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Medical Record Abstraction Jobs (NOW HIRING)

Pacer Group

HEDIS Data Reviewer

$40 - $44.59/hr

Perform medical record abstraction including data entry into tool, overread, and quality review using applicable HEDIS, State, and project-specific technical specifications. * Apply structured ...

Pacer Group

HEDIS Data Reviewer

Perform medical record abstraction including data entry into tool, overread, and quality review using applicable HEDIS, State, and project-specific technical specifications. * Apply structured ...

New England Baptist Hospital

... medical record documentation for accounts and assigns appropriate ICD-10CM and CPT-4 codes ... Knowledge of application and abstraction of ICD-9CM & CPT-4 codes according to established Coding ...

HealthCare Resolution Services

Medical Coder

Columbia, MD · Remote

$19.25 - $25.50/hr

The ideal candidate will possess a comprehensive understanding of hierarchical condition categories (HCC) coding, medical billing, and medical record abstraction. As an HCC Coding Analyst, you will ...

Actalent

Hedis Specialist

Victorville, CA

$27.66 - $29.07/hr

Perform accurate and thorough medical record abstraction across various provider EMR systems and paper chart repositories, ensuring all relevant data is captured. * Validate data to ensure accuracy ...

Actalent

HEDIS LVN Case Manager

Victorville, CA

$27.66 - $29.07/hr

Perform accurate and thorough medical record abstraction across various provider EMR systems and paper chart repositories, ensuring all relevant data is captured. * Validate data to ensure accuracy ...

New

Integrated Resources INC

HEDIS Specialist I

Houston, TX · On-site

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 ...

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How much do medical record abstraction jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for medical record abstraction in the United States is $30.10, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $31.73 per hour, depending on experience, location, and employer.

What is medical record abstraction?

Medical record abstraction is the process of reviewing and extracting specific information from patient medical records. This information is typically used for research studies, quality improvement, billing, or regulatory compliance. Medical record abstractors identify relevant data points such as diagnoses, treatments, and outcomes, and enter them into databases or standardized forms. The work requires attention to detail, knowledge of medical terminology, and adherence to privacy regulations like HIPAA.

What are the key skills and qualifications needed to thrive as a medical record abstractor, and why are they important?

To excel as a Medical Record Abstractor, you need a thorough understanding of medical terminology, anatomy, and healthcare documentation standards, typically supported by a background in health information management or a related field. Familiarity with electronic health record (EHR) systems, coding software (such as ICD-10 and CPT), and HIPAA compliance is crucial. Attention to detail, analytical thinking, and strong organizational skills are essential soft skills for accurately extracting and recording clinical data. These skills and qualifications are vital to ensure precise data abstraction, regulatory compliance, and support for quality healthcare delivery.

What are some common challenges faced by medical record abstractors, and how can they be addressed?

Medical Record Abstractors often encounter challenges such as incomplete or inconsistent documentation, navigating different electronic health record (EHR) systems, and maintaining high accuracy under tight deadlines. To address these, abstractors typically develop strong attention to detail, keep up-to-date with EHR software training, and communicate frequently with clinical staff to clarify missing or ambiguous information. Joining a supportive team environment and participating in regular quality audits also help improve efficiency and data accuracy.

What is the difference between Medical Record Abstraction vs Medical Coding?

AspectMedical Record AbstractionMedical Coding
Primary FocusExtracting and reviewing patient data from medical recordsAssigning standardized codes to diagnoses and procedures
Required CertificationsNone specific, often familiarity with medical recordsCertified Professional Coder (CPC) or similar
Work EnvironmentHospitals, clinics, health information departmentsHospitals, insurance companies, billing services
Industry UsageHealth information management, data collectionMedical billing, reimbursement, coding compliance

Medical Record Abstraction involves reviewing and extracting relevant patient information from medical records, while Medical Coding focuses on translating clinical data into standardized codes for billing and documentation. Both roles are essential in healthcare data management but serve different functions within the health information field.

How to become a medical record abstraction?

To become a medical record abstractor, typically one needs a high school diploma or equivalent, along with training in medical terminology, coding, and health information management. Certification such as the Certified Health Data Analyst (CHDA) or Certified Coding Associate (CCA) can enhance job prospects, and familiarity with electronic health record (EHR) systems is often required. On-the-job training is common, and attention to detail and knowledge of healthcare regulations are important for success in this role.

What does a medical record abstraction do?

A medical record abstraction involves reviewing and extracting relevant patient information from medical records to ensure data accuracy and completeness. This process supports clinical research, quality improvement, and regulatory compliance, often requiring attention to detail and familiarity with electronic health record systems.
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Medical Record Abstraction jobs near you
Infographic showing various Medical Record Abstraction job openings in the United States as of August 2026, with employment types broken down into 80% Full Time, 5% Part Time, and 15% Contract. Highlights an 80% In-person, 5% Hybrid, and 15% Remote job distribution, with an average salary of $62,612 per year, or $30.1 per hour.

