Remote HEDIS Specialist
OR · On-site +1
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 ...
OR · On-site +1
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 ...
OR · On-site +1
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 ...
OR · On-site +1
$236K - $449K/yr
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Qualified applicants with arrest or conviction records will be considered in accordance with the LA ...
OR · On-site +1
$236K - $449K/yr
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Qualified applicants with arrest or conviction records will be considered in accordance with the LA ...
OR · On-site +1
$236K - $449K/yr
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Qualified applicants with arrest or conviction records will be considered in accordance with the LA ...
OR · On-site +1
$236K - $449K/yr
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Qualified applicants with arrest or conviction records will be considered in accordance with the LA ...
OR · On-site +1
Key Responsibilities * Review inpatient claims imported into the DRG database, focusing on ... Navigate medical records efficiently, targeting specific sections (e.g., discharge summary ...
OR · On-site +1
Key Responsibilities * Review inpatient claims imported into the DRG database, focusing on ... Navigate medical records efficiently, targeting specific sections (e.g., discharge summary ...
OR · On-site +1
$27.25 - $31/hr
Conduct detailed medical record reviews post-bill to determine if submitted diagnosis and procedure ... This role is primarily office-based or remote, depending on company policy, with extensive computer ...
OR · On-site +1
$27.25 - $31/hr
Conduct detailed medical record reviews post-bill to determine if submitted diagnosis and procedure ... This role is primarily office-based or remote, depending on company policy, with extensive computer ...
Medford, OR · Remote
$28.40 - $46.30/hr
Do you thrive in analyzing complex medical records and coordinating workflow activities as part of ... on various functions #LI-Remote Pay ranges vary based on the candidate's work location. The ...
Medford, OR · Remote
$28.40 - $46.30/hr
Do you thrive in analyzing complex medical records and coordinating workflow activities as part of ... on various functions #LI-Remote Pay ranges vary based on the candidate's work location. The ...
Portland, OR · Remote
$28.40 - $46.30/hr
Do you thrive in analyzing complex medical records and coordinating workflow activities as part of ... on various functions #LI-Remote Pay ranges vary based on the candidate's work location. The ...
Portland, OR · Remote
$28.40 - $46.30/hr
Do you thrive in analyzing complex medical records and coordinating workflow activities as part of ... on various functions #LI-Remote Pay ranges vary based on the candidate's work location. The ...
Bend, OR · Remote
$28.40 - $46.30/hr
Do you thrive in analyzing complex medical records and coordinating workflow activities as part of ... on various functions #LI-Remote Pay ranges vary based on the candidate's work location. The ...
Bend, OR · Remote
$28.40 - $46.30/hr
Do you thrive in analyzing complex medical records and coordinating workflow activities as part of ... on various functions #LI-Remote Pay ranges vary based on the candidate's work location. The ...
Salem, OR · Remote
$28.40 - $46.30/hr
Do you thrive in analyzing complex medical records and coordinating workflow activities as part of ... on various functions #LI-Remote Pay ranges vary based on the candidate's work location. The ...
Salem, OR · Remote
$28.40 - $46.30/hr
Do you thrive in analyzing complex medical records and coordinating workflow activities as part of ... on various functions #LI-Remote Pay ranges vary based on the candidate's work location. The ...
Beaverton, OR · Remote
$28.40 - $46.30/hr
Do you thrive in analyzing complex medical records and coordinating workflow activities as part of ... on various functions #LI-Remote Pay ranges vary based on the candidate's work location. The ...
Beaverton, OR · Remote
$28.40 - $46.30/hr
Do you thrive in analyzing complex medical records and coordinating workflow activities as part of ... on various functions #LI-Remote Pay ranges vary based on the candidate's work location. The ...
Review cases initiated for non-standardized performance improvement reasons * Assess medical ... Fully remote work-complete cases on your own schedule Flexible hours - ability to complete reviews ...
Review cases initiated for non-standardized performance improvement reasons * Assess medical ... Fully remote work-complete cases on your own schedule Flexible hours - ability to complete reviews ...
OR · On-site +1
$21.25 - $28.50/hr
Review patient documentation, medical records, referrals, and intake information to ensure ... Experience with CMS Chronic Care Management, Remote Patient Monitoring and Remote Therapeutic ...
OR · On-site +1
$21.25 - $28.50/hr
Review patient documentation, medical records, referrals, and intake information to ensure ... Experience with CMS Chronic Care Management, Remote Patient Monitoring and Remote Therapeutic ...
$250/wk
... records/data management services, medical coding, administrative staffing and eligibility reviews. We are looking to build our panel of Claims Review Physicians. This is a flexible, fully remote 1099 ...
$250/wk
... records/data management services, medical coding, administrative staffing and eligibility reviews. We are looking to build our panel of Claims Review Physicians. This is a flexible, fully remote 1099 ...
Portland, OR · On-site +1
$20 - $26.50/hr
... 100% Remote * Review documentation ofprofessional services in EPIC, obtain copies of chart notes, reports(i.e., admission/discharge records, patient medical records) and any othersource of ...
Portland, OR · On-site +1
$20 - $26.50/hr
... 100% Remote * Review documentation ofprofessional services in EPIC, obtain copies of chart notes, reports(i.e., admission/discharge records, patient medical records) and any othersource of ...
Newberg, OR · Remote
$100K - $105K/yr
Our telehealth facility is equipped with a state-of-the-art integrated electronic medical record ... The remote setting allows for fluidity in work-life balance, making it easier for our counselors to ...
Newberg, OR · Remote
$100K - $105K/yr
Our telehealth facility is equipped with a state-of-the-art integrated electronic medical record ... The remote setting allows for fluidity in work-life balance, making it easier for our counselors to ...
