ZipRecruiter

Log In

2

Remote Hedis Coder Jobs in Massachusetts (NOW HIRING)

US Tech Solutions

Medical Billing Coder

Wellesley, MA · Remote

$20.50 - $27.50/hr

... on-site, remote and/or in-house) in support of the Medicare risk adjustment retrospective ... Experience in performing HEDIS chart abstractions; Experience in Risk Adjustment audit HCC ...

next page

Showing results 1-20

All JobsHedis Coder JobsRemote Hedis Coder JobsRemote Hedis Coder Jobs in Massachusetts

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?

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 is a remote HEDIS coder?

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.
What are popular job titles related to Remote Hedis Coder jobs in Massachusetts? For Remote Hedis Coder jobs in Massachusetts, the most frequently searched job titles are:
What job categories do people searching Remote Hedis Coder jobs in Massachusetts look for? The top searched job categories for Remote Hedis Coder jobs in Massachusetts are:
What cities in Massachusetts are hiring for Remote Hedis Coder jobs? Cities in Massachusetts with the most Remote Hedis Coder job openings:
Remote Hedis Coder jobs near you
Infographic showing various Remote Hedis Coder job openings in Massachusetts as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Medical Billing Coder

US Tech Solutions

Wellesley, MA • Remote

$20.50 - $27.50/hr

Full-time

Re-posted 14 days ago

Job description

Company Description

US Tech Solutions is a global staff augmentation firm providing a wide-range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit our website www.ustechsolutions.com.

We are constantly on the lookout for professionals to fulfill the staffing needs of our clients, sets the correct expectation and thus becomes an accelerator in the mutual growth of the individual and the organization as well.

Keeping the same intent in mind, we would like you to consider the job opening with US Tech Solutions that fits your expertise and skillset.

Job Description

Medical Record Reviewer will primarily be responsible for completing medical record reviews (on-site, remote and/or in-house) in support of the Medicare risk adjustment retrospective initiative and Risk Adjustment Data Validation (RADV) Audits. This role will also assist with building the medical chart review program at Client's

Duties and Responsibilities

  • Utilize comprehensive knowledge American Hospital Association (AHA) coding principles of CPT, HCPCS, ICD9-CM/ICD10-CM diagnosis and procedure codes to evaluate medical record documentation for HCC risk adjustment related activities including Medicare Advantage and Commercial Risk adjustment supplemental diagnosis capture, Medicare and Commercial RADV support, and the auditing of Client's medical chart retrieval and coding vendors.
  • Collect and document chart and coding information as required for Commercial Risk Adjustment and Medicare Advantage Risk Adjustment Client's data collection procedures and systems. 
  • Assist with building the medical chart review program at Client's including defining the operating policies and procedures, mentoring team members and input into infrastructure needs and organization. 
  • Utilize coding expertise to inform Revenue Management strategy development activities and may support initiatives related to coding such as provider office education.
  • Responsible for developing and maintaining internal and vendor based coding guidelines.
  • Provide subject matter expertise on projects related to coding practices including provider education and communications.
  • Prepare reports of the data gathered and received from Client's providers/members, ensuring reports are completed with the highest quality and integrity and that all work is in full compliance with Client's and Regulatory requirements.
  • Participate in all required training - maintaining of coding certification or other professional credentials
  • Completing inter-rater reliability testing as requested 
  • Abide by all HIPAA and associated patient confidentiality requirements.
  • Coordinate with third party and internal auditors as required.
  • Other duties and projects as needed.
Qualifications

Minimum Requirements

  1. Bachelor's Degree; Clinical experience or licensed nursing professional and 3-5 years related experience. RHIA, RHIT, CCS or CPC-H with demonstrated outpatient coding experience required. ICD -9/ICD-10 certification required. 
  2. Experience in performing HEDIS chart abstractions; Experience in Risk Adjustment audit HCC extraction.
  3. Experience of healthcare delivery systems is preferred. Proven project leadership skills and ability to mentor and motivate others in the team. 
  4.  Advanced PC skills (e.g., Excel, Access, etc.) required; Excellent written and verbal communication skills, customer service skills, organization and problem solving skills, research skills, and the ability to work independently.
Additional Information

Thanks & Regards

Dishant

781-684-9064

US Tech Solutions logo

About US Tech Solutions

Sourced by ZipRecruiter

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.

Industry

It services

Company size

1,001 - 5,000 Employees

Headquarters location

Jersey City, NJ, US

Year founded

2000

Social media

FacebookTwitter

View All US Tech Solutions Jobs

Apply