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Hedis Reviewer Jobs (NOW HIRING)

Managed Staffing

HEDIS Reviewer

MI · Remote

$44 - $45/hr

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 ...

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 · On-site

$29.75 - $39.50/hr

The HEDIS Record Reviewer performs accurate and efficient medical record review and abstraction for HEDIS reporting to support client critical quality initiatives. Medical record review and ...

Healthcare Support Staffing

HEDIS Nurse

Latham, NY

$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 ...

Healthcare Support Staffing

HEDIS Nurse

Shelton, CT

$30.25 - $40/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 ...

Healthcare Support Staffing

HEDIS Nurse

Baton Rouge, LA

$29 - $38.50/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 ...

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 ...

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How much do hedis reviewer jobs pay per hour?

As of Aug 4, 2026, the average hourly pay for hedis reviewer in the United States is $29.88, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $36.54 per hour, depending on experience, location, and employer.

What does a Hedis reviewer do?

A typical day for a HEDIS Reviewer involves reviewing and abstracting medical records to determine compliance with specific healthcare quality measures, entering findings into HEDIS reporting systems, and collaborating with clinical staff to clarify documentation. Reviewers may also participate in team meetings to discuss progress, resolve discrepancies, and stay updated on evolving measurement guidelines. The role requires balancing independent data review with regular communication and coordination within a larger quality assurance team. This dynamic environment helps ensure the accuracy and completeness of the data submitted for annual HEDIS reporting cycles.

What is a Hedis reviewer?

A HEDIS Reviewer is a healthcare professional responsible for reviewing medical records and data to ensure compliance with HEDIS (Healthcare Effectiveness Data and Information Set) measures. They collect, analyze, and validate patient information to assess the quality of healthcare services provided by insurance companies and healthcare organizations. HEDIS Reviewers work with medical coders, analysts, and healthcare providers to improve performance measures and ensure accurate reporting for accreditation and compliance purposes.

What skills and qualifications are needed to be a Hedis reviewer?

To thrive as a HEDIS Reviewer, you need a solid knowledge of healthcare quality measures, experience in medical records review, and typically a background in nursing or health information management. Familiarity with HEDIS software platforms, electronic medical records (EMR) systems, and understanding of NCQA guidelines are essential, and some positions may require certified professional coder (CPC) or registered nurse (RN) credentials. Strong attention to detail, analytical thinking, and effective communication skills are highly valued in this role. These abilities ensure accurate data abstraction, compliance with quality standards, and productive collaboration with clinical and administrative teams.

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 knowledge of HEDIS measures. Relevant certifications, such as Certified HEDIS Reviewer or related healthcare credentials, can improve job prospects. Familiarity with electronic health records (EHR) systems and data analysis skills are also beneficial.

How to get experience in Hedis Reviewer?

To gain experience as a HEDIS Reviewer, individuals typically need a background in healthcare, nursing, or medical coding, along with knowledge of HEDIS measures and healthcare quality standards. Gaining experience through healthcare-related roles, certifications such as CPC or CCS, and familiarity with electronic health records (EHR) systems can improve qualifications for this position.
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Hedis Reviewer jobs near you
Infographic showing various Hedis Reviewer job openings in the United States as of July 2026, with employment types broken down into 84% Full Time, 8% Part Time, and 8% Contract. Highlights an 69% In-person, and 31% Remote job distribution, with an average salary of $62,159 per year, or $29.9 per hour.

HEDIS Reviewer

Managed Staffing

MI • Remote

$44 - $45/hr

Contractor

Re-posted 12 hours 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.