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Hedis Data Abstractor Jobs (NOW HIRING)

Astrana Health, Inc.

HEDIS Abstractor

Monterey Park, CA · On-site

$27 - $33/hr

HEDIS Abstractor Department: Quality - Quality Care Improvement Employment Type: Full Time Location ... Review and validate data for accuracy, completeness, and compliance with HEDIS standards * Conduct ...

Astrana Health

HEDIS Abstractor

Monterey Park, CA · Hybrid

$27 - $33/hr

The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive ... Review and validate data for accuracy, completeness, and compliance with HEDIS standards * Conduct ...

Astrana Health, Inc.

HEDIS Abstractor

Monterey Park, CA · Hybrid

$27 - $33/hr

Description The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting ... Review and validate data for accuracy, completeness, and compliance with HEDIS standards * Conduct ...

Integrated Resources INC

HEDIS Specialist I

Irving, TX · On-site

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 ...

Integrated Resources INC

HEDIS Specialist

Chicago, IL · On-site

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 ...

Integrated Resources INC

HEDIS Specialist

El Paso, TX · On-site

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 ...

Healthcare Support Staffing

Remote HEDIS Specialist

OR · Remote

Assists Manager in training abstractor staff and participates in the medical record IRR. Identifies member service gaps based on data loaded in the MHI HEDIS application. Collects medical records and ...

Integrated Resources INC

HEDIS Specialist I

Houston, TX · On-site

Assists Manager in training abstractor staff and participates in the medical record IRR. * Identifies member service gaps based on data loaded into the HEDIS application. Collects medical records and ...

Managed Staffing

HEDIS Reviewer

MI · Remote

$44 - $45/hr

... Review Abstractor) to support HEDIS quality reporting. This role involves reviewing and abstracting clinical information from medical records, annotating via Adobe PDF, and populating a data ...

Coxhealth

Abstractor

Springfield, MO · On-site

Benefits | CoxHealth The Abstractor is responsible for reviewing the Inpatient/Outpatient medical record and abstracts data that is required into the Cerner Abstracting system before/after Coding has ...

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Hedis Data Abstractor information

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How much do hedis data abstractor jobs pay per hour?

As of Jul 9, 2026, the average hourly pay for hedis data abstractor in the United States is $30.10, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $31.73 per hour, depending on experience, location, and employer.

How to get experience with HEDIS?

Hedis Data Abstractors typically gain experience through healthcare or health insurance roles involving medical record review, data collection, and quality measurement. Developing skills in medical coding, understanding HEDIS measures, and familiarity with electronic health records (EHR) systems are essential, and some positions may require relevant certifications or training programs.

What are the key skills and qualifications needed to thrive as a HEDIS Data Abstractor, and why are they important?

To thrive as a HEDIS Data Abstractor, you need a solid understanding of healthcare data, medical terminology, and clinical documentation, often supported by a background in nursing, health information management, or related fields. Familiarity with HEDIS software, electronic medical records (EMRs), and data abstraction tools, as well as certifications like RHIT or CPC, are typically required. Attention to detail, analytical thinking, and strong organizational skills help professionals excel in accurately reviewing and extracting data. These skills ensure precise HEDIS reporting, regulatory compliance, and improved healthcare quality outcomes.

How do I become a certified data abstractor?

To become a certified HEDIS Data Abstractor, individuals typically complete specialized training programs that cover HEDIS measures and data abstraction techniques. Certification may be obtained through organizations such as the National Committee for Quality Assurance (NCQA) or other industry-recognized bodies, and often requires passing an exam and demonstrating proficiency in medical record review and data collection. Ongoing education and experience in healthcare data are also beneficial for maintaining certification.

What does a HEDIS abstractor do?

A HEDIS abstractor reviews medical records to extract data related to healthcare quality measures for HEDIS reporting. They ensure accurate documentation of patient care, often using specialized tools or software, and must understand healthcare guidelines and data collection standards.

What are HEDIS Data Abstractors?

HEDIS Data Abstractors are healthcare professionals responsible for collecting and reviewing medical records to extract data required for the Healthcare Effectiveness Data and Information Set (HEDIS) measures. They analyze patient charts and clinical documentation to ensure accurate and complete information is reported for quality improvement and compliance. Their work supports health plans in measuring performance on important aspects of care, helping organizations meet regulatory requirements and improve patient outcomes.

How to become a clinical data abstractor?

To become a HEDIS data abstractor, candidates typically need a high school diploma or equivalent, along with training in medical record review and data collection. Familiarity with healthcare terminology, attention to detail, and experience with data management tools are important. Certification or training programs in healthcare data abstraction can enhance job prospects.

What is the difference between Hedis Data Abstractor vs Medical Records Coordinator?

AspectHedis Data AbstractorMedical Records Coordinator
CredentialsTypically requires coding certifications, healthcare experienceOften requires medical records management or health information certifications
Work EnvironmentHealthcare facilities, insurance companies, data analysis settingsHospitals, clinics, healthcare offices
Employer & IndustryInsurance providers, healthcare quality organizationsHospitals, clinics, healthcare providers
Primary FocusAbstracting and analyzing HEDIS data for quality measurementManaging and organizing patient medical records

The Hedis Data Abstractor primarily focuses on extracting and analyzing data related to healthcare quality metrics, especially HEDIS measures, while the Medical Records Coordinator manages patient records and ensures data accuracy. Both roles require healthcare knowledge but differ in their specific responsibilities and work environments.

What are some common challenges HEDIS Data Abstractors face when reviewing medical records, and how can they be addressed?

HEDIS Data Abstractors often encounter challenges such as incomplete or inconsistent documentation, navigating multiple electronic health record (EHR) systems, and ensuring data accuracy under tight deadlines. To address these issues, abstractors should develop strong attention to detail, maintain open communication with clinical staff for clarifications, and stay familiar with various EHR platforms. Many teams provide ongoing training and peer support to help abstractors stay updated on the latest HEDIS guidelines and best practices, ensuring high-quality data collection.
More about Hedis Data Abstractor jobs
What job categories do people searching Hedis Data Abstractor jobs look for? The top searched job categories for Hedis Data Abstractor jobs are:
Hedis Data Abstractor jobs near you
Infographic showing various Hedis Data Abstractor job openings in the United States as of July 2026, with employment types broken down into 2% Locum Tenens, 45% Internship, 2% Full Time, 50% Nights, and 1% Summer. Highlights an 65% Physical, 2% Hybrid, and 33% Remote job distribution, with an average salary of $62,612 per year, or $30.1 per hour.

HEDIS Abstractor

Astrana Health, Inc.

Monterey Park, CA • On-site

$27 - $33/hr

Full-time

Posted 28 days ago

Job description

HEDIS Abstractor
Department: Quality - Quality Care Improvement
Employment Type: Full Time
Location: 1600 Corporate Center Dr., Monterey Park, CA 91754
Reporting To: Marie Halbrook
Compensation: $27.00 - $33.00 / hour
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 year 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 where the expectation is to work both in office and at home on a weekly basis. The office is located at 1600 Corporate Center Dr, Monterey Park CA 91754.
  • This role will require travelling locally up to 35% of the time.
  • 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.

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