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Hedis Remote Chart Review Jobs in Decatur, GA (NOW HIRING)

Monogram Health

Market Physician Executive

Atlanta, GA · Remote

Review and approve APP, RN, SW and PharmD plans of care. * Overall accountability for reducing ... This position will be remote within the designated market with occasional in-home patient treatment ...

Scribe-X

Remote Medical Scribe

Atlanta, GA · 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 ...

Equifax, Inc.

Account Executive, Mortgage

Atlanta, GA · On-site +1

$80K - $120K/yr

If you want to achieve your true potential, chart new paths, develop new skills, collaborate with ... Prepares & conducts periodic Customer business reviews * Manages contracting and contract ...

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All JobsHedis Chart Review JobsHedis Remote Chart Review JobsHedis Remote Chart Review Jobs in Decatur, GA

Hedis Remote Chart Review information

See Decatur, GA salary details

$19

$33

$46

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

As of Jul 13, 2026, the average hourly pay for hedis remote chart review in Decatur, GA is $33.56, according to ZipRecruiter salary data. Most workers in this role earn between $28.41 and $37.55 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.

What are popular job titles related to Hedis Remote Chart Review jobs in Decatur, GA? For Hedis Remote Chart Review jobs in Decatur, GA, the most frequently searched job titles are:
What job categories do people searching Hedis Remote Chart Review jobs in Decatur, GA look for? The top searched job categories for Hedis Remote Chart Review jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Hedis Remote Chart Review jobs? Cities near Decatur, GA with the most Hedis Remote Chart Review job openings:
Hedis Remote Chart Review jobs near you

Tele-Triage Licensed Practical Nurse- LPN - PCTC

Starting Point Nursing Services

Atlanta, GA • Remote

$21/hr

Full-time

Posted 21 days ago

Job description

Our Company

Starting Point Nursing Services

Overview

Full Time LPN PCTC Tele-Triage (Fully Remote) Position!

*Potential Start Date:  7/13/26

*New Openings: 1 FT positions available- Monday-Friday, 9a-5p CST (10a-6p EST)

This LPN provides On-Call and Triage for the assigned population in accordance with triage protocols. This position remotely develops/implements care plans for persons served in the area of responsibility. The Tele-Triage LPN assesses health status, identifies problems and needs of person(s) served in their assigned caseload, develops nursing care plans in collaboration with operations LPN's. You will complete chart reviews and monthly host home reviews and perform On-Bound calling to assigned populations/locations. This LPN performs data analysis in multiple systems.

Responsibilities
  • Monitor assigned phone lines during service hours to ensure timely response for caller needs
  • Triage all symptom-based calls and give recommendations according to the approved triage protocol
  • Triage patients by assessing severity of symptoms and referral to appropriate setting or level of care
  • Document in real time all care related recommendations and ensure local operations are notified of triage supports and outcomes
  • Initiate contact with acute care setting to coordinate services for clients receiving care in the ED/Hospital and coordinate the discharge planning; Notify operations of triage recommendations
  • Coordinate any medication orders with the assigned pharmacy and update MAR/QuickMar for appropriate administration
  • Work assigned prior authorizations to ensure timely documentation and submit to assigned pharmacy for billing
  • Complete/conduct assessment and reassessment of persons served as assigned
  • Develop/update care plans and determine persons served needs and secure physicians orders as needed
  • Communicate with beneficiaries primarily phone, text, online (web) chat, or email
  • Ensure compliance with state/local/payer requirements through review of documentation
  • Provide coaching and education related to the health and well-being of persons served
  • Participate in performance improvement activities and maintain ongoing clinical knowledge through inteLPNal/exteLPNal training programs
  • Document above actions in Nurse's Notes or Service Delivery Log
  • Maintain time sheet log for weekly submission for productivity management to assigned supervisor
  • Notify each practice, physician, and/or managed care client of all encounters with patients, parents, or managed care clients regardless of follow-up needs before office opening
  • Notify designated leadership of operational conceLPNs
  • Actively participate in applicable meetings and committees as requested (e.g., IDT, HRC, Safety/Quality committee, and annual person served directed/active treatment plan meetings)
Qualifications
  • Degree/certification from an accredited school of Nursing
  • At least one year of nursing experience
  • Current licensure as a LPN (LPN) in the state of practice, which is current and remains in good standing. Must have an LPN compact license.
  • Clinical experience in providing services and supports to individuals with intellectual and developmental disabilities, home health and Hospice patients or related disorders
  • One-year of home health experience preferred
About our Line of BusinessStarting Point Nursing Services, an affiliate of BrightSpring Health Services, is staffed 100% by a team of remote registered nurses trained to support the post-acute continuum with clinical advice and interventions. Our 24/7 On-Call and Triage team responds to physician practices, home health agencies, intellectual disability providers, and assisted living providers. Our services are tailored to our partners, including remote physical/chart assessments, predictive care modeling, clinical programming interventions for high-risk populations, emergent care coordination, and case management. For more information, please visit www.startingpointnursing.com. Follow us on LinkedIn.Salary RangeUSD $21.00 / HourEmployment Type: FULL_TIME

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