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Hedis Coder Jobs (NOW HIRING)

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Medical Billing Coder

Wellesley, MA · Remote

$20.50 - $27.50/hr

Collect and document chart and coding information as required for Commercial Risk Adjustment and ... Experience in performing HEDIS chart abstractions; Experience in Risk Adjustment audit HCC ...

Cano Health

Risk Adjustment Coder

Jupiter, FL · On-site

Provide real time support and coordination with Primary Care Providers and Care Coordinators for MRA coding, HEDIS and STARS * Monitor coding changes to ensure that most current information is ...

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 ...

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How much do hedis coder jobs pay per hour?

As of Jul 23, 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 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.

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Hedis Coder jobs near you
Infographic showing various Hedis Coder job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 58% Physical, 2% Hybrid, and 40% Remote job distribution, with an average salary of $57,182 per year, or $27.5 per hour.
Senior Analyst, Risk & Quality Reporting - HEDIS

Senior Analyst, Risk & Quality Reporting - HEDIS

Molina Healthcare

Long Beach, CA

Full-time

Posted 9 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 195 frontline employees who took The Breakroom Quiz

147th of 281 rated insurance

Job description

Job Description

Job Summary

The Sr Analyst, Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom health plan reports to support local interventions, provider outreach, and tracks outcomes of the initiatives. Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research, development, and completion of special performance improvement projects including root cause analysis.

Job Duties

  • Works with assigned health plan to capture and document requirements, build custom health plan reports, and educate health plan users on how to use reports
  • Builds intervention strategy reporting for the Risk and Quality interventions and measures gap closure
  • Builds ad hoc reports as requested to track HEDIS performance and supplemental data monitoring
  • Develops and QA custom health plan reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP
  • Develops custom health plan reports related to managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates
  • Assists and collaborates with the national Risk and Quality department with testing of pre-production reporting for the assigned health plan
  • Calculates and tracks gap closure and intervention outcome reporting for the assigned state
  • Works in an agile business environment to derive meaningful information out of complex and large organizational data sets through data analysis, data mining, verification, scrubbing, and root cause analysis
  • Conducts root cause analysis for business data issues
  • Analyzes data sets and trends for anomalies, outliers, trend changes, and opportunities, using databricks SQL, PowerBi, excel, and techniques to determine significance and relevance
  • Assists with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations
  • Key partner to assist with testing changes in the Datawarehouse platform and perform transparent upgrades to reporting modules to ensure no impact to the end users
  • Conducts preliminary and post impact analyses for any logic and source code changes for data and reporting module keeping other variables as constant that are not of focus
  • Develops oneself as a HEDIS subject matter expert to help health plan improve performance on underperforming measures

Job Qualifications

REQUIRED QUALIFICATIONS:

  • Bachelor's Degree or equivalent combination of education and work experience
  • 3-5 years of experience in working with data mapping, scrubbing, scrapping, and cleaning of data
  • 3-5 years of experience in Managed Care Organization executing similar techno functional role that involves writing complex SQL Queries, Functions, Procedures and Data design
  • 3-5 years of experience working with Microsoft T-SQL, Databricks SQL and PowerBI
  • 1-3 years of experience with Microsoft Azure, AWS, or Hadoop
  • 3-5 years of experience in Analysis related to HEDIS and/or Risk Adjustment
  • 3-5 years of experience in working with complex data to include quantifying, measuring, and analyzing financial/performance management and utilization metrics

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing

Molina Healthcare offers a competitive benefits and compensation package Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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