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Hedis Medical Chart Review Jobs (NOW HIRING)

tenavistaffing

HEDIS Chart Retrieval Nurse

Pittsburgh, PA · Remote

$29.25 - $38.75/hr

Prior HEDIS, medical record retrieval, chart review, or chart abstraction experience preferred ... Working knowledge of medical terminology, clinical documentation, and EMR/EHR systems.

New

CROSS COUNTY MEDICAL CARE

IMG for chart review

Elmont, NY · On-site

$20/hr

Cross County Medical Care is seeking an International Medical Graduate (IMG) for a Chart Review position based in Bellerose, NY. This is a fantastic opportunity for a medically trained professional ...

Integrated Resources INC

HEDIS Specialist I

Irving, TX · On-site

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.

CROSS COUNTY MEDICAL CARE

IMG for chart review

Elmont, NY · On-site

$20/hr

Cross County Medical Care is seeking an International Medical Graduate (IMG) for a Chart Review position based in Bellerose, NY. This is a fantastic opportunity for a medically trained professional ...

CROSS COUNTY MEDICAL CARE

IMG for chart review

Elmont, NY · On-site

$20/hr

Cross County Medical Care is seeking an International Medical Graduate (IMG) for a Chart Review position based in Bellerose, NY. This is a fantastic opportunity for a medically trained professional ...

Integrated Resources INC

HEDIS Record Reviewer

Milwaukee, WI · On-site

$29.75 - $39.50/hr

The HEDIS Record Reviewer performs accurate and efficient medical record review and abstraction for ... Medical record review and abstraction is performed in the client office and at various provider ...

Integrated Resources INC

HEDIS Specialist

Chicago, IL · On-site

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.

She Recruits LLC

Gastroenterology - Chart Review

Medical Director Opportunity Are you looking for a non-clinical opportunity for work/life balance ... Join us as an Medical Director to conduct chart and peer reviews from your home office. Where you ...

Healthcare Support Staffing

HEDIS Specialist

Troy, MI · On-site

$35 - $40/hr

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.

Integrated Resources INC

HEDIS Specialist

El Paso, TX · On-site

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.

Integrated Resources INC

HEDIS NURSE

New York, NY

$33 - $43.75/hr

Responsibilities includes medical records reviews, data collection, chart abstractions, reporting ... This position is responsible for HEDIS data collection and reports to the Quality Management ...

Healthcare Support Staffing

Remote HEDIS Specialist

OR · On-site +1

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.

Integrated Resources INC

HEDIS LPN RN

New York, NY · On-site

$33 - $43.75/hr

HEDIS 2015 Record Collection- Temps to assist with record collection and data abstractions and/or ... Responsibilities includes medical records reviews, data collection, chart abstractions, reporting ...

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Hedis Medical Chart Review information

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How much do hedis medical chart review jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for hedis medical chart review 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.

What is HEDIS medical chart review?

HEDIS medical chart review is a process used by healthcare organizations to evaluate the quality of care provided to patients. Reviewers examine medical records to collect data on specific measures defined by the Healthcare Effectiveness Data and Information Set (HEDIS), such as preventive screenings and chronic disease management. The information gathered helps health plans report their performance, identify areas for improvement, and meet regulatory requirements. Accurate chart reviews are essential for ensuring compliance, improving patient care, and maintaining accreditation.

What are the key skills and qualifications needed to thrive as a HEDIS medical chart reviewer?

To thrive as a HEDIS Medical Chart Reviewer, you need a solid understanding of medical terminology, healthcare coding, and HEDIS measures, often supported by a clinical background such as nursing or health information management. Familiarity with electronic health record (EHR) systems, chart abstraction software, and sometimes certifications like RHIT or CPC are typically required. Attention to detail, strong organizational skills, and clear communication set top performers apart in this role. These skills ensure accurate data collection and reporting, which are critical for healthcare quality measurement and compliance.

What are some common challenges faced by HEDIS medical chart reviewers, and how can they be addressed?

HEDIS Medical Chart Reviewers often encounter challenges such as incomplete documentation, difficulty accessing electronic health records, and tight deadlines during the annual HEDIS season. To overcome these, it's important to develop strong organizational skills, maintain clear communication with provider offices, and stay updated on HEDIS measure specifications. Leveraging electronic abstraction tools and collaborating closely with quality improvement teams can also help streamline the review process and ensure data accuracy.

What is the difference between Hedis Medical Chart Review vs Medical Records Coordinator?

