Experience with electronic medical records and familiarity with coding systems such as ICD-10 and ... remote environment while maintaining high standards of accuracy and productivity.
Experience with electronic medical records and familiarity with coding systems such as ICD-10 and ... remote environment while maintaining high standards of accuracy and productivity.
Registered Nurse (PRN) - Bilingual (Korean - English)
Philadelphia, PA · On-site +1
$42/hr
... codes requiring recapture reporting to CMS. * Maintaining comprehensive and accurate patient records in compliance with HIPAA and organizational standards, particularly in a remote environment.
New
Registered Nurse (PRN) - Bilingual (Korean - English)
Philadelphia, PA · On-site +1
$42/hr
... codes requiring recapture reporting to CMS. * Maintaining comprehensive and accurate patient records in compliance with HIPAA and organizational standards, particularly in a remote environment.
New
... codes requiring recapture reporting to CMS. * Maintaining comprehensive and accurate patient records in compliance with HIPAA and organizational standards, particularly in a remote environment.
New
Quick apply
... codes requiring recapture reporting to CMS. * Maintaining comprehensive and accurate patient records in compliance with HIPAA and organizational standards, particularly in a remote environment.
New
Remote Hedis Coder information
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 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 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 is the difference between Remote Hedis Coder vs Remote Medical Coder?
| Aspect | Remote Hedis Coder | Remote Medical Coder |
|---|---|---|
| Certifications | HEDIS-specific certifications, CPC, CCS | CPC, CCS, RHIT, RHIA |
| Work Environment | Healthcare plans, insurance companies | Hospitals, clinics, insurance companies |
| Industry Usage | Primarily in managed care and quality measurement | Broad 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 popular job titles related to Remote Hedis Coder jobs in Pennsylvania?
For Remote Hedis Coder jobs in Pennsylvania, the most frequently searched job titles are:
What job categories do people searching Remote Hedis Coder jobs in Pennsylvania look for?
The top searched job categories for Remote Hedis Coder jobs in Pennsylvania are:
Registered Nurse (RN) - HEDIS Abstraction Specialist (Remote - Pennsylvania)
On-site, Remote
Full-time
Re-posted 26 days ago
Job description
This is a remote position.
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 home office is based in Harrisburg, this position is fully virtual and open to candidates located anywhere within the state. This role offers a unique opportunity for experienced RNs who are looking to step away from bedside care and apply their clinical expertise in a focused, data-driven environment that directly influences patient outcomes and healthcare performance.
In this role, you will be responsible for reviewing and abstracting clinical data from medical records in accordance with HEDIS (Healthcare Effectiveness Data and Information Set) measures. You will analyze documentation related to preventive care, chronic disease management, and behavioral health services, ensuring all information is accurately captured and compliant with NCQA guidelines and measure specifications. Your clinical judgment and attention to detail will be essential in interpreting complex medical records and ensuring the integrity of reported data.
You will utilize abstraction tools and electronic medical record systems to document findings while meeting strict productivity and quality benchmarks. This includes maintaining audit readiness, ensuring a high level of accuracy, and consistently meeting deadlines during peak reporting periods. The work you perform directly impacts healthcare quality scores, reimbursement, and public reporting, making your contribution vital to both patient care recognition and organizational success.
Collaboration is also a key component of this position. You will work closely with healthcare providers, health plans, and internal quality teams to resolve discrepancies and clarify documentation when needed. Simultaneously, the role offers a high level of independence, allowing you to manage your workflow in a structured remote environment while maintaining performance expectations.
This position is ideal for Registered Nurses seeking greater flexibility, a predictable schedule, and the opportunity to leverage their clinical knowledge in a non-patient-facing role. It provides exposure to healthcare quality improvement, compliance, and population health, helping you build specialized skills that are highly valued across the healthcare industry.
Qualified candidates must hold an active RN license and have a strong understanding of medical terminology, clinical documentation, and healthcare data. Experience with electronic medical records and familiarity with coding systems such as ICD-10 and CPT are highly preferred. The ideal candidate is detail-driven, organized, and comfortable working independently in a fully remote environment while maintaining high standards of accuracy and productivity.
About CKHobbie Group
Sourced by ZipRecruiter
Industry
Recruiting and staffing services
Company size
11 - 50 Employees
Headquarters location
Allentown, PA, US
Year founded
1970