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Hedis Coordinator Remote Jobs (NOW HIRING)

Centene

Grievance and Appeals Coordinator I

$19.43 - $32.98/hr

Position is remote. Must live in Arizona. Position Purpose: Analyze and resolve verbal and written ... with HEDIS production functions including data entry, calls to provider's offices, and claims ...

TEKsystems

Case Manager

Austin, TX · Remote

$36 - $40/hr

... coordination, HEDIS, NCQA, Regulatory compliance, health care, microsoft office, ehr, epic Top ... remote position. Application Deadline This position is anticipated to close on Aug 18, 2026. About ...

Centene

Director, Quality Improvement

$118K - $219K/yr

Experience with HEDIS operations and quality strategy initiatives is highly preferred. Position ... For Coordinated Care - Washington - Director, Quality Improvement & Health Equity position only:

New

PONOS MGMT INC

New Jersey-RN Case Manager

Burlington, NJ · Remote

$45 - $60/hr

This role helps ensure members receive appropriate case management and care coordination services ... In this role, the nurse manages a complex caseload of members and provides both remote support and ...

PONOS MGMT INC

New Jersey-RN Case Manager

Middlesex, NJ · Remote

$45 - $60/hr

This role helps ensure members receive appropriate case management and care coordination services ... In this role, the nurse manages a complex caseload of members and provides both remote support and ...

PONOS MGMT INC

New Jersey-RN Case Manager

Jersey City, NJ · Remote

$45 - $60/hr

This role helps ensure members receive appropriate case management and care coordination services ... In this role, the nurse manages a complex caseload of members and provides both remote support and ...

PONOS MGMT INC

New Jersey-RN Case Manager

Cape May, NJ · Remote

$45 - $60/hr

This role helps ensure members receive appropriate case management and care coordination services ... In this role, the nurse manages a complex caseload of members and provides both remote support and ...

PONOS MGMT INC

New Jersey-RN Case Manager

Middletown, NJ · Remote

$45 - $60/hr

This role helps ensure members receive appropriate case management and care coordination services ... In this role, the nurse manages a complex caseload of members and provides both remote support and ...

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Hedis Coordinator Remote information

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$29K

$50.8K

$74K

How much do hedis coordinator remote jobs pay per year?

As of Aug 23, 2026, the average yearly pay for hedis coordinator remote in the United States is $50,773.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,000.00 and $59,000.00 per year, depending on experience, location, and employer.

What is a HEDIS Coordinator?

A HEDIS Coordinator is a healthcare professional responsible for collecting, analyzing, and reporting data for the Healthcare Effectiveness Data and Information Set (HEDIS) measures. In a remote position, they work from home to review medical records, ensure data accuracy, coordinate with providers, and support quality improvement initiatives for health plans. Their work helps organizations meet compliance requirements and improve patient outcomes by monitoring healthcare performance metrics.

What are the key skills and qualifications needed to thrive as a HEDIS Coordinator?

To thrive as a HEDIS Coordinator (Remote), you need a solid understanding of healthcare quality measures, data collection, and analysis, often supported by a degree in health information management or a related field. Familiarity with HEDIS software, medical record abstraction tools, and knowledge of HIPAA compliance are typically required. Strong attention to detail, organizational skills, and effective communication are crucial soft skills for collaborating with providers and health plan teams. These competencies ensure accurate reporting, regulatory compliance, and the successful execution of quality improvement initiatives.

What are some common challenges faced by remote HEDIS Coordinators, and how can they be addressed?

Remote HEDIS Coordinators often face challenges such as effectively managing multiple data sources, ensuring accurate documentation, and maintaining consistent communication with providers and team members. To address these, it's important to have strong organizational skills, be comfortable with electronic health record (EHR) systems, and use secure collaboration tools to stay connected with your team. Proactively scheduling regular check-ins and setting clear expectations can also help ensure everyone stays on track and any issues are resolved quickly.

What is the difference between Hedis Coordinator Remote vs Hedis Data Analyst?

AspectHedis Coordinator RemoteHedis Data Analyst
Required CredentialsHealthcare-related certifications, knowledge of HEDIS measuresData analysis certifications, proficiency in data tools
Work EnvironmentRemote, healthcare administration settingRemote, data analysis and reporting environment
Employer & Industry UsageHealth plans, healthcare providersHealth plans, healthcare analytics firms

The Hedis Coordinator Remote primarily focuses on managing HEDIS data collection and compliance, requiring healthcare knowledge. In contrast, the Hedis Data Analyst emphasizes analyzing HEDIS data to improve performance, requiring strong data skills. Both roles are remote and serve the healthcare industry, but their core responsibilities differ in focus and skill set.

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What states have the most Hedis Coordinator Remote jobs?

States with the most job openings for Hedis Coordinator Remote jobs include:

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Hedis Coordinator Remote jobs near you
Infographic showing various Hedis Coordinator Remote job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $50,773 per year, or $24.4 per hour.

