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Hedis Review Jobs (NOW HIRING)

HEDIS NURSE

New York, NY · On-site

$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 ...

HEDIS Nurse

Columbus, OH · On-site

$28.25 - $37.25/hr

About the job HEDIS Nurse Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across ...

HEDIS Nurse

Nashville, TN · On-site

$29.25 - $38.75/hr

About the job HEDIS Nurse Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across ...

HEDIS Nurse

Auburn, AL · On-site

$25.50 - $33.75/hr

About the job HEDIS Nurse Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across ...

HEDIS Nurse

Cincinnati, OH · On-site

$29 - $38.50/hr

About the job HEDIS Nurse Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across ...

HEDIS Chart Retrieval Nurse

Pittsburgh, PA · Remote

$29.25 - $38.75/hr

HEDIS Chart Retrieval Nurse Position Overview The HEDIS Chart Retrieval Nurse supports the health ... You will coordinate record retrieval, review incoming records for completeness, upload ...

HEDIS Nurse

Decatur, GA · On-site

$29.50 - $39/hr

About the job HEDIS Nurse Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across ...

HEDIS Nurse

Cleveland, OH · On-site

$29.25 - $38.75/hr

About the job HEDIS Nurse Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across ...

HEDIS Nurse

Gadsden, AL · On-site

$24.75 - $32.75/hr

About the job HEDIS Nurse Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across ...

HEDIS RN / LPN

Baton Rouge, LA · On-site

$29 - $38.50/hr

The purposes of this role include, but are not limited to: 1. Medical record review and collection 2. Abstraction and data entry for HEDIS and HEDIS-like measures 3. Over read of medical records The ...

HEDIS RN LPN

Manhattan, NY · On-site

$33.25 - $44/hr

HEDIS RN LPN Following are the position details: HEDIS 2015 Record Collection- Temps to assist with ... Responsibilities includes medical records reviews, data collection, chart abstractions, reporting ...

HEDIS LPN RN

New York, NY · On-site

$33 - $43.75/hr

HEDIS 2015 Record Collection- Temps to assist with record collection and data abstractions and/or ... Responsibilities includes medical records reviews, data collection, chart abstractions, reporting ...

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 ...

HEDIS RN/LPN

Jacksonville, FL · On-site

$28 - $37/hr

HEDIS RN/LPN Integrated Resources, Inc is a premier staffing firm recognized as one of the tri ... Must have an active RN or LPN license in Florida Responsibilities includes medical records reviews ...

RN HEDIS /LPN

Trenton, NJ · On-site

$30.25 - $40/hr

Trenton NJ Immediate interview Experience in HEDIS chart audits or medical records reviews LPN or Coder with HEDIS experience required. Position Comments: LPN Auditors for HEDIS Audit Season or ...

HEDIS RN / LPN

Nashville, TN · On-site

$29.25 - $38.75/hr

The contract nurse is responsible for retrieval, review, and abstraction of medical record data, required for multiple and complex STARS and HEDIS measures as well as entering the data into quality ...

HEDIS LPN RN

Manhattan, NY · On-site

$33.25 - $44/hr

HEDIS LPN RN A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized ... Responsibilities includes medical records reviews, data collection, chart abstractions, reporting ...

HEDIS RN / LPN

Knoxville, TN · On-site

$28.75 - $38.25/hr

The contract nurse is responsible for retrieval, review, and abstraction of medical record data, required for multiple and complex STARS and HEDIS measures as well as entering the data into quality ...

HEDIS RN/LPN

Latham, NY · On-site

$29.25 - $38.75/hr

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 ...

Showing results 21-40

Hedis Review information

See salary details

$20

$34

$47

How much do hedis review jobs pay per hour?

As of Sep 14, 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.
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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:

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 NURSE

New York, NY • On-site

Integrated Resources INC
Recruiting and Staffing Services • 51 - 200 employees

$33 - $43.75/hr

Contractor

Re-posted 13 days ago


Job description

Company Description

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.

We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity.

Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients' success.

Job Description

A Special Project Nurse/Medical Professional will be responsible for completing auditing and/or medical records review projects. Responsibilities includes medical records reviews, data collection, chart abstractions, reporting and analyses. Must have good communication skills to interface with United Health Services personnel and be very detailed oriented. This position is responsible for HEDIS data collection and reports to the Quality Management Manager.

Coordinates and performs onsite medical record reviews medical record collection at provider offices

Supports the HEDIS medical record chase to support optimum HEDIS and quality metric reporting.

Supports quality improvement, requesting records from providers, maintaining databases, and researching to identify members' provider encounter history

Enter documentation of findings in identified database

Qualifications

RN/LPN

5+ years clinical experience, or other relevant experience

2+ years of quality improvement experience, or other relevant experience

MUST HAVE PRIOR HEDIS EXPERIENCE (at least 1-2 season) and be knowledgeable on various HEDIS measures.

Must have strong experience using MS Excel, for data entry

Experience working in Medicaid and/or Medicare health care and insurance industry, including regulatory and compliance requirements

Knowledge base of clinical standards of care, preventive health standards, HEDIS, NCQA, governing and regulatory agency requirements, and the managed care industry.

Ability to travel to physician offices if required; valid state-specific driver's license and reliable vehicle.

Strong organizational skills and ability to work both independently and with teams.

Ability to evaluate medical records with attention to detail.

Ability to interact with medical staff, peers, and internal company staff at all levels.

Ability to use databases and prepare reports as needed

Proficiency in software applications that include, but are not limited to, Microsoft Word, Microsoft Excel. Outlook

Demonstrated ability to assist with focusing activities toward a strategic direction as well as develop tactical plans, drive performance and achieve targets

Problem solving skills; the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action

Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others.

Additional Information

All your information will be kept confidential according to EEO guidelines.


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About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996