ZipRecruiter

Log In

1

Hedis Review Jobs (NOW HIRING)

Managed Staffing

HEDIS Reviewer

MI · Remote

$44 - $45/hr

Position: HEDIS Reviewer - Work From Home (Michigan Only) Location: Remote - Must reside in ... Review medical charts, copy supporting documentation, and enter all abstracts into designated ...

Managed Staffing

HEDIS Reviewer / HEDIS Quality

TX · Remote

$34 - $35/hr

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 ...

Integrated Resources INC

HEDIS Record Reviewer

Milwaukee, WI

$29.75 - $39.50/hr

The HEDIS Record Reviewer performs accurate and efficient medical record review and abstraction for ... Medical record review and abstraction is performed in the client office and at various provider ...

NTT DATA

*HEDIS Reviewer III

Kankakee, IL · On-site

This position interprets relevant clinical criteria through review of medical records, annotates via adobe pdf and populates a data collection tool to support hedis quality reporting.

Healthcare Support Staffing

HEDIS Nurse

Latham, NY

$29.25 - $38.75/hr

  • Medical

  • Dental

  • Vision

Reviews assigned medical records in order to abstract clinical data elements for HEDIS reporting * Integrates data collected from a variety of electronic and paper sources * Documents abstraction ...

Healthcare Support Staffing

HEDIS Nurse

Baton Rouge, LA

$29 - $38.50/hr

  • Medical

  • Dental

  • Vision

Reviews assigned medical records in order to abstract clinical data elements for HEDIS reporting * Integrates data collected from a variety of electronic and paper sources * Documents abstraction ...

Healthcare Support Staffing

HEDIS Nurse

Shelton, CT

$30.25 - $40/hr

  • Medical

  • Dental

  • Vision

Reviews assigned medical records in order to abstract clinical data elements for HEDIS reporting * Integrates data collected from a variety of electronic and paper sources * Documents abstraction ...

Careers Integrated Resources Inc

HEDIS NURSE

Manhattan, NY · On-site

$33.25 - $44/hr

Hedis Nurse Integrated Resources, Inc., is led by a seasoned team with combined decades in the ... Responsibilities includes medical records reviews, data collection, chart abstractions, reporting ...

Careers Integrated Resources Inc

HEDIS Nurse

Jacksonville, FL · On-site

$28 - $37/hr

HEDIS preferred Medical review/disease management experience AAAHC, Joint Commission, or Magnet experience is helpful Proficient in Microsoft Word and Excel Excellent communication skills Successful ...

Integrated Resources

HEDIS Nurse

Jacksonville, FL · On-site

$28 - $37/hr

HEDIS preferred Medical Review Nurses: Quality review / disease management experience AAAHC, Joint Commission, or Magnet experience is helpful Proficient in Microsoft Word and Excel Excellent ...

Integrated Resources INC

HEDIS NURSE

New York, NY

$33 - $43.75/hr

Responsibilities includes medical records reviews, data collection, chart abstractions, reporting ... This position is responsible for HEDIS data collection and reports to the Quality Management ...

next page

Showing results 1-20

All JobsHealthcare JobsHospital JobsMedical Reviewer JobsHedis Review Jobs

Hedis Review information

See salary details

$20

$34

$47

How much do hedis review jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for hedis 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 is a HEDIS review?

A HEDIS Review is an evaluation process used by healthcare organizations to assess their performance on specific quality measures developed by the National Committee for Quality Assurance (NCQA). HEDIS, which stands for Healthcare Effectiveness Data and Information Set, involves reviewing patient records and data to ensure compliance with national standards of care. The review helps organizations identify areas for improvement, maintain accreditation, and provide high-quality care to their members. HEDIS Reviews are crucial for health plans to demonstrate their commitment to quality and to compare their performance with other plans.

What are the key skills and qualifications needed to thrive as a HEDIS reviewer?

To thrive as a HEDIS Reviewer, you need a solid understanding of healthcare quality measurement, medical record abstraction, and familiarity with HEDIS guidelines, typically supported by a clinical background such as RN, LPN, or coding certification. Proficiency with electronic medical records (EMR), HEDIS software tools, and data management systems is essential. Strong attention to detail, analytical thinking, and effective communication are crucial soft skills for accurately interpreting data and collaborating with healthcare teams. These skills ensure precise and reliable data collection and reporting, which are vital for healthcare quality improvement and regulatory compliance.

