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Hedis Medical Chart Review Jobs (NOW HIRING)

Pacer Group

HEDIS Data Reviewer

Three to five years of experience working with HEDIS data, medical record review, chart abstraction, chart collection, quality reporting, QRS, STARs, or similar healthcare quality initiatives ...

Altegra Health

Remote Certified Coder

$23 - $31.50/hr

HEDIS * Medical Record Reviews (Accreditation) * And more These are remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote ...

Altegra Health

Remote Certified Coder

$23 - $31.50/hr

HEDIS * Medical Record Reviews (Accreditation) * And more These are remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote ...

Mindlance

HEDIS Data Reviewer

Philadelphia, PA ยท On-site

Three to five years of experience working with HEDIS data, medical record review, chart abstraction, chart collection, quality reporting, QRS, STARs, or similar healthcare quality initiatives ...

Actalent

Hedis Specialist

Victorville, CA

$27.66 - $29.07/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

HEDIS LVN Case Manager / HEDIS Specialist The HEDIS LVN Case Manager / HEDIS Specialist supports ... You will work primarily at a computer reviewing electronic medical records and paper chart ...

Careers Integrated Resources Inc

RN HEDIS /LPN

Trenton, NJ ยท On-site

$30.25 - $40/hr

Trenton NJ Immediate interview Experience in HEDIS chart audits or medical records reviews LPN or Coder with HEDIS experience required. Position Comments: LPN Auditors for HEDIS Audit Season or ...

Managed Staffing

HEDIS Reviewer

MI ยท Remote

$44 - $45/hr

Position: HEDIS Reviewer - Work From Home (Michigan Only) Location: Remote - Must reside in ... Review medical charts, copy supporting documentation, and enter all abstracts into designated ...

Integrated Resources INC

HEDIS RN/LPN

Trenton, NJ

$30.25 - $40/hr

Trenton, New Jersey LPN Auditors for HEDIS Audit Season or Certified Coders need for HEDIS 2016 Experience in HEDIS chart audits or medical records reviews LPN or Coder with HEDIS experience required.

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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 18, 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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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, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $62,612 per year, or $30.1 per hour.

Medical Chart Prep

Cancer Center of South Florida

West Palm Beach, FL โ€ข On-site

$17.25 - $22.25/hr

Other

Re-posted 6 days ago

Job description

POSITION SUMMARY:
The Medical Chart Preparation Coordinator is responsible for obtaining and reviewing clinical documentation and physician referral information to ensure that all necessary clinical notes and diagnostic reports are available before scheduled patient appointments. They maintain medical records in compliance with ethical, legal, and regulatory standards of the healthcare system.
CORE ESSENTIAL RESPONSIBILITIES:
  • Prepare medical charts for all scheduled appointments in an accurate and timely manner, ensuring completeness and readiness.
  • Coordinate and track pathology sent to outside facilities, ensuring timely receipt of results for provider review.
  • Scan and attach relevant documents to the patient's electronic medical record, maintaining up-to-date and organized records.
  • Organize and sort patient information to ensure efficient access and compliance with record-keeping standards.
  • Respond to requests for medical records promptly and accurately, ensuring timely delivery of information.
  • Order, prepare, and generate necessary medical records for patient appointments, ensuring completeness and accuracy.
  • Receive and review incoming correspondence, forwarding it to appropriate staff for timely action.
  • Perform daily data entry of patient information, appointment details, special instructions, and jurisdiction data into the system.
  • Gather necessary information from physicians, nurse practitioners, and other healthcare staff to complete and process patient referrals.
  • Perform other administrative and record-keeping duties as assigned to support clinic operations and ensure efficient handling of patient information and medical records.
Requirements
REQUIRED EDUCATION & EXPERIENCE:
  • High school diploma or equivalent required.
  • One to two years of experience in a healthcare or medical office setting preferred.
  • Experience with electronic medical records (EMR) systems, such as Epic, is strongly preferred.
  • Prior experience in medical records, chart preparation, or administrative healthcare setting preferred.
REQUIRED CERTIFICATES, LICENSE OR REGISTRATION:
  • None
REQUIRED KNOWLEDGE, SKILLS OR ABILITIES:
  • Understanding of medical terminology, clinical documentation, and healthcare record-keeping practices.
  • Familiarity with HIPAA regulations and patient confidentiality standards.
  • Proficiency in using electronic health record (EHR) systems and basic office software.

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