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Hedis Rn Jobs in Pennsylvania (NOW HIRING)

tenavistaffing

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 ... Active Registered Nurse (RN) or Licensed Practical Nurse (LPN/LVN) license. * (compacted license ...

The CKHobbie Group

Seeking a detail-oriented and highly analytical Registered Nurse (RN) to join our team in a HEDIS Abstraction role, supporting critical healthcare quality initiatives across Pennsylvania. While the ...

Pyramid Corporation

Registered Nurse

Philadelphia, PA · On-site

Hedis Nurse (Regional Assignments) Requirements: * Must be registered nurse or LPN. Bachelor's degree preferred. * 3-5 years' clinical experience. * 3-5 years' chart auditing/abstraction experience ...

Pyramid Consulting

Registered Nurse

Philadelphia, PA · On-site

Hedis Nurse (Regional Assignments) Requirements: * Must be registered nurse or LPN. Bachelor's degree preferred. * 3-5 years' clinical experience. * 3-5 years' chart auditing/abstraction experience ...

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Hedis Rn information

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How much do hedis rn jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for hedis rn in Pennsylvania is $34.46, according to ZipRecruiter salary data. Most workers in this role earn between $29.13 and $38.56 per hour, depending on experience, location, and employer.

What is a HEDIS RN?

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.

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.

How do I become a Hedis RN?

To become a Hedis RN, you typically need to hold a valid registered nurse (RN) license, which requires completing an accredited nursing program and passing the NCLEX-RN exam. Additional training or certification in Hedis-specific protocols and data collection may be required, along with experience in case management or healthcare quality improvement.

What is the career path of a Hedis RN?

A HEDIS RN typically starts as a registered nurse responsible for chart reviews, data collection, and quality improvement initiatives related to healthcare performance metrics. With experience, they can advance to roles such as clinical supervisor, quality assurance manager, or healthcare analyst, often requiring additional certifications or specialized training in healthcare quality and compliance. Career progression may also include leadership positions or specialization in case management or healthcare analytics.

What are popular job titles related to Hedis Rn jobs in Pennsylvania?

For Hedis Rn jobs in Pennsylvania, the most frequently searched job titles are:

What job categories do people searching Hedis Rn jobs in Pennsylvania look for?

The top searched job categories for Hedis Rn jobs in Pennsylvania are:

Hedis Rn jobs near you
Infographic showing various Hedis Rn job openings in Pennsylvania as of August 2026, with employment types broken down into 100% Full Time. Highlights an 84% In-person, and 16% Hybrid job distribution, with an average salary of $71,672 per year, or $34.5 per hour.

HEDIS Chart Retrieval Nurse

tenavistaffing

Pittsburgh, PA • Remote

$29.25 - $38.75/hr

Contractor

Medical, PTO

Posted 10 days ago

Job description

HEDIS Chart Retrieval Nurse

Position Overview

The HEDIS Chart Retrieval Nurse supports the health plan's annual HEDIS quality data collection efforts by obtaining medical records needed to validate HEDIS measures and close documentation gaps.

In this role, you will conduct outbound outreach to physician offices, hospitals, clinics, and medical records departments to request required documentation. You will coordinate record retrieval, review incoming records for completeness, upload documentation into the health plan's secure system, and track retrieval progress throughout the project.

This is a fast-paced, deadline-driven role requiring strong communication, organization, attention to detail, and an understanding of clinical documentation and HEDIS quality measures.

Key Responsibilities

  • Conduct outbound calls to physician offices, hospitals, clinics, and medical records departments to request records required for HEDIS measures.
  • Clearly communicate the purpose of each request, required documentation, applicable date ranges, and release-of-information requirements.
  • Coordinate with provider office staff and medical records departments to determine the appropriate method for securely transmitting records.
  • Follow up on outstanding requests to ensure medical records are received within established project timelines.
  • Review received documentation for completeness and confirm that requested records have been provided.
  • Upload medical records into the health plan's secure portal or designated chart retrieval platform.
  • Maintain accurate documentation of outreach attempts, provider contacts, pending requests, completed retrievals, and follow-up activity.
  • Escalate delays, access issues, incomplete records, and other retrieval barriers to the project lead or supervisor.
  • Manage an assigned call queue and daily outreach workload to meet productivity and retrieval targets.
  • Maintain compliance with HIPAA requirements and protect all confidential and protected health information.
  • Perform additional project-related duties as assigned.

Qualifications

  • Active Registered Nurse (RN) or Licensed Practical Nurse (LPN/LVN) license.
  • (compacted license preferred or PA)
  • Minimum of 1 year of clinical, managed care, quality, medical records, or related healthcare experience.
  • Prior HEDIS, medical record retrieval, chart review, or chart abstraction experience preferred.
  • Working knowledge of medical terminology, clinical documentation, and EMR/EHR systems.
  • Familiarity with HEDIS quality measures and healthcare quality reporting preferred.
  • Strong telephone communication and provider outreach skills.
  • Strong attention to detail and ability to accurately document and track multiple record requests.
  • Ability to work independently in a remote, deadline-driven environment.

Contract Details

  • Monday through Friday schedule
  • Eastern Time business hours
  • Contract position: This contract does not include health insurance, paid time off, paid holidays, or other employee benefits.

Application Requirements

  • Must be legally authorized to work in the United States.
  • Candidates must be willing to complete a background check and drug screening if required.
  • Candidates will be asked to provide their home address and complete employment eligibility questions during the application process.

Interested in Learning More?

Apply directly or reach out to learn more about the opportunity.