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Hedis Remote Chart Review Jobs (NOW HIRING)

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 ...

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 ...

Clover Health

HEDIS Measure Owner (Abstractor)

... chart findings into actionable insights. * You have the ability to work effectively in a remote ... reviews to recognize and reward exceptional contributions. * Physical Well-Being : We prioritize ...

Healthcare Support Staffing

Remote HEDIS Specialist

OR · Remote

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 ...

Millennium Physician Group

Clinical Quality Specialist I

$37.25 - $50/hr

Summary The Clinical Quality Specialist I supports the annual HEDIS data collection and reporting process by performing chart review and retrieval, as well as documentation validation. This role ...

US Tech Solutions

Medical Billing Coder

Wellesley, MA · Remote

$20.50 - $27.50/hr

... on-site, remote and/or in-house) in support of the Medicare risk adjustment retrospective ... This role will also assist with building the medical chart review program at Client's Duties and ...

Actalent

$50 - $55/hr

Active CA RN license * 2+ years in managed care, quality, or HEDIS/chart review * Experience with ... a fully remote position. This position is anticipated to close on May 31, 2026. Actalent is a ...

24-MAG LLC

$140 - $160/hr

Experience in medical education, clinical case writing, peer review, chart review, diagnostic ... Remote structure with competitive hourly compensation Contract Details * Independent contractor ...

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

As of May 28, 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 are the key skills and qualifications needed to thrive as a HEDIS Remote Chart Reviewer, and why are they important?

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 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 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.

More about Hedis Remote Chart Review jobs
What cities are hiring for Hedis Remote Chart Review jobs? Cities with the most Hedis Remote Chart Review job openings:
What states have the most Hedis Remote Chart Review jobs? States with the most job openings for Hedis Remote Chart Review jobs include:
What job categories do people searching Hedis Remote Chart Review jobs look for? The top searched job categories for Hedis Remote Chart Review jobs are:
Hedis Remote Chart Review jobs near you
Infographic showing various Hedis Remote Chart Review job openings in the United States as of May 2026, with employment types broken down into 1% As Needed, 93% Full Time, 2% Part Time, and 4% Contract. Highlights an 38% Physical, and 62% Remote job distribution, with an average salary of $71,500 per year, or $34.4 per hour.

HEDIS Data Reviewer (Remote)

HJ Staffing

Philadelphia, PA • Remote

Full-time

Posted 14 days ago

Job description

HJ Staffing is seeking a highly detail-oriented HEDIS Data Reviewer to join our team in support of our client. Working under the direction of the Manager of Medical Record Review Operations, you will be responsible for performing medical record abstraction and overread in support of Quality reporting (annual HEDIS and State EQRO).

Job Description

The HEDIS Data Reviewer ensures the integrity and accuracy of clinical data by performing comprehensive medical record reviews. You will play a vital role in determining compliance with national quality standards and state performance measures.

What You Will Do
  • Coordination & Collection: Manage the medical records identification process, including collection activities, provider outreach (calls/faxes), and chart retrieval requests.
  • Clinical Abstraction: Apply structured auditing criteria to medical records to determine compliance with HEDIS and State Measure Technical Specifications.
  • Data Management: Utilize specialized software applications to accurately enter chart audit results into the database and provide real-time feedback.
  • Maintain Proficiency: Maintain a minimum 98% abstraction proficiency rate by correctly interpreting various record components such as consultations, medication forms, and health histories.
  • Strategic Review: Develop and maintain expertise in mandated HEDIS requirements and perform overreads to ensure data quality in a live software environment.
  • Productivity: Consistently meet or exceed the minimum volume of chases/charts per defined period as required by policy.
You Will Be Successful If:
  • You have a deep understanding of current HEDIS Technical Specifications and audit processes (PSV, CSV, and MRRV).
  • You are proficient in Microsoft Office (Excel, Word, PowerPoint, and Outlook).
  • You are familiar with the Cancer Registry and Bright Futures guidelines.
  • You possess strong written and oral communication, critical thinking, and organizational skills.
  • You are able to work independently and effectively under the pressure of strict deadlines.
What You Will Bring
  • Experience: 35 years of HEDIS data experience (chart review/collection). Experience with QRS or STARs is highly preferred.
  • Knowledge: Expertise in medical terminology and charting (diabetic labs, HPV testing, preventive screenings, and immunization/well-care terminology).
  • Education: Associate's Degree, RN, LPN, or equivalent relevant work experience.
  • Software: Experience with medical record abstraction tools and a willingness to learn new platforms.
  • Background: Experience in Pediatric, Maternity, Diabetic, or Provider Office settings.
Position Details
  • Location: Hybrid 3 days onsite in Philadelphia, PA.
  • Schedule: 8:00 AM 5:30 PM EST, Monday Friday (some weekend work may be required).