Coding Quality Auditor, HEDIS
Join to apply for the Coding Quality Auditor, HEDIS role at Providence.
Overview
Providence Health Plan caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient‑focused, whole‑person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Responsibilities
Conduct clinical quality audits/overreads for the Quality Department.
Identify and report issues related to clinical audits to determine potential areas for quality improvement within the HEDIS project.
Collect data through chart extraction, using objective specifications for the Healthcare Effectiveness and Data Information Set (HEDIS) program.
Conduct audits inclusive of review of outpatient medical records, hospital records, clinical lab and pharmacy records.
Collect data based on standardized methodologies and organize it to identify and address opportunities for improvement.
Perform chart audits electronically during the audit season.
Complete HEDIS training prior to performing chart abstractions.
Maintain all collected records in a confidential manner.
Perform all duties in a manner that promotes team concept and reflects the Sisters of Providence mission and philosophy.
Communicate in a collaborative manner with clinic and other staff with whom you interact, representing Sisters of Providence.
Qualifications
Technical certification/licensure in Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse upon hire.
H.S. Diploma or GED.
3 years of medical record audit experience, experience extracting clinical data points from medical records, experience with electronic medical records (EMR), and comfort with technology. Ability to interpret and understand medical terminology in a medical record.
2 years of HEDIS, quality management/quality improvement/utilization review auditing experience, including experience auditing within electronic health records.
1 year experience in the medical field as a Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse (LPN).
Preferred Qualifications
Associate’s Degree in Nursing or Healthcare related field, Health Information Management degree.
Experience with health plans, project management, data analysis, and/or case review.
Work Details
Position Type: Temporary, Per Diem, Non‑Benefitted.
Length of Program: January 2026 – May 2026.
Work Schedule: Monday – Friday, 40 hours per week.
Location: Beaverton, Oregon (remote work available in Alaska, Washington, Montana, Oregon, California, Texas – Levelland, Lubbock or Plainview area, New Mexico, Alabama, Arizona, Delaware, Florida, Iowa, Idaho, Michigan, Minnesota, North Carolina, New Jersey, Utah).
Compensation: $35.66 – $55.37 per hour, plus potential shift differentials.
About Providence
At Providence, our strength lies in our commitment to “Know me, care for me, ease my way.” We serve more people, advance best practices, and sustain a more than 100‑year tradition of serving the poor and vulnerable.
Providence offers a comprehensive benefits package including a retirement 401(k) plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time‑off benefits, voluntary benefits, and well‑being resources. Learn more at providence.jobs/benefits.
Equal Opportunity Employer
Providence is an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, marital status, genetic information, or any other basis prohibited by local, state, or federal law.