Providence Health & Services
Coding Quality Auditor, HEDIS *Remote*
Providence Health & Services, Juneau, Alaska, United States
Role Overview
Coding Quality Auditor – HEDIS temporary seasonal role (Jan 2026-May 2026) at Providence Health Plan. Remote work is available for applicants residing in Alaska, Washington, Montana, Oregon, California, Texas (specifically Levelland, Lubbock or Plainview area), and New Mexico. Full‑time 40‑hour week, Monday‑Friday.
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 HEDIS.
Review outpatient medical records, hospital records, clinical lab, and pharmacy records.
Collect data based on standardized methodologies and organize data to identify opportunities for improvement.
Perform chart audits electronically during the audit season.
Complete HEDIS training prior to chart abstractions.
Maintain all collected records confidentially.
Promote team concept and reflect Sisters of Providence mission and philosophy.
Communicate collaboratively with clinic and other staff.
Qualifications
Technical certification/licensure in Medical Assistant, Certified Nurse Assistant, or LPN upon hire.
H.S. Diploma or GED.
3+ years medical record audit experience; experience extracting clinical data points from medical records; experience with EMR; comfortable with technology.
2+ years HEDIS, quality management/quality improvement/utilization review auditing experience.
1 year experience in medical field as Medical Assistant, CNA, or LPN.
Associate’s Degree in Nursing or Health Information Management (preferred).
Experience with health plans, project management, data analysis, and/or case review (preferred).
EEO Statement Providence is a committed Equal Opportunity Employer and an affirmative action employer. We are an inclusive workforce and provide equal opportunity for all employees and applicants regardless of race, color, religion, sex, national origin, age, disability, veteran status, or any other protected characteristic.
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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 HEDIS.
Review outpatient medical records, hospital records, clinical lab, and pharmacy records.
Collect data based on standardized methodologies and organize data to identify opportunities for improvement.
Perform chart audits electronically during the audit season.
Complete HEDIS training prior to chart abstractions.
Maintain all collected records confidentially.
Promote team concept and reflect Sisters of Providence mission and philosophy.
Communicate collaboratively with clinic and other staff.
Qualifications
Technical certification/licensure in Medical Assistant, Certified Nurse Assistant, or LPN upon hire.
H.S. Diploma or GED.
3+ years medical record audit experience; experience extracting clinical data points from medical records; experience with EMR; comfortable with technology.
2+ years HEDIS, quality management/quality improvement/utilization review auditing experience.
1 year experience in medical field as Medical Assistant, CNA, or LPN.
Associate’s Degree in Nursing or Health Information Management (preferred).
Experience with health plans, project management, data analysis, and/or case review (preferred).
EEO Statement Providence is a committed Equal Opportunity Employer and an affirmative action employer. We are an inclusive workforce and provide equal opportunity for all employees and applicants regardless of race, color, religion, sex, national origin, age, disability, veteran status, or any other protected characteristic.
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