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Remote Hedis Reviewer Jobs (NOW HIRING)

Managed Staffing

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 ...

Managed Staffing

HEDIS Reviewer / HEDIS Quality

TX · Remote

$34 - $35/hr

HEDIS Quality Audit/HEDIS Quality Nurse Coordinator Location: 100% Remote (USA) Work Schedule ... The ideal candidates will review medical records, interpret clinical data, and ensure accurate ...

Healthcare Support Staffing

Remote HEDIS Specialist

OR · Remote

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 ...

The CKHobbie Group

In this role, you will be responsible for reviewing and abstracting clinical data from medical ... with HEDIS (Healthcare Effectiveness Data and Information Set) measures. You will analyze ...

Advantmed

HEDIS Project Manager, Client Success

Fully remote role supporting work-life balance, with flexibility when needed * High-ownership role ... reviews, etc. * Document and distribute minutes of meetings and oversee completion of resulting ...

Urrly

Telehealth Nurse Practitioner (Remote)

Atlanta, GA · Remote

$600 - $720/hr

Close HEDIS care gaps during visits * Review medical history, medications, preventive needs ... Fully remote work no commute * Consistent visit flow and structured workflows * Clear documentation ...

Urrly

Telehealth Nurse Practitioner (Remote)

Chicago, IL · Remote

$600 - $720/hr

... HEDIS care gaps during patient visits * Document visits using ICD-10 and CPT II codes * Review ... Fully remote no commute, no travel * Consistent visit flow and structured workflows Schedule ...

TEEMA

Pediatrics Medical Director - Remote

Phoenix, AZ · Remote

$140 - $145/hr

... Improvement • Peer Review • Clinical Governance • Utilization Management • Medical ... HEDIS, Joint Commission, URAC experience Ideal Backgrounds: • Health Plans • Managed Care ...

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Remote Hedis Reviewer information

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How much do remote hedis reviewer jobs pay per hour?

As of Jun 16, 2026, the average hourly pay for remote hedis reviewer in the United States is $29.88, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $36.54 per hour, depending on experience, location, and employer.

What is a Remote HEDIS Reviewer?

A Remote HEDIS Reviewer is a healthcare professional who evaluates medical records and data from a remote location to ensure compliance with HEDIS (Healthcare Effectiveness Data and Information Set) measures. HEDIS is a set of standardized performance measures used to assess the quality of care and services in health plans. Remote HEDIS Reviewers typically review patient charts, extract relevant information, and record their findings in electronic systems. Their work helps health plans report accurate quality data, meet regulatory requirements, and improve patient care. This role often requires experience in nursing, coding, or healthcare data analysis, as well as familiarity with medical terminology and electronic health records.

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

AspectRemote Hedis ReviewerRemote Medical Reviewer
Required CredentialsRN, LPN, or other healthcare certificationsMD, DO, or advanced healthcare certifications
Work EnvironmentHome-based, reviewing healthcare records for Medicaid/MedicareHome-based, reviewing medical records for insurance or legal cases
Employer & Industry UsageHealth plans, Medicaid/Medicare providersInsurance companies, legal firms, healthcare organizations
Common Search & ComparisonYesYes

The main difference is that Remote Hedis Reviewers typically hold nursing or healthcare certifications and focus on Medicaid/Medicare compliance reviews, while Remote Medical Reviewers often have medical degrees and handle broader medical record assessments for insurance or legal purposes. Both roles are home-based and require healthcare expertise, but they serve different industry needs.

What does a typical workday look like for a Remote HEDIS Reviewer, and how is collaboration managed in a remote setting?

A typical day for a Remote HEDIS Reviewer involves reviewing and abstracting medical records to ensure compliance with HEDIS quality measures, documenting findings in electronic systems, and meeting productivity and accuracy targets. Communication and collaboration are primarily managed via secure digital platforms—such as email, video meetings, and instant messaging—enabling regular check-ins with team leads and peers. While much of the work is independent, reviewers often participate in virtual team meetings to discuss updates, share best practices, and address any challenges. Time management and self-motivation are essential, as is the ability to adapt to evolving guidelines and tight deadlines during the HEDIS season.

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

To thrive as a Remote HEDIS Reviewer, you need a background in healthcare, strong knowledge of HEDIS measures, and experience with medical record review, often supported by an RN or LPN license. Familiarity with HEDIS abstraction software, electronic medical records (EMRs), and secure data management systems is typically required. Exceptional attention to detail, time management, and strong written communication are critical soft skills for excelling in this remote role. These skills ensure accurate data abstraction, compliance with regulatory standards, and effective contribution to quality improvement initiatives.
More about Remote Hedis Reviewer jobs
What cities are hiring for Remote Hedis Reviewer jobs? Cities with the most Remote Hedis Reviewer job openings:
What are the most commonly searched types of Hedis Reviewer jobs? The most popular types of Hedis Reviewer jobs are:
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Remote Hedis Reviewer jobs near you
Infographic showing various Remote Hedis Reviewer job openings in the United States as of June 2026, with employment types broken down into 50% Full Time, and 50% Contract. Highlights an 100% Remote job distribution, with an average salary of $62,159 per year, or $29.9 per hour.
HEDIS Reviewer

HEDIS Reviewer

Managed Staffing

MI • Remote

$44 - $45/hr

Contractor

Posted 11 days ago

Be an early applicant

Job description

Position: HEDIS Reviewer – Work From Home (Michigan Only)
Location: 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 involves reviewing and abstracting clinical information from medical records, annotating via Adobe PDF, and populating a data collection tool to ensure compliance with HEDIS and CMS performance measures. Training will be provided prior to the start of the project.

Key Responsibilities:

  • Complete assigned medical record abstraction and data entry daily.

  • Review medical charts, copy supporting documentation, and enter all abstracts into designated software.

  • Work with provider offices to schedule appointments, follow up on record submissions, and manage patient rosters.

  • Prioritize and complete tasks accurately within established deadlines.

  • Identify trends, document areas for improvement, and maintain project productivity while meeting quality standards.

  • Maintain confidentiality of all information in compliance with HIPAA and PHI regulations.

  • Attend all required training sessions and conference calls.

Required Qualifications:

  • 4+ seasons of experience auditing and abstracting medical records.

  • Strong medical knowledge and ability to read and interpret medical records.

  • Proficient in Microsoft Word, Excel, email, and Adobe Reader; able to save files in folders.

  • Excellent verbal and written communication skills.