OR · On-site +1
Remote (U.S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a ... Review medically complex claims , pre-authorization requests, appeals, and fraud/abuse referrals.
OR · On-site +1
Remote (U.S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a ... Review medically complex claims , pre-authorization requests, appeals, and fraud/abuse referrals.
Provides fully remote virtual serious illness care management to patients and families throughout ... record reviews and medical peer reviews. Seeks to continually improve the care practices of ...
Provides fully remote virtual serious illness care management to patients and families throughout ... record reviews and medical peer reviews. Seeks to continually improve the care practices of ...
Provides fully remote virtual serious illness care management to patients and families throughout ... record reviews and medical peer reviews. Seeks to continually improve the care practices of ...
Provides fully remote virtual serious illness care management to patients and families throughout ... record reviews and medical peer reviews. Seeks to continually improve the care practices of ...
Our team utilizes advanced electronic medical record systems that streamline documentation and ... Conduct utilization reviews with insurance companies to provide clinical information for obtaining ...
Our team utilizes advanced electronic medical record systems that streamline documentation and ... Conduct utilization reviews with insurance companies to provide clinical information for obtaining ...
OR · On-site +1
$32 - $40/hr
Remote / Work From Home Pay: $32.00 - $40.00 per hour Schedule: Saturday & Sunday, 8:00 AM - 5:00 ... electronic medical record (EMR) system. * Crisis Support: Guide families through the steps and ...
OR · On-site +1
$32 - $40/hr
Remote / Work From Home Pay: $32.00 - $40.00 per hour Schedule: Saturday & Sunday, 8:00 AM - 5:00 ... electronic medical record (EMR) system. * Crisis Support: Guide families through the steps and ...
$18.30 - $18.92
7% of jobs
$19.52 is the 25th percentile. Wages below this are outliers.
$18.92 - $19.55
19% of jobs
$19.55 - $20.17
5% of jobs
$20.17 - $20.79
3% of jobs
$20.79 - $21.42
14% of jobs
The median wage is $21.57 / hr.
$21.42 - $22.04
6% of jobs
$22.04 - $22.67
0% of jobs
$22.67 - $23.29
0% of jobs
$23.29 - $23.91
0% of jobs
$24.41 is the 75th percentile. Wages above this are outliers.
$23.91 - $24.54
26% of jobs
$24.54 - $25.16
20% of jobs
$18
$22
$25
A Remote Medical Record Review job involves analyzing and evaluating patient medical records to ensure accuracy, compliance, and quality. Professionals in this role often work for insurance companies, healthcare organizations, or legal firms to assess documentation for billing, coding, or legal purposes. Responsibilities may include reviewing diagnoses, treatments, and patient history to verify compliance with regulations and guidelines. This job is typically performed from home using secure online systems, requiring strong attention to detail, medical knowledge, and familiarity with health records. Experience in nursing, medical coding, or health information management is often beneficial.
To succeed as a Remote Medical Record Review professional, you typically need a background in healthcare, strong attention to detail, and proficiency in reviewing and interpreting medical documentation. Experience with electronic health records (EHR) systems, knowledge of medical terminology, and certifications like RHIT or CPC are often required. Strong analytical thinking, time management, and effective communication skills are highly valued in this remote setting. These abilities ensure that medical records are accurately evaluated for completeness and compliance, contributing to high-quality healthcare delivery and regulatory adherence.
A typical day for a Remote Medical Record Review professional involves carefully auditing electronic patient records for accuracy, completeness, and compliance with healthcare regulations. You may collaborate virtually with physicians, nurses, and coding specialists to resolve discrepancies and ensure proper documentation. The schedule is often flexible, but strong organizational skills are needed to manage caseloads and meet deadlines. Most work can be done independently, though regular communication with healthcare teams or supervisors is usually required for complex cases or updates. This role offers the opportunity to make a direct impact on patient care quality while enjoying the benefits of remote work.
For Remote Medical Record Review jobs in Oregon, the most frequently searched job titles are:
The top searched job categories for Remote Medical Record Review jobs in Oregon are:
Cities in Oregon with the most Remote Medical Record Review job openings:

Contractor
Re-posted 3 days ago
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Company Job Description/Day to Day Duties:
Remote worker with ability to read and write in Spanish and medical records. Under the direction of the HEDIS Program Manager, supports the annual HEDIS project management by coordinating the identification, collection and abstraction of medical records and other data in collaboration with other HEDIS staff.
Assists the Manager in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review.
Participates in meetings with vendors for the medical record collection process. Assists Manager with medical record vendor oversight.
Assists Manager in training abstractor staff and participates in the medical record IRR.
Identifies member service gaps based on data loaded in the MHI HEDIS application.
Collects medical records and reports from provider offices based on member needed services reports and gaps and loads data into the HEDIS application.
Works with the corporate HEDIS team to monitor accuracy of abstracted records as required by HEDIS specifications.
Participates in scheduled meetings with the corporate HEDIS team, vendors and HEDIS auditors.
Assists the QI staff with physician and member interventions and incentive efforts as needed.
Provides data collection and report development support for Quality Improvement studies and performance improvement projects.
Assists as needed in support of accreditation activities such as NCQA reviews, CAHPS and state audits.
Minimum Education/Qualifications/Licensures:
Must be bilingual, fluent in Spanish, they will be remote workers supporting Molina Puerto Rico
Licensed RN/LVN/LPN
HEDIS knowledge
Ability to read and understand medical records
Independent and able to work on their own
Interested in hearing more about this great opportunity? Please call and e-mail your resume to Brianne Salazar (Office number: 321-710-4799) for immediate consideration.
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003