Providence Health & Services
Coding Quality Auditor, HEDIS *Remote*
Providence Health & Services, Albuquerque, New Mexico, United States
Coding Quality Auditor, HEDIS (Remote)
– Providence Health & Services
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 in the HEDIS project.
Collect data by chart extraction using objective specifications for the Healthcare Effectiveness and Data Information Set (HEDIS) program.
Perform audits 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 required for auditing.
Maintain all collected records confidentially.
Promote teamwork and reflect the mission and philosophy of the Sisters of Providence.
Communicate collaboratively with clinic and other staff.
Required Qualifications
Technical certification/licensure in Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse upon hire.
High school diploma or GED.
3 years of medical record audit experience, extraction of clinical data points from medical records, and comfortable with electronic medical records (EMR).
2 years of HEDIS, quality management/quality improvement/utilization review auditing experience within electronic health records.
1 year of experience as a Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse (LPN).
Preferred Qualifications
Associate’s Degree in Nursing or a healthcare-related field, Health Information Management degree.
Experience with health plans, project management, data analysis, and/or case review.
Work Schedule and Remote Work This is a temporary, per diem, non-benefitted seasonal role scheduled January 2026 – May 2026 with a location in Beaverton, Oregon. Applicants residing in Alaska, Washington, Montana, Oregon, California, Texas (Levalland, Lubbock, or Plainview area), or New Mexico may work 100 % remote.
Equal Opportunity Employer
– Providence is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, gender, sexual orientation, age, disability, veteran status, or any other protected status.
#J-18808-Ljbffr
– Providence Health & Services
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 in the HEDIS project.
Collect data by chart extraction using objective specifications for the Healthcare Effectiveness and Data Information Set (HEDIS) program.
Perform audits 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 required for auditing.
Maintain all collected records confidentially.
Promote teamwork and reflect the mission and philosophy of the Sisters of Providence.
Communicate collaboratively with clinic and other staff.
Required Qualifications
Technical certification/licensure in Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse upon hire.
High school diploma or GED.
3 years of medical record audit experience, extraction of clinical data points from medical records, and comfortable with electronic medical records (EMR).
2 years of HEDIS, quality management/quality improvement/utilization review auditing experience within electronic health records.
1 year of experience as a Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse (LPN).
Preferred Qualifications
Associate’s Degree in Nursing or a healthcare-related field, Health Information Management degree.
Experience with health plans, project management, data analysis, and/or case review.
Work Schedule and Remote Work This is a temporary, per diem, non-benefitted seasonal role scheduled January 2026 – May 2026 with a location in Beaverton, Oregon. Applicants residing in Alaska, Washington, Montana, Oregon, California, Texas (Levalland, Lubbock, or Plainview area), or New Mexico may work 100 % remote.
Equal Opportunity Employer
– Providence is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, gender, sexual orientation, age, disability, veteran status, or any other protected status.
#J-18808-Ljbffr