiva Health

Jr. Quality Improvement Coder

Orange, CA · On-site

Review and advise on appropriate documentation and coding for HEDIS and RAF reporting. * Prepare ... summary reporting of the coding review results as requested. * Participate in ongoing discussions ...

Astiva Health

Jr. Quality Improvement Coder

Orange, CA · On-site

Review and advise on appropriate documentation and coding for HEDIS and RAF reporting. * Prepare ... summary reporting of the coding review results as requested. * Participate in ongoing discussions ...

Astiva Health

Jr. Quality Improvement Coder

Orange, CA · On-site

$25 - $28/hr

Review and advise on appropriate documentation and coding for HEDIS and RAF reporting. * Prepare ... summary reporting of the coding review results as requested. * Participate in ongoing discussions ...

Evergreen Nephrology

Lead CDI Coder

Manhattan, NY · Remote

$70K - $80K/yr

Role Responsibilities Accurately code diagnoses based on documented information, ensuring ... HEDIS, CMS, and other contractual or enterprise-initiated performance metrics Participate in ...

Pacer Group

Certified Coder (Varied) Dallas, TX

Dallas, TX · On-site

$22.25 - $30.50/hr

This position requires the coder to be highly proficient in the proper assignment of ICD-10 CM, PCS, CPT, HCPCS, HCC, HEDIS CAT II, E/M and modifier codes. Demonstrates the ability to provide ...

3B Healthcare, Inc.

Administrative- Certified Coder

Dallas, TX · On-site

$22.50 - $30/hr

Knowledgeable in ICD-9/ICD-10-CM/PCS, CPT-4/HCPCS, HCC and HEDIS CAT II, Risk Adjustment - REQUIRED ... Ability to assign CPT codes - REQUIRED * Knowledge & proficiency of EPIC EHR and 3M 360 coding is ...

Healthcare Support Staffing

HEDIS Nurse

Mason, OH

$28.50 - $37.50/hr

Candidate will work with the HEDIS team to collect member records and conduct reviews of these ... 10 coding Strong understanding of medical terminology Strong computer skills and must know MS ...

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How much do hedis coder jobs pay per hour?

As of Jun 3, 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 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 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 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.
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Hedis Coder jobs near you
Quality Audit Specialist

Quality Audit Specialist

Epitec

Chicago, IL • On-site

$40 - $45/hr

Contractor

Posted 16 days ago

Job description

  • Location: Chicago, Illinois
  • Type: Contract
  • Job #103337

Job Title:
HEDIS Data Analyst (Clinical)
Location: Chicago, IL. Hybrid
Job Type: W2 Contract
Expected Hours per Week: 40 hours per week
Schedule: Monday-Friday, standard business hours
Pay Range: $40-$45 per hour
Position Description:
We are seeking a HEDIS Clinical Data Auditor to support data collection, validation, and compliance activities tied to HEDIS technical specifications. This role is responsible for auditing and reviewing electronic clinical records to ensure data accuracy and alignment with medical record documentation for regulatory reporting.
You will work across EMR and non-EMR data sources, including supplemental files from providers and vendors, to improve HEDIS rates and reporting outcomes. This position plays a key role in maintaining the integrity of the Medical Record Review (MRR) process and overall HEDIS reporting accuracy.
What You'll Do:
  • Perform HEDIS data abstraction, validation, and clinical record review.
  • Audit EMR and non-EMR data to ensure compliance with HEDIS specifications.
  • Review and validate supplemental data from providers and vendors.
  • Ensure accuracy and completeness of medical record documentation.
  • Support NCQA HEDIS reporting and audit processes.
  • Investigate and resolve data discrepancies and collection issues.
  • Apply HEDIS code sets and value sets appropriately.
  • Collaborate with internal teams, providers, and vendors to improve data quality.
  • Maintain documentation and reporting tied to HEDIS compliance standards.

Skills Required:
  • Strong knowledge of HEDIS reporting and NCQA requirements.
  • Experience with clinical quality auditing and medical record review.
  • Understanding of HEDIS measures and technical specifications.
  • Knowledge of coding/value sets including CPT II, SNOMED, LOINC, ICD, HCPCS.
  • Strong proficiency in Microsoft Excel and reporting tools.
  • Ability to multitask, prioritize, and work independently.
  • Strong written and verbal communication skills.

Skills Preferred:
  • Experience with HEDIS hybrid measures.
  • Familiarity with payer or managed care environments.

Experience Required:
  • Minimum 3 years of healthcare industry experience.
  • Hands-on HEDIS data collection, abstraction, or reporting experience.
  • Experience working in NCQA audit or formal HEDIS validation environments.
  • Experience with EMR systems and clinical data analysis.

Even Better, You May Have:
  • Certified Coding Certification (CPC, CCS, or similar).
  • Experience working with supplemental/vendor data files.
  • Strong problem-solving and data investigation experience.
  • Proven ability to quickly learn new systems and tools.

Experience Preferred:
  • 5+ years of HEDIS or clinical quality experience.

Education Required:
  • High School Diploma or GED

Education Preferred:
  • Bachelor's Degree in Healthcare, Nursing, Health Information Management, or related field

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