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Hedis Rn Jobs in Georgia (NOW HIRING)

Centerwell

Clinical Care Nurse (RN)

Atlanta, GA

The Clinical Care RN plays a critical role in advancing clinical quality and supporting patients ... Quality: Medicare Advantage Stars, HEDIS and quality performance across value-basedpopulation.

CenterWell Primary Care

Clinical Care RN

Savannah, GA · On-site

The Clinical Care RN plays a critical role in advancing clinical quality and supporting patients ... Quality: Medicare Advantage Stars, HEDIS and quality performance across value-basedpopulation.

CenterWell Primary Care

Clinical Care RN

Savannah, GA · On-site

The Clinical Care RN plays a critical role in advancing clinical quality and supporting patients ... Quality: Medicare Advantage Stars, HEDIS and quality performance across value-based population.

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Hedis Rn information

See Georgia salary details

$17

$29

$40

How much do hedis rn jobs pay per hour?

As of Jun 14, 2026, the average hourly pay for hedis rn in Georgia is $29.03, according to ZipRecruiter salary data. Most workers in this role earn between $24.57 and $32.50 per hour, depending on experience, location, and employer.

What are HEDIS RNs?

HEDIS RNs, or Healthcare Effectiveness Data and Information Set Registered Nurses, are specialized nurses who review medical records to ensure healthcare organizations are meeting quality measures set by HEDIS. They collect, analyze, and report data related to patient care and outcomes, helping healthcare providers improve performance and comply with industry standards. HEDIS RNs play a critical role in quality assurance, working with both clinical teams and data analysts to ensure accurate reporting and better patient care.

What are some common challenges HEDIS RNs face during the annual reporting cycle?

HEDIS RNs often encounter challenges such as tight deadlines, managing large volumes of medical records, and ensuring data accuracy during the annual reporting cycle. Coordinating with various healthcare providers to obtain complete documentation can be time-consuming and sometimes requires persistent follow-up. Additionally, adapting to frequent updates in HEDIS measures and reporting requirements demands ongoing learning and flexibility. Despite these challenges, HEDIS RNs play a crucial role in improving healthcare quality by ensuring accurate and timely reporting.

How to make $300,000 a year as a nurse?

Hedis RNs can reach a high salary by gaining specialized certifications, such as case management or quality assurance, and working in high-demand settings like insurance companies or healthcare consulting. Increasing experience, taking on leadership roles, and working overtime or in management positions can also boost earnings toward $300,000 annually.

What does a HEDIS RN do?

A HEDIS RN reviews and analyzes healthcare data to ensure compliance with HEDIS (Healthcare Effectiveness Data and Information Set) measures, which assess the quality of care provided by health plans. They often collect, audit, and report data, requiring knowledge of clinical guidelines and data management tools to support quality improvement initiatives.

How to make $150,000 as a nurse?

Hedis RNs can reach a $150,000 salary by gaining specialized certifications, such as case management or informatics, working in high-demand settings like hospitals or insurance companies, and accumulating extensive experience. Advanced roles, overtime, and leadership positions also contribute to higher earnings in nursing.

How can I become a HEDIS nurse?

To become a HEDIS nurse, typically you need to be a registered nurse (RN) with a valid license and gain experience in case management, quality improvement, or healthcare analytics. Certification in HEDIS or healthcare quality measures can enhance your qualifications, and familiarity with electronic health records (EHR) systems is often required.

What are the key skills and qualifications needed to thrive as a HEDIS RN, and why are they important?

To thrive as a HEDIS RN, you need a solid background in nursing, strong clinical review skills, and familiarity with healthcare quality measures, typically supported by an RN license. Experience with HEDIS software, electronic health records (EHRs), and data abstraction tools is highly valuable. Attention to detail, analytical thinking, and effective communication enable you to accurately review patient records and collaborate with providers. These skills are crucial for ensuring accurate data collection, supporting quality improvement initiatives, and maintaining compliance with healthcare standards.

What is the difference between Hedis Rn vs Hedis Lpn?

AspectHedis RnHedis Lpn
CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentHospitals, clinics, insurance companiesLong-term care facilities, clinics, home health
Industry UsageHealthcare, insurance, quality assurance

Hedis Rn and Hedis Lpn both work in healthcare quality and compliance, focusing on HEDIS measures. RNs typically have more advanced training and perform more complex assessments, while LPNs handle routine data collection and support tasks. Both roles are essential in ensuring accurate HEDIS reporting, but RNs often have broader responsibilities and higher credential requirements.

What are popular job titles related to Hedis Rn jobs in Georgia? For Hedis Rn jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Hedis Rn jobs in Georgia look for? The top searched job categories for Hedis Rn jobs in Georgia are:
Hedis Rn jobs near you
Infographic showing various Hedis Rn job openings in Georgia as of June 2026, with employment types broken down into 52% Full Time, 16% Part Time, and 32% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $60,373 per year, or $29 per hour.
HEDIS Nurse Abstractor

HEDIS Nurse Abstractor

Healthcare Support Staffing

Atlanta, GA

$29 - $38.50/hr

Full-time

Medical, Dental, Vision

Posted 11 days ago

Job description

Company Description

Company is working to transform health care with trusted and caring solutions. Our health plan companies deliver quality products and services that give their members access to the care they need. With more than 73 million people served by its affiliated companies including nearly 40 million enrolled in its family of health plans, Anthem is one of the nation's leading health benefits companies.

One in nine Americans receives coverage for their medical care through Anthem's affiliated plans.
We offer a broad range of medical and specialty products.

Job Description

Ideal candidate must be flexible and willing to develop/share strategies to accomplish goals. Will work under the supervision of Anthem internal staff and designated lead in order to achieve goals and keep the project moving. Reviews require data analysis and research within client data systems.

Candidate will work with the HEDIS team to collect member records and conduct reviews of these records by contacting providers and placing the results collected into a specific data base. If necessary, the medical record review is conducted on site in provider office or hospital institution. Local travel may be required. This candidate will be required to handle a high volume of telephonic interaction with provider offices. Candidates must follow up on requested medical records with providers. Must keep excellent documentation of research and contact information. Candidate must pass a medical record abstraction test prior to starting actual record reviews.

Essential Functions:

  • This is a high production environment and candidates must adhere to measured productivity requirements, module testing and at times retesting to meet minimum requirements.
  • Sharing of department responsibilities as assigned.
  • Required to perform research on internal claims systems.
  • Must be flexible and willing to develop and share strategies to accomplish goals.
  • Work under the supervision of internal staff and designated lead in order to achieve goals and keep the project moving.
  • Reviews require data analysis and research within the Anthem data systems.
  • Candidates must have critical thinking skills as they will conduct research in a thoughtful and methodical search in order to locate specific claim information.
  • Research includes all resources provided in order to find best information. Examples of deep dive research would be based on client specific platforms (i.e. Immunization registries, local claims system membership and defaulted claim information).
Qualifications
  • Clear and active RN, LPN, or LVN license in the state of GA
  • Licensed professional graduate of an accredited school of nursing 
  • They will be tested periodically on the accuracy of their abstraction and they must score at least 99%
  • Strong research and analytical skills 
  • Experience with CPT-4, ICD-9 and ICD-10 DX coding
  • Effective written, oral, and interpersonal communication skills 
  • Open to local travel and reliable transportation 
Additional Information

Advantages of this Opportunity:

Competitive salary, negotiable based on relevant experience
Benefits offered, Medical, Dental, and Vision
Fun and positive work environment
Monday through Friday 8am-5pm


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About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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