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Remote Hedis Medical Chart Review Jobs (NOW HIRING)

HEDIS Chart Retrieval Nurse

Pittsburgh, PA · Remote

$29.25 - $38.75/hr

Prior HEDIS, medical record retrieval, chart review, or chart abstraction experience preferred ... Ability to work independently in a remote, deadline-driven environment. Contract Details * Monday ...

New

Remote worker with ability to read and write in Spanish and medical records. Under the direction of ... Assists the Manager in the coordination and preparation of the HEDIS medical record review which ...

Medical Director Opportunity Are you looking for a non-clinical opportunity for work/life balance ... Join us as an Medical Director to conduct chart and peer reviews from your home office. Where you ...

HEDIS Reviewer / HEDIS Quality

TX · Remote

$34 - $35/hr

The ideal candidates will review medical records, interpret clinical data, and ensure accurate ... This is a fully remote opportunity, and training will be provided prior to assignment start. Key ...

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 ... This role will also assist with building the medical chart review program at Client's Duties and ...

Be Seen First

Review retrieved medical records for completeness, accuracy, and relevance. * Perform medical chart abstraction based on established project guidelines and client requirements. * Identify and extract ...

New

HEDIS Data Reviewer

$40 - $44.59/hr

Remote (work in eastern time) Duration: 3 Months Schedule: 8:30 AM - 5:00 PM EST Pay Range: $40.00 ... Three to five years of experience working with HEDIS data, medical record review, chart abstraction ...

HEDIS Reviewer

MI · Remote

$44 - $45/hr

Remote - Must reside in Michigan (MI) Schedule: Monday - Friday, 8:00 AM - 5:00 PM Job Summary: HEDIS Reviewer III (Medical Record Review Abstractor) to support HEDIS quality reporting. This role ...

About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited ... Conduct comprehensive and objective medical chart reviews with honesty and integrity. * Produce ...

About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited ... Conduct comprehensive and objective medical chart reviews with honesty and integrity. * Produce ...

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 ...

About MMRO Managed Medical Review Organization (MMRO) is an established, URAC-accredited ... Conduct comprehensive and objective medical chart reviews with honesty and integrity. * Produce ...

About MMRO Managed Medical Review Organization (MMRO) is a nationally recognized, URAC-accredited ... Conduct thorough, unbiased medical chart reviews in accordance with accepted clinical standards and ...

About MMRO Managed Medical Review Organization (MMRO) is a nationally recognized, URAC-accredited ... Conduct thorough, unbiased medical chart reviews in accordance with accepted clinical standards and ...

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How much do remote hedis medical chart review jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for remote hedis medical chart review 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.

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Cities with the most Remote Hedis Medical Chart Review job openings:

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States with the most job openings for Remote Hedis Medical Chart Review jobs include:

HEDIS Chart Retrieval Nurse

Pittsburgh, PA • Remote

$29.25 - $38.75/hr

Contractor

Medical, PTO

Posted 3 days ago

New


Job description

HEDIS Chart Retrieval Nurse

Position Overview

The HEDIS Chart Retrieval Nurse supports the health plan's annual HEDIS quality data collection efforts by obtaining medical records needed to validate HEDIS measures and close documentation gaps.

In this role, you will conduct outbound outreach to physician offices, hospitals, clinics, and medical records departments to request required documentation. You will coordinate record retrieval, review incoming records for completeness, upload documentation into the health plan's secure system, and track retrieval progress throughout the project.

This is a fast-paced, deadline-driven role requiring strong communication, organization, attention to detail, and an understanding of clinical documentation and HEDIS quality measures.

Key Responsibilities

  • Conduct outbound calls to physician offices, hospitals, clinics, and medical records departments to request records required for HEDIS measures.
  • Clearly communicate the purpose of each request, required documentation, applicable date ranges, and release-of-information requirements.
  • Coordinate with provider office staff and medical records departments to determine the appropriate method for securely transmitting records.
  • Follow up on outstanding requests to ensure medical records are received within established project timelines.
  • Review received documentation for completeness and confirm that requested records have been provided.
  • Upload medical records into the health plan's secure portal or designated chart retrieval platform.
  • Maintain accurate documentation of outreach attempts, provider contacts, pending requests, completed retrievals, and follow-up activity.
  • Escalate delays, access issues, incomplete records, and other retrieval barriers to the project lead or supervisor.
  • Manage an assigned call queue and daily outreach workload to meet productivity and retrieval targets.
  • Maintain compliance with HIPAA requirements and protect all confidential and protected health information.
  • Perform additional project-related duties as assigned.

Qualifications

  • Active Registered Nurse (RN) or Licensed Practical Nurse (LPN/LVN) license.
  • (compacted license preferred or PA)
  • Minimum of 1 year of clinical, managed care, quality, medical records, or related healthcare experience.
  • Prior HEDIS, medical record retrieval, chart review, or chart abstraction experience preferred.
  • Working knowledge of medical terminology, clinical documentation, and EMR/EHR systems.
  • Familiarity with HEDIS quality measures and healthcare quality reporting preferred.
  • Strong telephone communication and provider outreach skills.
  • Strong attention to detail and ability to accurately document and track multiple record requests.
  • Ability to work independently in a remote, deadline-driven environment.

Contract Details

  • Monday through Friday schedule
  • Eastern Time business hours
  • Contract position: This contract does not include health insurance, paid time off, paid holidays, or other employee benefits.

Application Requirements

  • Must be legally authorized to work in the United States.
  • Candidates must be willing to complete a background check and drug screening if required.
  • Candidates will be asked to provide their home address and complete employment eligibility questions during the application process.

Interested in Learning More?

Apply directly or reach out to learn more about the opportunity.