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Hedis Remote Chart Review Jobs (NOW HIRING)

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 ...

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 ...

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 ...

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 ...

... remote chart review and clinical decision-making effectively. • Clearly define expectations related to: * Scope of clinical review responsibilities * Documentation standards and quality ...

In this role, you will be responsible for reviewing and abstracting clinical data from medical ... with HEDIS (Healthcare Effectiveness Data and Information Set) measures. You will analyze ...

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

As of Jun 18, 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 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 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 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:
Infographic showing various Hedis Remote Chart Review job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $71,500 per year, or $34.4 per hour.
HEDIS Reviewer / HEDIS Quality

HEDIS Reviewer / HEDIS Quality

Managed Staffing

TX • Remote

$34 - $35/hr

Contractor

Posted 14 days ago


Job description

Position: HEDIS Quality Audit/HEDIS Quality Nurse Coordinator
Location: 100% Remote (USA)
Work Schedule: Monday – Friday, 8:00 AM – 5:00 PM (local time)
 

Job Overview:
We are seeking experienced Healthcare Consultants to participate in HEDIS (Healthcare Effectiveness Data and Information Set) quality audits. The ideal candidates will review medical records, interpret clinical data, and ensure accurate documentation to support compliance with HEDIS and CMS performance measures. This is a fully remote opportunity, and training will be provided prior to assignment start.

Key Responsibilities:

  • Audit and overread medical record collection and review processes for HEDIS quality reporting.

  • Review and interpret clinical criteria in medical records; annotate via Adobe PDF.

  • Audit data in collection tools to ensure compliance with HEDIS/CMS standards.

  • Maintain accurate and complete documentation to meet risk management, regulatory, and accreditation requirements.

  • Participate in required training and project calls.

  • Safeguard all confidential and protected health information (PHI) in accordance with HIPAA rules.

Qualifications:

  • Required:

    • 5+ seasons of HEDIS experience reviewing medical records.

    • Prior experience performing chart audits.

    • Strong knowledge of medical terminology and ability to read/interpret medical records.

    • Proficiency in Microsoft Office Suite, Adobe PDF, and database systems.

    • Excellent attention to detail, organizational, and time management skills.

    • Professional communication skills and a strong work ethic.

  • Preferred:

    • RN/LVN with Associate or Bachelor’s degree (HEDIS experience may substitute for licensure).