What are some common challenges faced by HEDIS reviewers, and how can they be addressed?

HEDIS Reviewers often encounter challenges such as incomplete medical records, tight reporting deadlines, and the need to accurately interpret complex clinical documentation. To address these, it's important to develop strong communication skills for collaborating with providers, maintain excellent attention to detail, and stay organized to manage multiple cases effectively. Additionally, ongoing training on HEDIS measures and proficiency with electronic health record systems can help reviewers improve accuracy and efficiency in their work.

What is the difference between Hedis Review vs Hedis Nurse?

AspectHedis ReviewHedis Nurse
CredentialsTypically requires knowledge of HEDIS measures, healthcare data analysisRN license, clinical experience, familiarity with HEDIS
Work EnvironmentOffice-based, data review, and analysisClinical settings, patient interactions, chart reviews
Employer & IndustryHealth plans, healthcare analytics companiesHospitals, clinics, health insurance companies
Primary FocusReviewing and analyzing healthcare data for complianceProviding direct patient care and clinical assessments

The main difference is that Hedis Review roles focus on analyzing healthcare data and ensuring compliance with HEDIS measures, often in an office setting. Hedis Nurses, on the other hand, are clinical professionals providing patient care and conducting chart reviews, with a focus on clinical assessments and documentation.

How to become a Hedis Review?

To become a Hedis reviewer, candidates typically need experience in healthcare or medical coding, strong attention to detail, and familiarity with HEDIS measures. Certification in medical coding or healthcare quality programs can enhance prospects, and understanding of data analysis tools is beneficial. The role often requires working in healthcare settings or remotely, with a focus on accuracy and compliance.

How to become a Hedis reviewer?

To become a Hedis reviewer, candidates typically need experience in healthcare or medical record review, strong attention to detail, and familiarity with HEDIS measures. Some positions may require certification or training in healthcare quality or coding. Reviewing job postings can provide specific qualification requirements for this role.

What does a Hedis Review do?

A HEDIS review involves evaluating healthcare data to ensure compliance with quality measures set by the Healthcare Effectiveness Data and Information Set (HEDIS). The review typically includes analyzing patient records, coding accuracy, and documentation to improve healthcare quality and meet regulatory standards. It often requires knowledge of medical coding, clinical guidelines, and data analysis tools.
More about Hedis Review jobs

What cities are hiring for Hedis Review jobs?

Cities with the most Hedis Review job openings:

What states have the most Hedis Review jobs?

States with the most job openings for Hedis Review jobs include:

What job categories do people searching Hedis Review jobs look for?

The top searched job categories for Hedis Review jobs are:

Hedis Review jobs near you
Infographic showing various Hedis Review job openings in the United States as of August 2026, with employment types broken down into 77% Full Time, and 23% Part Time. Highlights an 85% In-person, and 15% Remote job distribution, with an average salary of $71,500 per year, or $34.4 per hour.

HEDIS Reviewer

Managed Staffing

MI • Remote

$44 - $45/hr

Contractor

Re-posted 15 days ago

Job description

Position: HEDIS Reviewer – Work From Home (Michigan Only)
Location: 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 involves reviewing and abstracting clinical information from medical records, annotating via Adobe PDF, and populating a data collection tool to ensure compliance with HEDIS and CMS performance measures. Training will be provided prior to the start of the project.

Key Responsibilities:

  • Complete assigned medical record abstraction and data entry daily.

  • Review medical charts, copy supporting documentation, and enter all abstracts into designated software.

  • Work with provider offices to schedule appointments, follow up on record submissions, and manage patient rosters.

  • Prioritize and complete tasks accurately within established deadlines.

  • Identify trends, document areas for improvement, and maintain project productivity while meeting quality standards.

  • Maintain confidentiality of all information in compliance with HIPAA and PHI regulations.

  • Attend all required training sessions and conference calls.

Required Qualifications:

  • 4+ seasons of experience auditing and abstracting medical records.

  • Strong medical knowledge and ability to read and interpret medical records.

  • Proficient in Microsoft Word, Excel, email, and Adobe Reader; able to save files in folders.

  • Excellent verbal and written communication skills.