HEDIS Data Reviewer

Remote

Pacer Group
Electrical Equipment, Appliance, and Component Manufacturing • 11 - 50 employees
Learn more about Pacer Groupexternal

$40 - $44.59/hr

Other

Posted 21 days ago

Job description

Position Title: HEDIS Data Reviewer
Location: Remote (work in eastern time)
Duration: 3 Months
Schedule: 8:30 AM - 5:00 PM EST
Pay Range: $40.00/hour - $44.59/hour
The HEDIS Data Reviewer is responsible for performing high-volume, detail-oriented medical record abstraction, overread, and quality review activities in support of annual Healthcare Effectiveness Data and Information Set (HEDIS), State EQRO, and other quality reporting initiatives. This role requires a highly productive, accurate, accountable, and self-motivated individual who can work independently in a fast-paced, deadline-driven environment while maintaining strong attention to detail, professional communication, and a solutions-focused approach to changing priorities.
Responsibilities:
  • Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer performs medical record abstraction, overread, collection support, and related project activities in support of quality reporting requirements. Duties include, but are not limited to, the following:
  • Perform medical record abstraction including data entry into tool, overread, and quality review using applicable HEDIS, State, and project-specific technical specifications.
  • Apply structured abstraction and auditing criteria to determine whether medical record documentation supports compliance with measure requirements.
  • Accurately enter abstraction, audit, and review results into designated software applications and databases within established timelines.
  • Develop and maintain working knowledge of mandated HEDIS, State, and project-specific performance measures, including measure requirements, exclusions, numerator criteria, documentation standards, and audit expectations.
  • Complete assigned abstraction and overread work in live software environments while providing clear feedback when documentation does not meet HEDIS, State, or project-specific criteria.
  • Coordinate and support medical record identification, collection, retrieval, review, and follow-up activities as assigned.
  • Consistently meet or exceed established productivity expectations while maintaining required accuracy, quality, and turnaround time standards.
  • Maintain an abstraction proficiency XXXX of 98% or higher by accurately reading, interpreting, and abstracting documentation from medical record components such as progress notes, consultations, medication forms, treatment plans, health histories, interval histories, and past medical histories.
  • Assist with medical record collection activities, including provider outreach, phone calls, fax or letter follow-up, and chart retrieval requests as assigned.
  • Manage multiple project assignments, shifting priorities, and competing deadlines while maintaining accuracy, productivity, and professional communication.
  • Proactively identify questions, documentation gaps, workflow barriers, or potential quality concerns and escalate them timely through appropriate channels.
  • Demonstrate accountability for assigned work, including timely completion, accurate documentation, follow-through on feedback, and appropriate escalation of issues before delays occur.
  • Adapt to changing project needs, measure updates, workflow changes, tool enhancements, and operational priorities in a professional and solutions-focused manner.
  • Complete additional designated projects, special assignments, testing, training, or operational support activities as assigned.
Requirement:
  • Three to five years of experience working with HEDIS data, medical record review, chart abstraction, chart collection, quality reporting, QRS, STARs, or similar healthcare quality initiatives preferred.
  • Knowledge of medical terminology and basic charting, including diabetic labs, HPV testing, preventive health screenings, immunizations, well-care terminology, maternity care, pediatric care, adult care, and related clinical documentation.
  • Understanding of current HEDIS Technical Specifications and ability to apply measure guidance consistently.
  • Knowledge of HEDIS audit processes, including PSV, CSV, MRRV, and audit-ready documentation expectations preferred.
  • Proficiency in Microsoft Excel, Word, PowerPoint, Outlook, OneNote, Teams, and other software applications used to support medical record review operations.
  • Experience using medical record abstraction tools and willingness to learn new abstraction platforms, retrieval tools, databases, and workflow systems.
  • Experience in pediatric, maternity, diabetic, preventive care, provider office, health plan, medical record, coding, or quality review settings preferred.
  • Familiarity with Cancer Registry documentation and Bright Futures guidance preferred.
  • Strong written and verbal communication skills, critical thinking skills, organizational skills, and ability to document and communicate questions or barriers clearly.
  • Ability to work independently, manage time effectively, remain organized, and meet deadlines in a high-volume production environment.
  • Strong attention to detail with demonstrated ability to maintain accuracy while reviewing complex or lengthy medical record documentation.
  • Self-motivated with the ability to take initiative, identify next steps, follow through on assignments, and ask appropriate questions without repeated prompting.
  • Receptive to feedback and able to consistently apply coaching, audit findings, updated guidance, and process changes to future work.
  • Professional, dependable, adaptable, and solutions-focused when responding to workflow changes, competing priorities, feedback, or project challenges.
Education:
  • High school diploma or GED required.
  • Bachelor's degree preferred.
  • LPN, CNS, APRN, or RN preferred. Medical record professionals and coders with demonstrated expertise in HEDIS abstraction will also be considered.

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