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Hedis Remote Chart Review Jobs in Colorado (NOW HIRING)

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Hedis Remote Chart Review information

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.

What are popular job titles related to Hedis Remote Chart Review jobs in Colorado?

For Hedis Remote Chart Review jobs in Colorado, the most frequently searched job titles are:

What job categories do people searching Hedis Remote Chart Review jobs in Colorado look for?

The top searched job categories for Hedis Remote Chart Review jobs in Colorado are:

What cities in Colorado are hiring for Hedis Remote Chart Review jobs?

Cities in Colorado with the most Hedis Remote Chart Review job openings:

Hedis Remote Chart Review jobs near you

Urgent Care, Supervising Physician - APP Oversight (Non-Clinical)

Broomfield, CO • On-site, Remote

NextCare Urgent Care
Health Care and Social Assistance • 1 - 5K employees

5.8

Company rating: 5.8 out of 10

Based on 38 frontline employees who took The Breakroom Quiz

779th of 893 rated healthcare providers

Recommended by students

Respectful managers

Uninterrupted breaks

Learn more about NextCare Urgent Careexternal

$221K - $263K/yr

Full-time

Re-posted yesterday

Job description

Location: Broomfield, Colorado (Hybrid or Remote Options Available)
Organization: NextCare Urgent Care
Employment Type: Full-Time

Role Overview

NextCare Urgent Care is seeking a licensed Physician (MD or DO) to serve in a full-time Supervising Physician capacity supporting our Colorado operations. This is a non-clinical, administrative oversight role focused on supervision, mentorship, and regulatory compliance for Advanced Practice Providers (APPs). This position does not require routine patient-facing clinical shifts.

Key Responsibilities

Responsibilities are limited to oversight, supervision, and compliance, in alignment with Colorado Medical Board regulations and NextCare clinical standards:

  • Supervision & Delegation:
    Establish and maintain required supervision agreements with Physician Assistants who have fewer than 5,000 hours of clinical practice, as required under Colorado law.

  • Clinical Oversight:
    Provide guidance to ensure APP practice remains within scope, training, and experience.

  • Quality Assurance & Chart Review:
    Conduct structured, periodic chart reviews and provide feedback aligned with NextCare protocols and evidence-based standards.

  • Availability for Consultation:
    Serve as a clinical resource for APPs via phone, email, or virtual consults during clinic operating hours for complex or escalated cases.

  • Prescriptive Oversight:
    Support compliance with prescribing practices, including controlled substances, in alignment with state and organizational policies.

  • Compliance & Performance Monitoring:
    Ensure appropriate documentation, evaluation processes, and scope alignment are maintained for supervising relationships.

  • Collaboration:
    Partner with Medical Leadership, Operations, and Credentialing teams to support consistent, compliant clinical practice.

Qualifications

  • MD or DO from an accredited medical school

  • Active, unrestricted Colorado medical license

  • Board Certification (Family Medicine, Emergency Medicine, or Internal Medicine preferred)

  • Active DEA registration

  • Minimum of 5 years of clinical experience (Urgent Care or Emergency Medicine preferred)

  • Familiarity with Colorado PA and NP supervision requirements

Position Details

  • Schedule: Full-time, flexible administrative schedule

  • Setting: Hybrid or Remote

  • Clinical Shifts: Not required

  • Liability Coverage: Professional malpractice insurance provided by NextCare

Why Join NextCare?

NextCare offers experienced physicians the opportunity to transition into a leadership and mentorship role that directly supports clinical quality, compliance, and provider developmentwithout the demands of traditional shift-based care.

 
Apply today to learn more about opportunities with NextCare.
 
Maddie Karnes
VP of Provider Recruitment
maddiekarnes@nextcare.com
 
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