Description
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 by chart extraction using objective specifications for the Healthcare Effectiveness and Data Information Set (HEDIS) program.
Conduct audits including review of outpatient medical records, hospital records, clinical lab and pharmacy records.
Collect data based on standardized methodologies.
Organize data to identify and address opportunities for improvement.
Perform chart audits electronically during the audit season.
Complete HEDIS training prior to performing chart abstractions.
Receive direction regarding charts required for auditing.
Maintain all collected records confidentially.
Perform all duties in a manner that promotes team concept and reflects the Sisters of Providence mission and philosophy.
Communicate collaboratively with clinic and other staff, representing Sisters of Providence.
Important Details
This posting is for multiple openings of a Coding Quality Auditor, HEDIS.
The position is affiliated with Providence Health Plan and tied to a location and compensation range in Beaverton, Oregon.
Position Type: Temporary, Per Diem, Non-Benefitted.
Length of Program: Anticipated to last from January 2026 to May 2026.
Work Schedule: Monday – Friday.
Work Hours Scheduled Weekly: 40.
This position requires full‑time commitment during the HEDIS Season (January 2026 – May 2026); no extended time off is permitted.
Positions specified as “on call/per diem” refer to employment consisting of shifts scheduled on an “as needed” basis to fill staff vacancies.
Remote Eligibility
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
Required Qualifications
Technical certification/licensure in the area of Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse upon hire.
High School Diploma or GED.
3 years of medical record audit experience, including extraction of clinical data points from medical records, experience with electronic medical records (EMR), and comfort with technology; ability to interpret medical terminology.
2 years of HEDIS, quality management/quality improvement/utilization review auditing experience, including 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 a healthcare‑related field, or a Health Information Management degree.
Experience with health plans, project management, data analysis, and/or case review.
Why Join Providence?
Our best‑in‑class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our mission of caring for everyone, especially the most vulnerable in our communities.
Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time‑off, happen for various reasons, such as changes of legal employer, FTE status, union affiliation, location, time‑off policy, availability of health and welfare benefit plans, and other factors.
About Providence
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best‑in‑class benefits and foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100‑year tradition of serving the poor and vulnerable.
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on‑call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well‑being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About The Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Equal Employment Opportunity
Providence is proud to be 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, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Job Metadata
Requisition ID: 398068
Company: Providence Jobs
Job Category: Coding
Job Function: Revenue Cycle
Job Schedule: Part time
Job Shift: Multiple shifts available
Career Track: Business Professional
Department: 5018 HCS QUALITY MANAGEMENT OR REGION
Address: OR Beaverton 3601 SW Murray Blvd
Work Location: Murray Business Ctr Beaverton-Beaverton
Workplace Type: Remote
Pay Range: $35.66 - $55.37