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Remote Hedis Coder Jobs (NOW HIRING)

PRIORITY ONDEMAND

Nurse Practitioner

Phoenix, AZ · Remote

This fully remote role supports readmission avoidance, care continuity, and patient stabilization ... HCC coding, HEDIS measures is a plus (not required) • Telehealth experience preferred (not ...

Lorven Technologies

Alteryx Workflow Developer

$54.50 - $71.75/hr

Remote(USA) Job Type: Contract Experience : 5+ years * Develop and maintain complex workflows using ... Collaborates with business partners to design, build and code cross channel communications using ...

Vytwo

Alteryx Workflow Developer

Prosper, TX · Remote

Fully Remote Experience : 5+ years JD: The STARS Data Operations Program Orchestration - Manager ... Collaborates with business partners to design, build and code cross channel communications using ...

Humana

Sr. Network Performance Professional

OR · On-site +1

Serve as an expert on the Stars/Quality program, educating physician groups on HEDIS, patient ... Understanding of Medicare Risk Adjustment and/or medical coding. * Understanding of Consumer ...

Humana

Sr. Network Performance Professional

OR · On-site +1

Serve as an expert on the Stars/Quality program, educating physician groups on HEDIS, patient ... Understanding of Medicare Risk Adjustment and/or medical coding. * Understanding of Consumer ...

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Remote Hedis Coder information

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How much do remote hedis coder jobs pay per hour?

As of Jun 17, 2026, the average hourly pay for remote hedis coder in the United States is $21.50, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $22.84 per hour, depending on experience, location, and employer.

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

SQL Data Analyst - Healthcare Claims

MSR Technology Group

Springfield, IL • Remote

Full-time

Posted 29 days ago

Job description

SQL Data Analyst - Healthcare Claims
Remote | Contract (Multi-Year or Permanent Option) | Competitive Pay + Benefits

Why This Role Is Different
This opportunity gives you real impact on Medicaid data solutions that improve healthcare delivery for millions. You’ll work with cutting-edge tools, collaborate with smart teams, and enjoy flexibility without sacrificing stability.

What You’ll Do
  • Develop complex SQL for data warehouse reporting and analytics.
  • Analyze business processes and document requirements for new systems.
  • Partner with internal teams and clients to deliver clear documentation and updates.
  • Support user acceptance testing, defect tracking, and scenario development.
  • Dive into Medicaid enrollment, provider, and claims data to uncover insights.
  • Identify and resolve data anomalies across cross-functional teams.
  • Create professional presentations and contribute to operational guides.
What We’re Looking For
  • Must-Have Skills:
    • Advanced ANSI SQL coding experience.
    • Healthcare business analysis and claims/encounter experience.
    • 2+ years of Unix/Linux Shell scripting (Bash/Korn).
    • Strong communication and organizational skills.
    • Ability to thrive with minimal guidance and tight deadlines.
  • Education: Bachelor’s degree in a related field.
Preferred Extras
  • Experience with CMS Federal Reporting (CMS-416, CMS-64), PERM, T-MSIS.
  • Familiarity with HEDIS, CMS Core Set, and Symmetry EBM Connect.
  • Teradata DBMS experience.
  • Knowledge of data integration, agile methodologies, and tools like Azure DevOps, SharePoint, MS Project, Visio.
Why You’ll Love It
  • Flexibility: Remote work with occasional travel.
  • Stability: Multi-year contract or potential permanent hire.
  • Benefits: Competitive pay plus comprehensive benefits.
  • Impact: Your work will directly improve Medicaid program performance.