Remote HEDIS Specialist
OR · Remote
Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection and abstraction of medical records and other data in ...
OR · Remote
Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection and abstraction of medical records and other data in ...
OR · Remote
Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection and abstraction of medical records and other data in ...
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 ...
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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 ...
$30.25 - $40/hr
HEDIS RN/LPN Location: Shelton, CT Daily Responsibilities: * Performs provider/practitioner medical record reviews, abstraction and data entry for HEDIS and HEDIS-like measures * Reviews assigned ...
$30.25 - $40/hr
HEDIS RN/LPN Location: Shelton, CT Daily Responsibilities: * Performs provider/practitioner medical record reviews, abstraction and data entry for HEDIS and HEDIS-like measures * Reviews assigned ...
Description The primary function of the HEDIS Retriever - Seasonal is to conduct onsite abstraction of services from medical charts in compliance with HEDIS/QARR, Medicare Advantage Star measure ...
Description The primary function of the HEDIS Retriever - Seasonal is to conduct onsite abstraction of services from medical charts in compliance with HEDIS/QARR, Medicare Advantage Star measure ...
Monterey Park, CA · On-site
$27 - $33/hr
HEDIS Abstractor (NorCal Region) Department: Quality - Quality Care Improvement Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Lia Bekijanian ...
Monterey Park, CA · On-site
$27 - $33/hr
HEDIS Abstractor (NorCal Region) Department: Quality - Quality Care Improvement Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Lia Bekijanian ...
$33 - $43.75/hr
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 ...
$33 - $43.75/hr
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 ...
Monterey Park, CA · Hybrid
$27 - $33/hr
The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care gaps. This ...
Monterey Park, CA · Hybrid
$27 - $33/hr
The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care gaps. This ...
This role serves as the engine behind HEDIS strategy-owning the end-to-end analytical framework that identifies performance gaps, prioritizes opportunities, and quantifies the impact of interventions.
This role serves as the engine behind HEDIS strategy-owning the end-to-end analytical framework that identifies performance gaps, prioritizes opportunities, and quantifies the impact of interventions.
Monterey Park, CA · Hybrid
$27 - $33/hr
Description The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care ...
Quick apply
Monterey Park, CA · Hybrid
$27 - $33/hr
Description The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care ...
San Francisco, CA · Hybrid
$27 - $33/hr
Description The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care ...
Quick apply
San Francisco, CA · Hybrid
$27 - $33/hr
Description The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care ...
Monterey Park, CA · On-site
$27 - $33/hr
HEDIS Abstractor (LA Region) Department: Quality - Quality Care Improvement Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Marie Halbrook ...
Monterey Park, CA · On-site
$27 - $33/hr
HEDIS Abstractor (LA Region) Department: Quality - Quality Care Improvement Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Marie Halbrook ...
Monterey Park, CA · Hybrid
$27 - $33/hr
The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care gaps. This ...
Monterey Park, CA · Hybrid
$27 - $33/hr
The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care gaps. This ...
Harrisburg, PA · On-site
$83K - $157K/yr
This role serves as the engine behind HEDIS strategy--owning the end-to-end analytical framework that identifies performance gaps, prioritizes opportunities, and quantifies the impact of ...
Harrisburg, PA · On-site
$83K - $157K/yr
This role serves as the engine behind HEDIS strategy--owning the end-to-end analytical framework that identifies performance gaps, prioritizes opportunities, and quantifies the impact of ...
Harrisburg, PA · On-site +1
$83K/yr
This role serves as the engine behind HEDIS strategy-owning the end-to-end analytical framework that identifies performance gaps, prioritizes opportunities, and quantifies the impact of interventions.
Harrisburg, PA · On-site +1
$83K/yr
This role serves as the engine behind HEDIS strategy-owning the end-to-end analytical framework that identifies performance gaps, prioritizes opportunities, and quantifies the impact of interventions.
$28.25 - $37.25/hr
HEDIS Nurse - (CCBHC Program)Who We Are Welcome to MiSide, a Community Impact Network dedicated to providing expert support and guidance with every side of life. One trusted full-service partner ...
$28.25 - $37.25/hr
HEDIS Nurse - (CCBHC Program)Who We Are Welcome to MiSide, a Community Impact Network dedicated to providing expert support and guidance with every side of life. One trusted full-service partner ...
Must be RN, LPN, Medical Coder, or Medical Records Specialist * 3+ years of experience with HEDIS measurements and HEDIS auditing * Managed Care experience Additional Information Are you an ...
Must be RN, LPN, Medical Coder, or Medical Records Specialist * 3+ years of experience with HEDIS measurements and HEDIS auditing * Managed Care experience Additional Information Are you an ...
$28 - $37/hr
Recent experience in data collection for HEDIS / Stars preferred. Determine member compliance according to the NCQA technical specifications. Computer skills are critical. Excellent verbal and phone ...
$28 - $37/hr
Recent experience in data collection for HEDIS / Stars preferred. Determine member compliance according to the NCQA technical specifications. Computer skills are critical. Excellent verbal and phone ...
