HEDIS (Healthcare Effectiveness Data and Information Set) is a tool widely used by health care employers to measure the performance of different medical care and service. HEDIS Coordinators play a crucial role in that process through reviewing and analyzing data and metrics to make sure quality is achieved and maintained.
HEDIS Coordinators work in physician’s offices, or other health care and wellness facilities.
Typical Duties and Responsibilities
- Update clinical quality metrics
- Coordinate HEDIS processes and establish a plan to improve scores
- Implement a process to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities
- Conduct quality audits
- Maintain all data and process controls to ensure compliance
Education and Background
This position requires a bachelor’s degree in a science- or medical-related field. HEDIS certification is preferred by employers, as is 3+ years of quality-improvement or health care experience.
Skills and Proficiencies
- Excellent verbal and written communication skills
- Strong organizational skills with the ability to keep accurate notes and records
- Proficient in Microsoft Office Suite
- Possess leadership capabilities
According to Payscale the median annual salary of a HEDIS Coordinator with
1 Year of Experience:
- Orlando, Florida: $48,000
- Tampa, Florida: $47,000
- Jacksonville, Florida: $48,000
- Miami, Florida: $47,000
- Atlanta, Georgia: $42,000
- Chicago, Illinois: $48,000
- Houston, Texas: $49,000
- Los Angeles, California: $44,000
- New York City, New York: $52,000
- Seattle, Washington: $46,000
- Overall: $47,000
5 Years of Experience:
- Orlando, Florida: $54,000
- Tampa, Florida: $53,000
- Jacksonville, Florida: $52,000
- Miami, Florida: $52,000
- Atlanta, Georgia: $56,000
- Chicago, Illinois: $59,000
- Houston, Texas: $60,000
- Los Angeles, California: $58,000
- New York City, New York: $60,000
- Seattle, Washington: $59,000
- Overall: $56,000
Similar Job Titles
- Medical Biller
- Provider Operations Specialist
- Utilization Management Support Coordinator
- Insurance Claims Examiner
The first step in becoming a HEDIS Coordinator is to earn a bachelor’s degree in a science- or medical-related field and obtain three or more years of quality-improvement or other health care experience. While not always necessary to start, employers often strongly prefer candidates that have achieved HEDIS certification.
The health care industry is generally increasing in size year after year. More people are accessing health care services, which creates a growing need for HEDIS Coordinators and people working in the health care management and billing field.
The job outlook for medical records and health information specialists (which typically includes HEDIS Coordinators), is bright, with 11 percent job growth projected through 2028, according to the U.S. Bureau of Labor Statistics.
The typical work hours for a HEDIS Coordinator can be from 9 a.m. to 5 p.m. Monday through Friday in an office setting.
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