Description

Providence Health Plan caregivers are not simply valued theyre 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.

Providence Health Plan is calling a Coding Quality Auditor, HEDIS who will:

• Be responsible for conducting clinical quality audits/overreads for the Quality Department



• Identify and reports issues related to clinical audits to determine potential areas for quality improvement within the HEDIS project



• Collect data by way of chart extraction, using objective specifications for the Healthcare Effectiveness and Data Information Set (HEDIS) program



• Conduct Audits inclusive of review of outpatient medical records, hospital records, clinical lab and pharmacy records



• Be responsible for collecting data based on standardized methodologies



• Organize the data to identify and address opportunities for improvement



• Perform chart audits electronically during the audit season



• Complete HEDIS training prior to performing chart abstractions



• Be provided direction regarding charts requiring auditing



• Maintain all collected records in a confidential manner



• Performs all duties in a manner which 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, in a manner that represents Sisters of Providence

Please note the following important detail regarding this HEDIS Seasonal Role:

• This posting is for multiple openings of a Coding Quality Auditor, HEDIS



• This position is affiliated with Providence Health Plan and will be tied to a location and compensation range in Beaverton, Oregon



• Position Type: Temporary, Per Diem, Non Benefitted



• Length of Program Anticipated to last between: January 2026 - May 2026



• Work Schedule: Monday - Friday



• Work Hours Scheduled Weekly: 40



• Additional Info:



• This position will require a full time commitment to the project, meaning no extended time off during the HEDIS Season (January 2026 - May 2026)



• Positions specified as on call/per diem refer to employment consisting of shifts scheduled on an as needed basis to fill in for staff vacancies.

Providence welcomes 100% remote work for applicants who reside in the following states:

• 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 Qualification:

• Technical certification/licensure in the area of Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse upon hire.



• H.S. Diploma or GED.



• 3 years - Medical record audit experience, experience with extraction of clinical data points from medical records, experience with electronic medical records (EMR), comfortable with use of technology. Ability to interpret and understand medical knowledge/terminology in a medical record.



• 2 years - HEDIS, Quality management/quality improvement/utilization review auditing experience, including experience in 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 - Nursing or Healthcare related field, 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. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.

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, well walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) 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.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts 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.

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.

Requsition ID: 403837

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: $See Posting - $See Posting

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.