Risk Adjustment Coordinator, Remote, Baptist Health Integrated Care, FT, 08A-4:30P

Baptist Health South Florida

Boca Raton, FL • On-site, Remote

$25.37 - $32.22/hr

Full-time

Medical

Posted 17 days ago

Baptist Health South Florida rating

8.1

Company rating: 8.1 out of 10

Based on 99 frontline employees who took The Breakroom Quiz

1st of 24 rated health and beauty retailers

Job description

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 high-performing honors.
What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients' shoes ourselves and that shared experience fuels out commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact - because when it comes to caring for people, we're all in.
At Baptist Health, we're committed to supporting our employees at every stage of their journey, both personally and professionally. Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including:
  • Career growth and development opportunities, with clear pathways and ongoing support
  • Comprehensive health and wellness resources that go beyond traditional benefits
  • A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs
  • Tuition reimbursement to support continued learning and advancement
  • And so much more
Together, these benefits and others reflect our commitment to caring for our people, so they can build fulfilling careers with us while making a meaningful impact every day.
Description
The Risk coding Regional Auditor must support the Director of risk coding along with other team professionals working to provide pre and post visit review analysis for provider practices while providing risk coding education to healthcare providers to improve practice risk scores. He or she must relate in a professional manner to co-workers, hospital administrators, physicians, Medicare beneficiaries, and others to represent the department and the health system while working closely with other departments to achieve favorable outcomes. This position is responsible for chart review and up-coding workflows. The position will also require coordination of projects to ensure the success of the goals within the CIN organization. Supports the mission, vision, values and strategic goals of Baptist South Florida. Estimated pay range for this position is $25.37 - $32.22 / hour depending on experience.
Qualifications:
The Risk coding Regional Auditor must support the Director of risk coding along with other team professionals working to provide pre and post visit review analysis for provider practices while providing risk coding education to healthcare providers to improve practice risk scores. He or she must relate in a professional manner to co-workers, hospital administrators, physicians, Medicare beneficiaries, and others to represent the department and the health system while working closely with other departments to achieve favorable outcomes. This position is responsible for chart review and up-coding workflows. The position will also require coordination of projects to ensure the success of the goals within the CIN organization. Supports the mission, vision, values and strategic goals of Baptist South Florida. Estimated pay range for this position is $25.37 - $32.22 / hour depending on experience.Degrees:
  • High School,Cert,GED,Trn,Exper.
Licenses & Certifications:
  • AAPC Certified Risk Adjustment Coder.
  • AAPC Certified Professional Coder.
  • AAPC Certified Professional Medical Auditor.
Additional Qualifications:
  • Bachelors of Science degree preferred.
  • Certified Professional Coder and/ or Certified Risk Adjustment Coder (CRC).
  • CPMA certification must be obtained within 1 year of Hire.
  • Required completion of an accredited certified coding specialist program.
  • 2+ years of clinic or hospital experience and/ or managed care experience.
  • 1+ years of experience in Risk Adjustment and HEDIS/Stars.
  • Ability to interpret, analyze and abstract data/documentation.
  • Comprehensive Knowledge of ICD-10-CM codes, Category II codes, COA measures, CMS documentation requirements, state and federal regulations including compliance and reimbursement and the impact of diagnosis coding on risk adjustment payment models.
  • Ability to identify HCC improvement opportunities and educate clinical providers on proper clinical documentation, compliance, and coding guidelines.
  • Intermediate level of proficiency in MS Office - Excel, PowerPoint, and Word.
  • Ability to defend coding decisions to both internal and external audits.
  • Strong organizational skills in multiple settings, as well as the ability to exercise judgement and initiative.
  • Ability to work in a continuously changing environment.
Minimum Required Experience: 5 YearsDegrees:
  • High School,Cert,GED,Trn,Exper.
Licenses & Certifications:
  • AAPC Certified Risk Adjustment Coder.
  • AAPC Certified Professional Coder.
  • AAPC Certified Professional Medical Auditor.
Additional Qualifications:
  • Bachelors of Science degree preferred.
  • Certified Professional Coder and/ or Certified Risk Adjustment Coder (CRC).
  • CPMA certification must be obtained within 1 year of Hire.
  • Required completion of an accredited certified coding specialist program.
  • 2+ years of clinic or hospital experience and/ or managed care experience.
  • 1+ years of experience in Risk Adjustment and HEDIS/Stars.
  • Ability to interpret, analyze and abstract data/documentation.
  • Comprehensive Knowledge of ICD-10-CM codes, Category II codes, COA measures, CMS documentation requirements, state and federal regulations including compliance and reimbursement and the impact of diagnosis coding on risk adjustment payment models.
  • Ability to identify HCC improvement opportunities and educate clinical providers on proper clinical documentation, compliance, and coding guidelines.
  • Intermediate level of proficiency in MS Office - Excel, PowerPoint, and Word.
  • Ability to defend coding decisions to both internal and external audits.
  • Strong organizational skills in multiple settings, as well as the ability to exercise judgement and initiative.
  • Ability to work in a continuously changing environment.
Minimum Required Experience: 5 Years

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About Baptist Health South Florida

Sourced by ZipRecruiter

Baptist Health South Florida is the largest healthcare organization in the region, with 12 hospitals, more than 27,000 employees, 4,000 physicians and 100 outpatient centers, urgent care facilities and physician practices spanning across Miami-Dade, Monroe, Broward and Palm Beach counties. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. A not-for-profit organization supported by philanthropy and committed to its faith-based charitable mission of medical excellence, Baptist Health has been recognized by Fortune as one of the 100 Best Companies to Work For in America and by Ethisphere as one of the World's Most Ethical Companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Miami, FL, US

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