Coding Quality Auditor, HEDIS Remote Texas ReqID: 329475 Job Category: Coding Work Location: Murray Business Ctr Beaverton-Beaverton Shift: Day 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. 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 report 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 Perform 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 Length of Program Anticipated to last between: January 2025 - May 2025 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 2025 - May 2025) Providence welcomes 100% remote work for applicants who reside in the United States. Note: Providence is not currently considering applicants who reside in the following States: Hawaii Massachusetts New York Ohio Pennsylvania Required qualifications for this position include: HS Diploma or GED Equivalency Licensure / Certification: Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse 1 years' experience in the medical field as a Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse (LPN) 3 years of medical auditing experience 3 years' experience with extracting clinical data points from medical records 3 years' experience with electronic medical records (EMR) 3 years' experience using technology in day-to-day workflow 3 years' experience interpreting and understanding medical knowledge/terminology in a medical record 2 years of HEDIS experience 2 years' experience working with quality management / quality improvement in a nursing work environment 2 years' experience with utilization review audits 2 years' experience auditing within electronic health records Preferred qualifications for this position include: Associates Degree in Nursing or Healthcare field, Health Information Management Experience working with health plans, project management data analysis and or case review Pay Range: $34.96 - $55.34 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. J-18808-Ljbffr