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Hedis Medical Chart Review Jobs (NOW HIRING)

Healthcare Support Staffing

Remote HEDIS Specialist

OR · Remote

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 RN LPN

New York, NY

$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 ...

US Tech Solutions

Medical Billing Coder

Wellesley, MA · Remote

$20.50 - $27.50/hr

This role will also assist with building the medical chart review program at Client's Duties and ... Experience in performing HEDIS chart abstractions; Experience in Risk Adjustment audit HCC ...

Managed Staffing

HEDIS Reviewer / HEDIS Quality

TX · Remote

$34 - $35/hr

The ideal candidates will review medical records, interpret clinical data, and ensure accurate ... Prior experience performing chart audits. * Strong knowledge of medical terminology and ability to ...

Surgery Partners

Medical Chart Preparation

Milwaukee, WI · On-site

$41K/yr

Reviews all outgoing charts for forms which need to be updated and marks the outgoing chart ... High School diploma or equivalent * 0 - 3 years of Medical Record or Chart Management experience ...

Surgery Partners

Medical Chart Preparation

Milwaukee, WI

$41K/yr

Reviews all outgoing charts for forms which need to be updated and marks the outgoing chart ... High School diploma or equivalent * 0 - 3 years of Medical Record or Chart Management experience ...

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Hedis Medical Chart Review information

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$51

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

As of Aug 10, 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 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.

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 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.
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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 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $62,612 per year, or $30.1 per hour.

Remote HEDIS Specialist

Healthcare Support Staffing

OR • Remote

Contractor

Re-posted 17 days ago

Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Company Job Description/Day to Day Duties:




Remote worker with ability to read and write in Spanish and medical records. Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection and abstraction of medical records and other data in collaboration with other HEDIS staff.




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.


Participates in meetings with vendors for the medical record collection process. Assists Manager with medical record vendor oversight.


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 reports from provider offices based on member needed services reports and gaps and loads data into the HEDIS application.


Works with the corporate HEDIS team to monitor accuracy of abstracted records as required by HEDIS specifications.


Participates in scheduled meetings with the corporate HEDIS team, vendors and HEDIS auditors.


Assists the QI staff with physician and member interventions and incentive efforts as needed.


Provides data collection and report development support for Quality Improvement studies and performance improvement projects.


Assists as needed in support of accreditation activities such as NCQA reviews, CAHPS and state audits.

Qualifications

Minimum Education/Qualifications/Licensures:


Must be bilingual, fluent in Spanish, they will be remote workers supporting Molina Puerto Rico

Licensed RN/LVN/LPN

HEDIS knowledge

Ability to read and understand medical records

Independent and able to work on their own

Additional Information

Interested in hearing more about this great opportunity? Please call and e-mail your resume to Brianne Salazar (Office number: 321-710-4799) for immediate consideration. 

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About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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