Providence Health & Services
Coding Quality Auditor, HEDIS *Remote*
Providence Health & Services, Olympia, Washington, United States
Coding Quality Auditor, HEDIS *Remote*
Providence Health & Services invites applications for a temporary, per diem Coding Quality Auditor role focused on the Healthcare Effectiveness Data and Information Set (HEDIS). The position is tied to a location and compensation range in Beaverton, Oregon, with full-time work hours 40 weekly Monday‑Friday during the January‑May 2026 season.
Responsibilities
Conduct clinical quality audits and 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 the data to identify and address opportunities for improvement.
Perform chart audits electronically during the audit season and complete HEDIS training prior to performing chart abstractions.
Maintain all collected records in a confidential manner and 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 they interact, representing Sisters of Providence.
Required Qualifications
Technical certification/licensure as a Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse upon hire.
H.S. Diploma or GED.
3 years of medical record audit experience, including extraction of clinical data points from medical records and use of electronic medical records (EMR).
2 years of HEDIS, quality management/quality improvement/utilization review auditing experience, including auditing within electronic health records.
1 year of 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 Health Information Management degree.
Experience with health plans, project management, data analysis, and/or case review.
Remote Eligibility
Alaska
Washington
Montana
Oregon
California
Texas – Levelland, Lubbock or Plainview area
New Mexico
Equal Opportunity Employer Statement 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.
About Providence 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.
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Responsibilities
Conduct clinical quality audits and 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 the data to identify and address opportunities for improvement.
Perform chart audits electronically during the audit season and complete HEDIS training prior to performing chart abstractions.
Maintain all collected records in a confidential manner and 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 they interact, representing Sisters of Providence.
Required Qualifications
Technical certification/licensure as a Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse upon hire.
H.S. Diploma or GED.
3 years of medical record audit experience, including extraction of clinical data points from medical records and use of electronic medical records (EMR).
2 years of HEDIS, quality management/quality improvement/utilization review auditing experience, including auditing within electronic health records.
1 year of 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 Health Information Management degree.
Experience with health plans, project management, data analysis, and/or case review.
Remote Eligibility
Alaska
Washington
Montana
Oregon
California
Texas – Levelland, Lubbock or Plainview area
New Mexico
Equal Opportunity Employer Statement 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.
About Providence 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.
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