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Remote Hedis Reviewer Jobs in Springfield, NJ (NOW HIRING)

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Remote Hedis Reviewer information

See Springfield, NJ salary details

$11

$31

$50

How much do remote hedis reviewer jobs pay per hour?

As of Aug 5, 2026, the average hourly pay for remote hedis reviewer in Springfield, NJ is $31.12, according to ZipRecruiter salary data. Most workers in this role earn between $23.51 and $38.03 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 remote HEDIS reviewer do?

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 skills and qualifications are needed to thrive as a remote HEDIS reviewer?

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.
What cities near Springfield, NJ are hiring for Remote Hedis Reviewer jobs? Cities near Springfield, NJ with the most Remote Hedis Reviewer job openings:
Remote Hedis Reviewer jobs near you

HEDIS Reviewer II in 100% Remote (Should be local to New Jersey or Nearby)

Amicis Global

Jersey City, NJ • Remote

$33/hr

Contractor

Re-posted 10 days ago

Job description

Title: HEDIS Reviewer II
Location: 100% Remote (Should be local to New Jersey or Nearby)
Duration: 07 Months
Shift Timing: 08:00 AM - 05:00 PM (Monday - Friday)
Pay Rate: $30.00 - $33.00/- on W2
 
 
Pre Screening Questionnaire:
Is the name listed on your resumes your legal name and spelt correctly, if not please provide that name?
Do you have an alternate phone number to what is already on your resume?
Are you able to work Monday thru Friday, 8 am to 5 pm your local time (January thru May) without interruption?
Do you have anything that requires time off or would prevent you from working the above required schedule (January thru May)?
Please list 3 different Microsoft Office Suite Programs you have experience with and how many years you've worked in each one.
Are you able to connect the Healthcare provided laptop to your home internet modem via an ethernet cable connection? (Not through WiFi connections)
Are you able to carry equipment that weighs up to 20lbs?
 
Kindly share your most updated resume.
 
 
Summary:
"Participates in the collection and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to the start of the assignment.
This position interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and populates a data collection tool to support compliance with HEDIS and CMS performance measures. Ensures accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements. The candidate must be proficient with databases and with conducting 100% of work activities on the computer.
Must commit to the duration of the project with the understanding that work hours can be varied. Due to proprietary information, employers must inform employers if they are planning to accept employment with another company.
 
Roles and Responsibilities:
HEDIS Medical Record Review (MRR) Abstractor II
"• 0-3 years of experience auditing and abstracting medical records required
• Candidates must commit to attend all required training and conference calls assigned for the project.
• Candidate must return all equipment that is supplied to them in good working condition and in a timely manner at the end of the project
• Medical knowledge/terminology is required.
• Ability to read and interpret medical records.
• Professional demeanor and good work ethic.
• Computer savvy: Microsoft Word, Excel, email, and Adobe reader required. Know how to save a file to a folder.
• Excellent verbal and written communication skills – clear, concise and appropriate.
• Conscientious problem solver, willing to learn, and take personal pride in their work performance/accuracy.
• Exceptional attention to detail and excellent analytical, investigation, and problem-solving skills
• Proven organizational and time management skills including the ability to meet required deadlines
• Must keep all information collected in a safe, organized and confidential manner while maintaining confidentiality of PHI, HIPAA Privacy and Security Rules "
"• Workspace able to accommodate laptop and up to 2 monitors
• Reliable internet connection
• Private uninterrupted workspace to maintain HIPAA Privacy and Security Rules "
"• Must have flexibility to drive within their assigned geographic area; requiring reliable transportation.
• Must be able to lift 25 lbs.
• Must dress in business casual attire and maintain a professional appearance.
• Working knowledge and experience may be required with the usage of hand held scanners, iPods, flash drives and laptops (as applicable) in order to collect, save, rename, and transfer confidential information.
"• Complete assigned abstraction and data entry each day.
• Work with provider offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters
• Locate and review ALL assigned medical charts, perform abstraction, copy all supporting documentation per specifications and data entered into the applicable software system ALL assigned abstracts.
•Prioritize and accurately complete tasks within established times
•Identifying trends and documentation of areas for improvement
•Maintaining project productivity levels while maintaining accuracy requirements for abstraction and data entry activities.
Work from home in the New Jersey area. Position will potentially make onsite visits to provider offices therefore MUST live IN or NEAR New Jersey.
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