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Hedis Remote Chart Review Jobs (NOW HIRING)

tenavistaffing

HEDIS Chart Retrieval Nurse

Pittsburgh, PA · Remote

$29.25 - $38.75/hr

You will coordinate record retrieval, review incoming records for completeness, upload ... Ability to work independently in a remote, deadline-driven environment. Contract Details * Monday ...

Managed Staffing

HEDIS Reviewer / HEDIS Quality

TX · Remote

$34 - $35/hr

HEDIS Quality Audit/HEDIS Quality Nurse Coordinator Location: 100% Remote (USA) Work Schedule ... The ideal candidates will review medical records, interpret clinical data, and ensure accurate ...

VIVA USA INC

HEDIS Review Nurse

Chicago, IL · On-site +1

$31.25 - $41.25/hr

Remote Review Nurse SUMMARY DESCRIPTION: The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS ...

VIVA

HEDIS Review Nurse

$31 - $41/hr

Remote Review Nurse SUMMARY DESCRIPTION: The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS ...

Pacer Group

HEDIS Data Reviewer

$40 - $44.59/hr

Remote (work in eastern time) Duration: 3 Months Schedule: 8:30 AM - 5:00 PM EST Pay Range: $40.00 ... Three to five years of experience working with HEDIS data, medical record review, chart abstraction ...

Managed Staffing

HEDIS Reviewer

MI · Remote

$44 - $45/hr

Remote - Must reside in Michigan (MI) Schedule: Monday - Friday, 8:00 AM - 5:00 PM Job Summary: HEDIS Reviewer III (Medical Record Review Abstractor) to support HEDIS quality reporting. This role ...

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 ...

Healthcare Support Staffing

Remote HEDIS Specialist

OR · On-site +1

Remote worker with ability to read and write in Spanish and medical records. Under the direction of ... Assists the Manager in the coordination and preparation of the HEDIS medical record review which ...

VIVA USA INC

HEDIS Outreach Coordinator

Woonsocket, RI · On-site +1

Remote HEDIS Outreach Coordinator Position Summary Provides support for Healthcare Effectiveness ... Supports effective medical record capture for HEDIS medical record review and abstraction of ...

Sentara Healthcare

IT HEDIS & Analytics Manager

Norfolk, VA · On-site +1

$29.25 - $38.75/hr

Overview The IT HEDIS Manager is responsible for leading the technology, data integration, platform ... For positions that are available as remote work, Sentara Health employs associates in the following ...

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Hedis Remote Chart Review information

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

As of Sep 10, 2026, the average hourly pay for hedis remote chart review in the United States is $34.38, according to ZipRecruiter salary data. Most workers in this role earn between $29.09 and $38.46 per hour, depending on experience, location, and employer.

What is a HEDIS remote chart reviewer?

A HEDIS Remote Chart Reviewer is a healthcare professional who reviews medical records from a remote location to collect data for the Healthcare Effectiveness Data and Information Set (HEDIS). This data is used by health plans to measure performance on important dimensions of care and service. Reviewers look for specific information in patient charts to ensure health plans meet quality standards and regulatory requirements. The job typically requires experience in medical record abstraction, knowledge of HEDIS measures, and strong attention to detail.

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

To thrive as a HEDIS Remote Chart Reviewer, you need a solid understanding of medical terminology, healthcare coding (ICD-10, CPT), and HEDIS measures, often supported by a clinical background such as nursing or health information management. Proficiency with electronic medical records (EMRs), chart abstraction tools, and secure remote work platforms is typical, and experience with HEDIS-specific software is highly valued. Attention to detail, time management, and strong written communication are crucial soft skills for ensuring accurate data extraction and reporting. These competencies ensure high-quality, compliant chart reviews that contribute to healthcare quality initiatives and regulatory reporting.

What are some common challenges faced by professionals in a HEDIS remote chart review role, and how can they be addressed?

Professionals in HEDIS Remote Chart Review often encounter challenges such as inconsistent documentation in medical records, navigating various electronic health record (EHR) systems, and ensuring data accuracy while working independently. Addressing these challenges involves developing strong attention to detail, leveraging organizational tools to track reviewed charts, and maintaining open communication with team leads and colleagues for clarification or support. Regular training on EHR systems and HEDIS measures can also help reviewers stay current and efficient in their work.

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

AspectHedis Remote Chart ReviewMedical Records Reviewer
CredentialsTypically requires nursing or healthcare-related certificationsOften requires medical or healthcare background, certifications vary
Work EnvironmentRemote, independent review of patient chartsRemote or onsite review of medical records
Industry UsageUsed mainly in healthcare quality and compliance programsUsed across healthcare, insurance, and legal sectors

Hedis Remote Chart Review and Medical Records Reviewer roles both involve reviewing medical records remotely, often requiring healthcare certifications. However, Hedis reviews focus specifically on healthcare quality metrics for Medicaid and Medicare, while Medical Records Reviewers may work in broader contexts like insurance claims or legal cases. Both roles demand attention to detail and healthcare knowledge, but Hedis reviews are more specialized in compliance and quality measurement.

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Cities with the most Hedis Remote Chart Review job openings:

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Hedis Remote Chart Review jobs near you
Infographic showing various Hedis Remote Chart Review job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 1% Temporary, and 3% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $71,500 per year, or $34.4 per hour.

HEDIS Chart Retrieval Nurse

Pittsburgh, PA • Remote

tenavistaffing
See more jobs at tenavistaffingexternal

$29.25 - $38.75/hr

Contractor

Medical, PTO

Posted 14 days ago

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?

Apply directly or reach out to learn more about the opportunity.