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Hedis Medical Record Retrieval Jobs (NOW HIRING)

Integrated Resources INC

HEDIS Record Reviewer

Milwaukee, WI

$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

El Paso, TX · On-site

Assists Manager with medical record vendor oversight. * Assists Manager in training abstractor ... Works with the corporate HEDIS team to monitor accuracy of abstracted records as required by HEDIS ...

Healthcare Support Staffing

HEDIS Specialist

Troy, MI · On-site

$35 - $40/hr

Collects medical records and reports from provider offices based on member needed services reports and gaps and loads data into the HEDIS application. Qualifications Valid and unrestricted RN license ...

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How much do hedis medical record retrieval jobs pay per hour?

As of Jul 30, 2026, the average hourly pay for hedis medical record retrieval in the United States is $20.51, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $23.32 per hour, depending on experience, location, and employer.

What is the difference between Hedis Medical Record Retrieval vs Medical Records Coordinator?

AspectHedis Medical Record RetrievalMedical Records Coordinator
CredentialsTypically requires medical record retrieval experience, familiarity with healthcare dataOften requires healthcare administration or medical records certification
Work EnvironmentRemote or office-based, focused on retrieving and managing medical records for HEDIS auditsOffice setting, managing medical records, coordinating with healthcare providers
Industry UsagePrimarily in health plans, insurance companies, and healthcare quality organizationsHospitals, clinics, healthcare facilities, and insurance companies

Hedis Medical Record Retrieval specialists focus on obtaining specific medical records for HEDIS audits, ensuring compliance and accuracy. Medical Records Coordinators handle broader record management tasks, including organizing, filing, and coordinating records across healthcare settings. While both roles involve medical records, Hedis Medical Record Retrieval is specialized in supporting healthcare quality measurement, whereas Medical Records Coordinators manage overall record administration.

What are the key skills and qualifications needed to thrive as a HEDIS Medical Record Retrieval Specialist, and why are they important?

To thrive as a HEDIS Medical Record Retrieval Specialist, you need strong attention to detail, organizational skills, and a basic understanding of medical terminology, typically complemented by a high school diploma or relevant healthcare experience. Familiarity with electronic health record (EHR) systems, secure data transmission tools, and HIPAA compliance is crucial. Excellent communication, time management, and problem-solving abilities help you effectively coordinate with medical facilities and handle sensitive information. These skills ensure accurate, timely retrieval of records, supporting quality reporting and compliance for healthcare organizations.

What is HEDIS medical record retrieval?

HEDIS medical record retrieval is the process of collecting patient medical records from healthcare providers to support HEDIS (Healthcare Effectiveness Data and Information Set) reporting. This process helps health plans measure and report quality of care by verifying that certain services and screenings were provided to patients. Medical record retrieval specialists contact providers, request necessary documentation, and ensure the information is accurate and complete. Their work is essential for health plans to meet regulatory requirements and improve patient outcomes.

What are some common challenges faced in a HEDIS Medical Record Retrieval role, and how can they be managed?

HEDIS Medical Record Retrieval professionals often encounter challenges such as coordinating with multiple providers, managing tight deadlines during reporting cycles, and ensuring the accuracy and completeness of collected records. To manage these, strong organizational and communication skills are essential, as is familiarity with electronic health record (EHR) systems. Proactively building relationships with provider offices and maintaining meticulous records can help streamline the retrieval process and minimize delays.
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Hedis Medical Record Retrieval jobs near you
Infographic showing various Hedis Medical Record Retrieval job openings in the United States as of July 2026, with employment types broken down into 29% Locum Tenens, 8% Internship, 14% Full Time, 48% Nights, and 1% Summer. Highlights an 78% Physical, 2% Hybrid, and 20% Remote job distribution, with an average salary of $42,662 per year, or $20.5 per hour.

HEDIS Specialist I

Integrated Resources INC

Houston, TX

Full-time

Re-posted 9 days ago

Job description

Job Description

TITLE: HEDIS SPECIALIST I.

DURATION: 3+ MONTHS.

SHIFT TIMES 8:00 AM TO 5:00 PM MONDAY TO FRIDAY, SOME OT MIGHT BE REQUIRED AVERAGE OF 10-15 DURING PROJECT.

LOCATION: HOUSTON, TX 77084.

Duties:

  • Medical records retrieval, naming charts, uploading charts, cleaning up medical records and going to other sites (doctor offices) to retrieve medical records. Contacting provider offices to request records, naming records based off of spreadsheet.
  • Experience with EMR systems, medical records, and at least one-year HEDIS experience.
  • Microsoft Office - Word, Excel and Outlook (intermediate level, data entry).
  • Microsoft Office knowledge.
  • Training: 3-day training via WebEx.
  • Will be able to expense for mileage.

Top 3 skills:

  • Time management.
  • Communication.
  • Multi-tasking.

Summary:

  • 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.

Essential Functions:

  • 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 into the 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 the 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

Knowledge/Skills/Abilities:

  • Proficient with PC-based systems and the ability to learn new information systems and software programs.
  • Ability to work with large files and data sets Basic understanding of Health Plan billing practices and information systems.
  • Strong communication and teaming/interpersonal skills; strong leadership capabilities.
  • Ability to initiate and maintain cross-team relationships.
  • Excellent verbal and written communication skills. Ability to abide by policies Maintain regular attendance based on the agreed-upon schedule.
  • Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
  • Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers, and customers.

Required Education:

  • State Licensed Vocational Nurse or Registered Health Information Technician (RHIT), or Certified Medical Record Technician with training in coding procedures. Required.

Experience:

  • 0-2 years coding and medical record abstraction experience. 0-2 years managed care experience.
  • Basic knowledge of HEDIS and NCQA. Licensure/Certification is a plus.
  • Registered Health Information Technician (RHIT), or Certified Medical Record Technicians.
Additional Information
  • 0-2 years coding and medical record abstraction experience. 0-2 years managed care experience.
  • Basic knowledge of HEDIS and NCQA. Licensure/Certification is a plus.
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About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

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