Remote HEDIS Specialist
OR ยท 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 ...
OR ยท 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 ...
OR ยท 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 ...
Houston, TX ยท Remote
We are seeking a skilled and board-certified Toxicologist to join our team for Independent Medical Record Reviews. This is a fully remote opportunity offering flexible scheduling, allowing you to ...
Houston, TX ยท Remote
We are seeking a skilled and board-certified Toxicologist to join our team for Independent Medical Record Reviews. This is a fully remote opportunity offering flexible scheduling, allowing you to ...
We are seeking a skilled and board-certified Diagnostic Radiologist to join our team for Independent Medical Record Reviews. This is a fully remote opportunity offering flexible scheduling, allowing ...
We are seeking a skilled and board-certified Diagnostic Radiologist to join our team for Independent Medical Record Reviews. This is a fully remote opportunity offering flexible scheduling, allowing ...
Anchorage, AK ยท Remote
We are seeking a skilled and board-certified (Specialty) to join our team for Independent Medical Record Reviews. This is a fully remote opportunity offering flexible scheduling, allowing you to ...
Anchorage, AK ยท Remote
We are seeking a skilled and board-certified (Specialty) to join our team for Independent Medical Record Reviews. This is a fully remote opportunity offering flexible scheduling, allowing you to ...
We are seeking a skilled and board-certified Neurological Surgeon to join our team for Independent Medical Record Reviews. This is a fully remote opportunity offering flexible scheduling, allowing ...
We are seeking a skilled and board-certified Neurological Surgeon to join our team for Independent Medical Record Reviews. This is a fully remote opportunity offering flexible scheduling, allowing ...
Philadelphia, PA ยท Remote
$322K - $403K/yr
We are seeking a skilled and board-certified Diagnostic Radiologist to join our team for Independent Medical Record Reviews. This is a fully remote opportunity offering flexible scheduling, allowing ...
Philadelphia, PA ยท Remote
$322K - $403K/yr
We are seeking a skilled and board-certified Diagnostic Radiologist to join our team for Independent Medical Record Reviews. This is a fully remote opportunity offering flexible scheduling, allowing ...
Durham, NC ยท On-site +1
$15.75 - $19.25/hr
Scanning of records and documents into an Electronic Medical Record (EMR) to support HIM functions ... Review ambulance claims for eligibility and payment. * Assist in arranging transportation for ...
Durham, NC ยท On-site +1
$15.75 - $19.25/hr
Scanning of records and documents into an Electronic Medical Record (EMR) to support HIM functions ... Review ambulance claims for eligibility and payment. * Assist in arranging transportation for ...
Be Seen First
Memphis, TN ยท Remote
$17/hr
Join us as a Remote Medical Benefits Representative and make a real impact every day!" Join a ... Review/prior-authorize meds, services & procedures * Verify patient eligibility/benefits with ...
Quick apply
Be Seen First
Memphis, TN ยท Remote
$17/hr
Join us as a Remote Medical Benefits Representative and make a real impact every day!" Join a ... Review/prior-authorize meds, services & procedures * Verify patient eligibility/benefits with ...
Durham, NC ยท Remote
$17 - $20.75/hr
Scanning of records and documents into an Electronic Medical Record (EMR) to support HIM functions ... Review ambulance claims for eligibility and payment. * Assist in arranging transportation for ...
Quick apply
Durham, NC ยท Remote
$17 - $20.75/hr
Scanning of records and documents into an Electronic Medical Record (EMR) to support HIM functions ... Review ambulance claims for eligibility and payment. * Assist in arranging transportation for ...
Madison, WI ยท On-site +1
$68K - $70K/yr
Experience with medical record review or utilization review. Remote Work Requirements * Wired (ethernet cable) internet connection from your router to your computer * High speed cable or fiber ...
