What does a HEDIS Coordinator do?
A HEDIS Coordinator manages and oversees the collection, analysis, and reporting of healthcare data to measure performance metrics.
This role is crucial within healthcare organizations, such as hospitals, health plans, and managed care providers, to ensure they meet the quality standards set by the National Committee for Quality Assurance (NCQA). HEDIS Coordinators organize data collection initiatives, work with IT and health care staff to retrieve necessary data, and ensure accurate and timely submission of reports. They also help develop strategies to improve healthcare services based on HEDIS results, making it essential for ongoing quality improvement efforts within healthcare settings.
By efficiently managing health data, they play a pivotal role in enhancing patient care quality and operational effectiveness in the healthcare industry.
Key duties & responsibilities
HEDIS Coordinators in the Healthcare field handle essential tasks and contribute significantly to achieving team and organizational goals. Here are some of their primary responsibilities:
- Coordinate the annual HEDIS data collection process and ensure adherence to NCQA’s HEDIS specifications.
- Develop and implement processes for accurate data collection and validation to meet or exceed quality benchmarks.
- Collaborate with healthcare providers and IT staff to facilitate data extraction, reporting, and submission.
- Analyze HEDIS data to identify trends, gaps in care, and areas for improvement.
- Prepare detailed reports and presentations on HEDIS outcomes for internal and external stakeholders.
- Provide training and support to healthcare providers and staff on HEDIS processes and quality improvement strategies.
- Maintain up-to-date knowledge of changes in HEDIS requirements and healthcare regulations.
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How to become a HEDIS Coordinator
Launching a career as a HEDIS Coordinator requires a specific education. We outline the essential qualifications, skills, and steps to enter this field.
Qualification
- Bachelor’s degree in Healthcare Administration, Nursing, Public Health, or a related field.
- Experience with HEDIS, quality improvement, or performance measurement in a healthcare setting.
- Strong understanding of medical terminology and health information systems.
- Familiarity with NCQA standards and federal and state healthcare regulations.
Requirements & skills
- Excellent analytical and data management skills.
- Strong organizational and project management abilities.
- Effective communication skills to interact with diverse healthcare teams and stakeholders.
- Detail-oriented mindset with a focus on accuracy and quality in data handling.
- Proficiency in using healthcare databases and IT systems related to data collection and reporting.
HEDIS Coordinator salary guide
Wondering what HEDIS Coordinators earn? Explore salary ranges by experience, and career tips to maximize your earning potential.
The average salary for a HEDIS Coordinator in the U.S. is approximately $72,000 per year and can vary from entry-level to senior positions. HEDIS Coordinators may receive a wide range of benefits.
HEDIS Coordinator salary career steps
- Entry Level0-2 years $54,000
- Mid Level3-5 years $64,800
- Experienced6-10 years $72,000
- Senior11+ years $79,200
- Veteran20+ years $90,000
Based on public data from the U.S. Bureau of Labor Statistics and Payscale. Career-level figures are estimates derived from the national average; actual pay varies by employer, region and experience.
How much can you earn as a HEDIS Coordinator?
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How to advance your career
HEDIS Coordinators can advance to senior roles such as Director of Quality Improvement, Quality Assurance Manager, or into executive healthcare administration positions. Furthering education and gaining certifications in healthcare quality and management can also enhance career opportunities and expertise.
Typical work environment
HEDIS Coordinators typically work in an office environment within healthcare organizations like managed care companies, health plans, or large healthcare providers. The role often involves significant interaction with healthcare professionals and administrative staff. During the HEDIS reporting season, coordinators may experience periods of high pressure and tight deadlines.
About this profile
This profile for a HEDIS Coordinator is based on public sources such as the BLS and Payscale and was structured with the help of AI. It is intended as a general orientation — duties, requirements and salaries can differ by employer, country and experience.
