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Hedis Remote Chart Review Jobs in Boca Raton, FL

Scribe-X

Remote Medical Scribe

Fort Lauderdale, FL · Remote

$14 - $17/hr

Perform chart preparation per clinic protocol * Accompany the provider in all scheduled patient ... Review completed charts with the provider between patients or at the completion of shift * Update ...

All JobsHedis Chart Review JobsHedis Remote Chart Review JobsHedis Remote Chart Review Jobs in Boca Raton, FL

Hedis Remote Chart Review information

See Boca Raton, FL salary details

$19

$32

$45

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

As of Aug 29, 2026, the average hourly pay for hedis remote chart review in Boca Raton, FL is $32.62, according to ZipRecruiter salary data. Most workers in this role earn between $27.60 and $36.49 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.

What are popular job titles related to Hedis Remote Chart Review jobs in Boca Raton, FL?

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

What job categories do people searching Hedis Remote Chart Review jobs in Boca Raton, FL look for?

The top searched job categories for Hedis Remote Chart Review jobs in Boca Raton, FL are:

What cities near Boca Raton, FL are hiring for Hedis Remote Chart Review jobs?

Cities near Boca Raton, FL with the most Hedis Remote Chart Review job openings:

Hedis Remote Chart Review jobs near you

Hospice Physician Audit Reviewer (Remote)

VITAS Healthcare

Miramar, FL • On-site, Remote

Full-time

Posted 8 days ago

VITAS Healthcare rating

7.0

Company rating: 7.0 out of 10

Based on 114 frontline employees who took The Breakroom Quiz

41st of 245 rated social care providers

Job description


Hospice Physician Audit Reviewerwill have experience supporting external government record requests by preparing chart summaries and expert testimony at administrative hearings as needed. In addition, although this position's responsibilities will usually be conducted from their home office, this role is also involved in travel to provider locations to provide in-person trainings and partner with program support initiatives as needed. Work remote.
Experience:
  • The medical review physician should review the documentation submitted and identify the following content that support's the patient's appropriateness, including any higher level of care billed, if applicable: clinical history and physical findings, documentation of functional status and symptoms, and pertinent changes in plans of care.
  • The medical review physician should review certification / recertification worksheets and narratives, plans of care review, and interdisciplinary team notes to ensure that they collectively reflect and support the patient's hospice benefit appropriateness. Where there are inconsistencies or omissions, the physician should provide explanation or suggest correction.
  • The medical review physician should prepare a summary (demographics, time of admission, course of care under review, disposition, statement of eligibility) outlining the patient's hospice benefit appropriateness and focus on bringing the claim reviewer's attention to the specific documentation that supports the patient's hospice eligibility, as well as any additional supportive documentation that may be added at the time of the appeal. Where appropriate, the medical review physician should reference evidence based guidelines or journal articles.
  • If a detailed claim denial explanation was provided in the claim review summary, the medical review physician should: 1. Verify whether the claim denial code is legitimate for the level of care on date(s) in contention, 2. Identify if there are discrepancies between the claim review explanation and supporting documentation, 3. Address each claim denial reason with the necessary explanation and supportive documentation, 4. Identify whether there are additional chart documents not included in the first submission that establish hospice appropriateness.
  • The chart review note submitted by medical review physician in preparation for submission of appeal, should summarize findings recorded elsewhere in the record and not conflict with daily progress notes. New information should be supported by additional documentation that has been accessed from the chart.
  • Performs related duties as required. This position description in no way states or implies that these are the only duties to be performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management.

Education:
  • Board eligible / certified in Hospice and Palliative Medicine, Family Medicine, Internal Medicine, or other related specialty with a working knowledge of the principles of palliative medicine and symptom management.
  • Completion of designated application and verification of credentials and qualifications.

Certification & Licensure:
  • Licensed to practice medicine or osteopathy in the state in which the program is operating.

Physical Requirements:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.
SPECIAL INSTRUCTIONS TO CANDIDATES
  • EOE/AA M/F/D/V

What VITAS Healthcare employees say

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About VITAS Healthcare

Sourced by ZipRecruiter

VITAS Healthcare, located in Miami, FL, US, is a pioneer in the American healthcare industry, specifically within the realm of hospice care and palliative services. The company began its operations in 1978 under the visionaries Hugh Westbrook and Esther Colliflower,both social workers, who identified the need for compassionate end-of-life care. Recognizing the dire need to fill the void in hospice care, they established VITAS Healthcare with the mission to provide patients experiencing end-of-life stages with high-quality care, demonstrating respect for every individual's decisions and maintaining a supportive environment for both the patients and their loved ones. A noteworthy achievement of VITAS is that it was the first organization to have its hospice program licensed in Florida prompting a nationwide shift in the way end-of-life care services were handled.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Miami, FL, US

Year founded

1978

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