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Hedis Remote Chart Review Jobs (NOW HIRING)

Spartan vitality

Medical Director

Tallahassee, FL · Remote

... remote with availability for oversight support). The Medical Director will provide clinical ... Willingness to review protocols, participate in chart review/QA, and support clinical best ...

AppCast

Medical Director

Jacksonville, FL · Remote

... remote with availability for oversight support). The Medical Director will provide clinical ... chart review processes, collaborating with the treating provider(s), and being available for ...

Spartan vitality

Medical Director

Hollywood, FL · Remote

... remote with availability for oversight support). The Medical Director will provide clinical ... Willingness to review protocols, participate in chart review/QA, and support clinical best ...

Altegra Health

$21 - $28/hr

HEDIS * Medical Record Reviews (Accreditation) * And more These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote ...

Alignerr

Experience in chart review, medical records, or clinical QA is a plus Why Join Us * Fully remote -- work from anywhere on a flexible schedule * Meaningful work that contributes to clinical research ...

Spartan vitality

Medical Director

Tampa, FL · Remote

... remote with availability for oversight support). The Medical Director will provide clinical ... Willingness to review protocols, participate in chart review/QA, and support clinical best ...

Spartan vitality

Medical Director

Jacksonville, FL · Remote

... remote with availability for oversight support). The Medical Director will provide clinical ... Willingness to review protocols, participate in chart review/QA, and support clinical best ...

Spartan vitality

Medical Director

Miami, FL · Remote

... remote with availability for oversight support). The Medical Director will provide clinical ... Willingness to review protocols, participate in chart review/QA, and support clinical best ...

Spartan vitality

Medical Director

Orlando, FL · Remote

... remote with availability for oversight support). The Medical Director will provide clinical ... Willingness to review protocols, participate in chart review/QA, and support clinical best ...

Altegra Health

$20.75 - $28.50/hr

HEDIS * Medical Record Reviews (Accreditation) * And more These are remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote ...

Icon Consultants

Be Seen First

Medical Coder II

Phoenix, AZ · Remote

$21.50/hr

Perform ongoing chart reviews and accurately abstract diagnosis codes * Determine principal ... Ability to work independently in a remote environment * Strong organizational and time management ...

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Hedis Remote Chart Review information

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$20

$34

$47

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.

Supervisor Quality Performance

Blue Cross Blue Shield of Kansas

Hutchinson, KS • On-site, Remote

$73.92K - $92.40K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.
You Belong At Blue
Why Join Us?
  • Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
  • Family Comes First: Total rewards package that promotes the idea of family first for all employees. Paid vacation and sick leave with paid maternity and paternity available immediately upon hire
  • Professional Growth Opportunities: Advance your career with ongoing training and development programs.
  • Dynamic Work Environment: Collaborate with a team of passionate and driven individuals in a work environment that promotes flexibility.
  • Trust and Stability: Work for one of the most trusted companies in Kansas with over 80 years of commitment, compassion and community.
  • Inclusive Work Environment: We pride ourselves on fostering a workplace where everyone is valued and respected.

Benefits & Perks
  • Base compensation is only one component of your competitive Total Rewards package
    • Incentive pay program (EPIP)
    • Health/Vision/Dental insurance
    • 6 weeks paid parental leave for new mothers and fathers
    • Fertility/Adoption assistance
    • 2 weeks paid caregiver leave
    • 401(k) plan matching up to 5%
    • Tuition reimbursement
    • Health & fitness benefits, discounts and resources

Job Summary
The Supervisor of Quality Performance is responsible for leading a high-performing team in the end-to-end abstraction of healthcare data, including prospective, retrospective, and supplemental collection. This role ensures adherence to quality and productivity standards while managing timelines and deliverables for HEDIS operations and audits. The Supervisor drives continuous improvement in abstraction workflows through data validation, process optimization, and staff development.
"This position is eligible to work remotely, hybrid or onsite in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment."
What you'll do
  • Accountable for performance monitoring, policy enforcement, termination process, disciplinary action, hiring, compliance and team development. Maintaining accurate records of all hiring, firing and disciplinary actions.
  • Supervise abstraction staff, assign responsibilities, and ensure quality and productivity standards are met.
  • Manage project timelines and deliverables for HEDIS operations and audits, ensuring alignment with regulatory deadlines.
  • Drive improvements in abstraction workflow, accuracy, and efficiency through data validation, process refinement, and staff training.
  • Oversee the year-round primary source verification (PSV) process to ensure completeness and integrity of supplemental data.
  • Collaborate with internal departments (e.g., IT, Health Plan Quality, Compliance) and external partners to coordinate data requests, audit submissions, and chart retrieval efforts.
  • Maintain current knowledge of HEDIS technical specifications, NCQA audit requirements, and CMS Medicare Star metrics.
  • Support audit readiness and respond to auditor inquiries and data validation requests.
  • Monitor team performance and provide coaching, training, and professional development.
  • Contribute to the development and implementation of policies, procedures, and performance metrics for the quality operations team
  • Analyze, track, and trend abstraction

What you need
Knowledge/Skills/Abilities:
  • Proven expertise in HEDIS measures, abstraction methodologies, and NCQA audit protocols.
  • Demonstrated success in managing quality improvement projects and abstraction operations.
  • Strong leadership, communication, and organizational skills.
  • Advanced working knowledge of HEDIS technical specifications and regulatory reporting.

Education and Experience:
  • Bachelor's degree in health care administration, Business Administration, Public Health, Nursing, or a related field. In lieu of degree:
    • Minimum 3 years of experience with HEDIS®, Star measures, or regulatory quality reporting
    • Minimum 3 years of direct HEDIS®/Star abstraction or chart review experience.
  • Minimum of 3 years of healthcare or quality management experience, including 2 years of project management.
  • Minimum of 2 years' experience in a supervisory or lead role.
  • Experience with Medicare Star Ratings and quality performance reporting.
  • Certified Professional in Healthcare Quality (CPHQ) or related credential preferred.

Compensation
$73,920- $92,400
Exempt Grade 15
  • Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts.

Our Commitment to Connection and Belonging
At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of connection and belonging, where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law.
Blue Cross and Blue Shield of Kansas conducts pre-employment drug screening, criminal conviction check, employment verifications and education as part of a conditional offer of employment.

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