HEDIS Coordinator

NurseRemotely; United States; Remote; USD 60,000 - 75,000; Part time

Job summary

NurseRemotely is seeking a remote Quality Improvement specialist to search EMRs, validate submitted records, and review 80–100 charts daily. You will work with the team to close HEDIS care gaps, ensuring accuracy and compliance.

Applicants should have 3+ years in healthcare QA, NCQA knowledge, and strong Excel skills, with a focus on precise measure testing and team collaboration.

Qualifications

• Minimum 3 years of experience in Quality Improvement or healthcare-related fields.
• Working knowledge of NCQA.
• Familiarity with HEDIS measures and technical specifications.
• Ability to pass measure tests with 95%+.

Responsibilities

• Work with team to identify gap lists and pull qualifying records from EMRs.
• Audit submitted records for validation.
• Review 80–100 charts per day.
• Collaborate to ensure HEDIS care gaps are closed.

Skills

Quality Improvement experience

HEDIS measures expertise

Team collaboration

NCQA knowledge

Education

Bachelor’s Degree in related field

Tools

EMR

Microsoft Excel

Job description

Summary:

• Work Mode: 100% Remote
• Duration: 2 months, possible extension

Responsibilities:

• Work member gap lists to search EMRs and pull qualifying records.
• Audit submitted records for validation.
• Review 80 – 100 charts per day.
• Collaborate with the team to ensure HEDIS care gaps are closed.

Requirements:

• Minimum 3 years of experience in Quality Improvement or healthcare-related fields.
• Working knowledge of the National Committee on Quality Assurance (NCQA).
• Must be very familiar with HEDIS measures and technical specifications.
• Ability to pass measure tests with 95% or higher.

Preferred Skills:

• Bachelor’s Degree in a related field.
• Strong HEDIS measure experience.
• Experience with Electronic Medical Records (EMR).
• Proficiency in Microsoft Applications, especially Excel.
• Team collaboration skills and a driven focus on tasks.