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Remote Hedis Coder Jobs in Florida (NOW HIRING)

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Remote Hedis Coder information

What is the difference between Remote Hedis Coder vs Remote Medical Coder?

AspectRemote Hedis CoderRemote Medical Coder
CertificationsHEDIS-specific certifications, CPC, CCSCPC, CCS, RHIT, RHIA
Work EnvironmentHealthcare plans, insurance companiesHospitals, clinics, insurance companies
Industry UsagePrimarily in managed care and quality measurementBroad healthcare settings including billing and coding

Remote Hedis Coders focus on quality measurement and HEDIS data, often requiring specific certifications. Remote Medical Coders handle a wider range of medical billing and coding tasks across various healthcare settings. While both roles involve coding and certifications like CPC, their work environments and primary functions differ, with Hedis Coders specializing in quality metrics for insurance plans.

What are some common challenges faced by Remote Hedis Coders and how can they be addressed?

Remote Hedis Coders often encounter challenges such as maintaining consistent productivity while working independently, interpreting complex medical records accurately, and meeting tight project deadlines during the HEDIS season. To address these, it's important to develop strong time management skills, stay up-to-date with coding guidelines, and actively communicate with your team for support or clarification. Regular check-ins, access to reliable resources, and utilizing collaboration tools can help ensure accuracy and efficiency in your coding tasks.

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

To thrive as a Remote HEDIS Coder, you need a strong understanding of medical coding (ICD-10, CPT, HCPCS), HEDIS measures, and healthcare regulations, typically supported by certifications such as CPC, CCS, or RHIT. Familiarity with HEDIS abstraction tools, electronic health records (EHRs), and coding software is essential. Strong attention to detail, time management, and effective communication are crucial soft skills for remote collaboration and data accuracy. These competencies ensure accurate reporting, compliance, and contribute to quality improvement in healthcare organizations.

What are Remote HEDIS Coders?

Remote HEDIS Coders are healthcare professionals who review medical records and assign standardized codes to evaluate healthcare quality measures for the Healthcare Effectiveness Data and Information Set (HEDIS). They work remotely, often for insurance companies or healthcare organizations, to ensure that patient data meets specific reporting requirements. Their work supports quality improvement initiatives and helps organizations maintain compliance with national healthcare standards. Attention to detail, knowledge of coding systems such as ICD-10 and CPT, and familiarity with HEDIS measures are essential for this role.
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Remote Hedis Coder jobs near you

Director of Clinical Performance - Care Gap Closure & Integrity

Urrly

Tampa, FL • Remote

Full-time

Posted 5 days ago

Job description

Drive HEDIS, STARS, and care gap performance for a growing healthcare organization-fully remote.Director of Clinical Performance - Care Gap Closure & Integrity
  • Location/Type: Remote
  • Pay: $150,000-$160,000 base + bonus
  • Schedule: Full-time, standard business hours

This is an operational leadership role focused on HEDIS, STARS, risk adjustment, documentation integrity, and care gap closure. You'll help improve quality performance across telehealth and in-home care programs while building scalable, compliant processes.

What You'll Do
  • Lead care gap closure initiatives across clinical programs
  • Improve HEDIS and STARS performance
  • Drive documentation accuracy and coding integrity
  • Identify performance gaps and implement solutions
  • Monitor quality metrics and operational trends
  • Build audit-ready validation processes
  • Partner with Clinical Operations, Compliance, and Analytics
Must-Haves
  • 5+ years HEDIS, STARS, or quality operations experience
  • Strong risk adjustment knowledge
  • Experience with documentation and coding workflows
  • Proven care gap closure experience
  • Understanding of Medicare Advantage programs
  • Experience improving quality performance metrics
Nice to Have
  • Medicaid quality program experience
  • Telehealth operations experience
  • In-home care program experience
  • Team leadership or management experience
  • Audit response or QA program experience
Perks & Pay
  • Pay: $150,000-$160,000 base
  • Bonus opportunity
  • Fully remote work environment
  • Executive visibility and influence
  • High-impact growth role
Schedule & Setup
  • Full-time remote role
  • Standard weekday schedule
  • Cross-functional collaboration
  • Supports distributed clinical teams
Impact & Growth

Your work directly improves care gap completion, documentation quality, coding accuracy, and quality performance.

Own critical initiatives that influence HEDIS, STARS, audit readiness, and organizational outcomes from day one.

You like solving operational problems. You focus on execution, measurable outcomes, and continuous improvement.

At Urrly, fairness matters. We use AI to review every application against the same clear requirements for the role. This means every candidate is evaluated on job-related factors like skills, certifications, and experience-not on personal attributes such as gender, race, age, or background. Our goal is to create a more objective, consistent, and equal opportunity hiring process for all applicants.

Apply Today to lead care gap closure and quality performance initiatives from anywhere.Employment Type: FULL_TIME

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