East Hartford, CT · On-site
· HEDIS Coding Quality Assurance Auditor · We are seeking a knowledgeable and experienced AAPC/AHIMA · Certified Professional Coder to assist with QA of HEDIS measures charts. · Must have prior ...
East Hartford, CT · On-site
· HEDIS Coding Quality Assurance Auditor · We are seeking a knowledgeable and experienced AAPC/AHIMA · Certified Professional Coder to assist with QA of HEDIS measures charts. · Must have prior ...
Winter Haven, FL · On-site
$26.50 - $35/hr
HEDIS Utilization Review Nurse Reports to: Director of Managed Care FLSA Status: Exempt Personnel Supervised: None POSITION SUMMARY: The HEDIS Utilization Review Specialist is responsible for ...
Winter Haven, FL · On-site
$26.50 - $35/hr
HEDIS Utilization Review Nurse Reports to: Director of Managed Care FLSA Status: Exempt Personnel Supervised: None POSITION SUMMARY: The HEDIS Utilization Review Specialist is responsible for ...
Winter Haven, FL · On-site
$26.50 - $35/hr
HEDIS Utilization Review Nurse Reports to: Director of Managed Care FLSA Status: Exempt Personnel Supervised: None POSITION SUMMARY: The HEDIS Utilization Review Specialist is responsible for ...
Winter Haven, FL · On-site
$26.50 - $35/hr
HEDIS Utilization Review Nurse Reports to: Director of Managed Care FLSA Status: Exempt Personnel Supervised: None POSITION SUMMARY: The HEDIS Utilization Review Specialist is responsible for ...
$20.19 - $22.71
2% of jobs
$22.71 - $25.22
3% of jobs
$25.22 - $27.73
3% of jobs
$29.15 is the 25th percentile. Wages below this are outliers.
$27.73 - $30.24
29% of jobs
$30.24 - $32.76
6% of jobs
The median wage is $33.82 / hr.
$32.76 - $35.27
14% of jobs
$35.27 - $37.78
13% of jobs
$38.31 is the 75th percentile. Wages above this are outliers.
$37.78 - $40.30
19% of jobs
$40.30 - $42.81
5% of jobs
$42.81 - $45.32
3% of jobs
$45.32 - $47.84
1% of jobs
$20
$34
$47
| Aspect | Hedis | Medical Coder |
|---|---|---|
| Required Credentials | Certification in Hedis-specific guidelines, often a healthcare quality or coding certification | Certification in medical coding (e.g., CPC, CCS) |
| Work Environment | Healthcare facilities, insurance companies, or quality organizations | Hospitals, clinics, or medical billing companies |
| Industry Usage | Used in healthcare quality measurement and compliance | Used in medical billing, coding, and documentation |
| Common Search/Comparison | Hedis vs Medical Coder |
Hedis professionals focus on healthcare quality measurement and compliance, utilizing specific guidelines and certifications. Medical coders primarily handle medical documentation coding for billing and records. While both roles are essential in healthcare, they serve different functions related to quality assurance versus billing processes.
Various jobs within the medical industry revolve around HEDIS. The most common career is to be a nurse with HEDIS certification. In this position, you use your knowledge of HEDIS to educate other staff members on the correct standards for healthcare procedures. Your responsibilities also include making proper documentation, coding for billing, and reporting on quality of care. There are also various levels of project and data analysts that handle the business side while still supporting the technical specifications for HEDIS. As an analyst, your duties are to oversee resources, methods, and reporting accuracy and look for areas for improvement within the department.

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!
Company Job Description/Day to Day Duties:
Remote worker with ability to read and write in Spanish and medical records. Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection and abstraction of medical records and other data in collaboration with other HEDIS staff.
Assists the Manager in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review.
Participates in meetings with vendors for the medical record collection process. Assists Manager with medical record vendor oversight.
Assists Manager in training abstractor staff and participates in the medical record IRR.
Identifies member service gaps based on data loaded in the MHI HEDIS application.
Collects medical records and reports from provider offices based on member needed services reports and gaps and loads data into the HEDIS application.
Works with the corporate HEDIS team to monitor accuracy of abstracted records as required by HEDIS specifications.
Participates in scheduled meetings with the corporate HEDIS team, vendors and HEDIS auditors.
Assists the QI staff with physician and member interventions and incentive efforts as needed.
Provides data collection and report development support for Quality Improvement studies and performance improvement projects.
Assists as needed in support of accreditation activities such as NCQA reviews, CAHPS and state audits.
Minimum Education/Qualifications/Licensures:
Must be bilingual, fluent in Spanish, they will be remote workers supporting Molina Puerto Rico
Licensed RN/LVN/LPN
HEDIS knowledge
Ability to read and understand medical records
Independent and able to work on their own
Interested in hearing more about this great opportunity? Please call and e-mail your resume to Brianne Salazar (Office number: 321-710-4799) for immediate consideration.
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.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003