Coding Quality Auditor, HEDIS • Remote - Many States Eligible
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Pay
Base pay range: $35.66/hr - $55.37/hr
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.
Key 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 HEDIS program.
Perform 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.
Receive direction regarding charts requiring auditing and maintain all collected records in a confidential manner.
Perform all duties in a manner that promotes teamwork and reflects the Sisters of Providence mission and philosophy.
Communicate collaboratively with clinic and other staff to represent Sisters of Providence.
Important Details
Multiple openings for a Coding Quality Auditor, HEDIS.
Affiliated with Providence Health Plan, tied to a location and compensation range in Beaverton, Oregon.
Position Type: Temporary, Per Diem, Non Benefitted.
Length of Program: January 2026 – May 2026.
Work Schedule: Monday – Friday, full‑time (40 hrs/week).
Full‑time commitment to the project; no extended time off during the HEDIS season.
Remote Eligibility
Alaska
Washington
Montana
Oregon
California
Texas (Levelland, Lubbock, or Plainview areas)
New Mexico
Alabama
Arizona
Delaware
Florida
Iowa
Idaho
Michigan
Minnesota
North Carolina
New Jersey
Utah
Required Qualifications
Technical certification/licensure in Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse upon hire.
High school diploma or GED.
At least 3 years of medical record audit experience, including extraction of clinical data points from records and use of electronic medical records (EMR).
At least 2 years of experience with HEDIS, quality management, quality improvement, or utilization review auditing within electronic health records.
At least 1 year of experience in a medical field as a Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse (LPN).
Preferred Qualifications
Associate’s degree in Nursing, Health Information Management, or a related field.
Experience with health plans, project management, data analysis, and/or case review.
Requisition ID: 398068
Providence is an Equal Opportunity Employer. We are committed to a workforce that is free from unlawful discrimination and harassment.
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