Madison, WI ยท On-site +1
$68K - $70K/yr
Experience with medical record review or utilization review. Remote Work Requirements * Wired (ethernet cable) internet connection from your router to your computer * High speed cable or fiber ...
Madison, WI ยท On-site +1
$68K - $70K/yr
Experience with medical record review or utilization review. Remote Work Requirements * Wired (ethernet cable) internet connection from your router to your computer * High speed cable or fiber ...
Madison, WI ยท On-site +1
$68K - $70K/yr
Experience with medical record review or utilization review. Remote Work Requirements * Wired (ethernet cable) internet connection from your router to your computer * High speed cable or fiber ...
Minneapolis, MN ยท Remote
$18 - $19/hr
Remote- US Pay : $19/hr. Schedule : an 8 hour shift within a time range of 6a-11p EST As a ... For this type of employment, state law requires a criminal record check as a condition of ...
Quick apply
Minneapolis, MN ยท Remote
$18 - $19/hr
Remote- US Pay : $19/hr. Schedule : an 8 hour shift within a time range of 6a-11p EST As a ... For this type of employment, state law requires a criminal record check as a condition of ...
Winter Park, FL ยท Remote
$18 - $22/hr
Medical Billing Specialist - 100% Remote $18-22/hour | Full-Time | Permanent Opportunity We're ... Review UB-04 and/or HCFA 1500 claims for billing accuracy * Investigate eligibility discrepancies ...
Quick apply
Winter Park, FL ยท Remote
$18 - $22/hr
Medical Billing Specialist - 100% Remote $18-22/hour | Full-Time | Permanent Opportunity We're ... Review UB-04 and/or HCFA 1500 claims for billing accuracy * Investigate eligibility discrepancies ...
Indianapolis, IN ยท On-site +1
While this position is remote, Indiana residents encouraged to apply. Key Responsibilities * Review medical records and related documentation to assess coding accuracy and compliance with Indiana ...
Indianapolis, IN ยท On-site +1
While this position is remote, Indiana residents encouraged to apply. Key Responsibilities * Review medical records and related documentation to assess coding accuracy and compliance with Indiana ...
While this position is remote, Indiana residents encouraged to apply. Key Responsibilities * Review medical records and related documentation to assess coding accuracy and compliance with Indiana ...
Quick apply
While this position is remote, Indiana residents encouraged to apply. Key Responsibilities * Review medical records and related documentation to assess coding accuracy and compliance with Indiana ...
While this position is remote, Indiana residents encouraged to apply. Key Responsibilities * Review medical records and related documentation to assess coding accuracy and compliance with Indiana ...
While this position is remote, Indiana residents encouraged to apply. Key Responsibilities * Review medical records and related documentation to assess coding accuracy and compliance with Indiana ...
Nashville, TN ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
Quick apply
Nashville, TN ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
Plano, TX ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
Quick apply
Plano, TX ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
Provo, UT ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
Quick apply
Provo, UT ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
Saint Louis, MO ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
Quick apply
Saint Louis, MO ยท Remote
$14 - $17/hr
Review completed charts with the provider between patients or at the completion of shift * Update ... pre-med, pre-PA, pre-nursing) is preferred * Bachelor's degree strongly preferred with a GPA of 3 ...
$17.31 - $17.90
7% of jobs
$18.46 is the 25th percentile. Wages below this are outliers.
$17.90 - $18.49
19% of jobs
$18.49 - $19.08
5% of jobs
$19.08 - $19.67
3% of jobs
$19.67 - $20.26
14% of jobs
The median wage is $20.41 / hr.
$20.26 - $20.85
6% of jobs
$20.85 - $21.44
0% of jobs
$21.44 - $22.03
0% of jobs
$22.03 - $22.62
0% of jobs
$23.08 is the 75th percentile. Wages above this are outliers.
$22.62 - $23.21
26% of jobs
$23.21 - $23.80
20% of jobs
$17
$21
$23
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.
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.
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.

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.ย
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