AspectHedis Medical Chart ReviewMedical Records Coordinator
CredentialsTypically requires medical coding or clinical certificationsUsually requires health information management or medical records certifications
Work EnvironmentHealthcare facilities, insurance companies, or consulting firmsHospitals, clinics, or healthcare organizations
Employer & Industry UsageUsed in quality assurance, compliance, and insurance reviewsResponsible for managing and organizing patient records

Hedis Medical Chart Review and Medical Records Coordinator roles both involve handling healthcare documentation, but Hedis reviews focus on assessing medical records for compliance and quality metrics, while Medical Records Coordinators manage and organize patient records for accessibility and accuracy.

How to become a Hedis Medical Chart Review?

To become a HEDIS Medical Chart Reviewer, candidates typically need a background in healthcare, such as nursing, medical assisting, or health information management. Relevant skills include attention to detail, knowledge of medical records, and familiarity with HEDIS measures; certification in medical coding or health information is often beneficial. Employers may require prior experience in medical chart review or quality assurance roles.

What does a Hedis Medical Chart Review do?

A Hedis Medical Chart Review involves examining patient medical records to assess compliance with healthcare quality measures and guidelines. The reviewer verifies documentation accuracy, identifies gaps in care, and ensures proper coding, often using electronic health record (EHR) systems. This process supports healthcare organizations in meeting regulatory requirements and improving patient care quality.
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The most popular types of Hedis Medical Chart Review jobs are:

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States with the most job openings for Hedis Medical Chart Review jobs include:

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The top searched job categories for Hedis Medical Chart Review jobs are:

Hedis Medical Chart Review jobs near you
Infographic showing various Hedis Medical Chart Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $62,612 per year, or $30.1 per hour.

HEDIS Chart Retrieval Nurse

tenavistaffing

Pittsburgh, PA • Remote

$29.25 - $38.75/hr

Contractor

Medical, PTO

Posted 3 days ago

New

Job description

HEDIS Chart Retrieval Nurse

Position Overview

The HEDIS Chart Retrieval Nurse supports the health plan's annual HEDIS quality data collection efforts by obtaining medical records needed to validate HEDIS measures and close documentation gaps.

In this role, you will conduct outbound outreach to physician offices, hospitals, clinics, and medical records departments to request required documentation. You will coordinate record retrieval, review incoming records for completeness, upload documentation into the health plan's secure system, and track retrieval progress throughout the project.

This is a fast-paced, deadline-driven role requiring strong communication, organization, attention to detail, and an understanding of clinical documentation and HEDIS quality measures.

Key Responsibilities

  • Conduct outbound calls to physician offices, hospitals, clinics, and medical records departments to request records required for HEDIS measures.
  • Clearly communicate the purpose of each request, required documentation, applicable date ranges, and release-of-information requirements.
  • Coordinate with provider office staff and medical records departments to determine the appropriate method for securely transmitting records.
  • Follow up on outstanding requests to ensure medical records are received within established project timelines.
  • Review received documentation for completeness and confirm that requested records have been provided.
  • Upload medical records into the health plan's secure portal or designated chart retrieval platform.
  • Maintain accurate documentation of outreach attempts, provider contacts, pending requests, completed retrievals, and follow-up activity.
  • Escalate delays, access issues, incomplete records, and other retrieval barriers to the project lead or supervisor.
  • Manage an assigned call queue and daily outreach workload to meet productivity and retrieval targets.
  • Maintain compliance with HIPAA requirements and protect all confidential and protected health information.
  • Perform additional project-related duties as assigned.

Qualifications

  • Active Registered Nurse (RN) or Licensed Practical Nurse (LPN/LVN) license.
  • (compacted license preferred or PA)
  • Minimum of 1 year of clinical, managed care, quality, medical records, or related healthcare experience.
  • Prior HEDIS, medical record retrieval, chart review, or chart abstraction experience preferred.
  • Working knowledge of medical terminology, clinical documentation, and EMR/EHR systems.
  • Familiarity with HEDIS quality measures and healthcare quality reporting preferred.
  • Strong telephone communication and provider outreach skills.
  • Strong attention to detail and ability to accurately document and track multiple record requests.
  • Ability to work independently in a remote, deadline-driven environment.

Contract Details

  • Monday through Friday schedule
  • Eastern Time business hours
  • Contract position: This contract does not include health insurance, paid time off, paid holidays, or other employee benefits.

Application Requirements

  • Must be legally authorized to work in the United States.
  • Candidates must be willing to complete a background check and drug screening if required.
  • Candidates will be asked to provide their home address and complete employment eligibility questions during the application process.

Interested in Learning More?

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