Coding Quality Auditor, HEDIS *Remote*
Company: Providence Health & Services
Location: Beaverton
Posted on: November 19, 2023
Job Description:
Providence Jobs - Coding Quality Auditor, HEDIS *Remote* in
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Jobs Military Experience -COVID-19 Advisory - Vaccine policy and
hiring information for job seekers Coding Quality Auditor, HEDIS
*Remote* Montana ReqID: 234626 Job Category: Coding Schedule: Part
time Work Location: Murray Business Ctr Beaverton-Beaverton
DescriptionProvidence 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 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 Audit 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 ProvidencePlease note the following important details regarding
this HEDIS Seasonal Role:
- Position Type: Temporary, Per Diem, Non Benefitted
- Length of Program Anticipated to last between: January 2024 -
May 2024
- 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 - May 2024)Positions specified an "on
call/per diem" refer to employment consisting of shifts scheduled
on an "as needed basis" to fill in for staff vacancies.This posting
is for multiple openings of a Coding Quality Auditor, HEDIS
position. This role is considered to be a remote position and can
be worked from the majority of States within the United
States.Please note Providence cannot hire within the following
States:
- Colorado
- Hawaii
- Massachusetts
- New York
- Ohio
- PennsylvaniaRequired qualifications for this position include:
- HS Diploma or GED Equivalency
- 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 work
flow
- 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 electronic health
recordsPreferred 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 reviewWhy 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.About ProvidenceAt 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, we'll
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.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.Check out
our benefits page for more information about our Benefits and
Rewards.About the TeamProvidence 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.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.We are committed to cultural
diversity and equal employment for all individuals. It is our
policy to recruit, hire, promote, compensate, transfer, train,
retain, terminate, and make all other employment-related decisions
without regard to race, color, religious creed (including religious
dress and grooming practices), national origin (including certain
language use restrictions), ancestry, disability (mental and
physical including HIV and AIDS), medical condition (including
cancer and genetic characteristics), genetic information, marital
status, age, sex (which includes pregnancy, childbirth,
breastfeeding and related medical conditions), gender, gender
identity, gender expression, sexual orientation, genetic
information, and military and veteran status or any other
applicable legally protected status. We will also provide
reasonable accommodation to known physical or mental limitations of
an otherwise qualified caregiver or applicant for employment,
unless the accommodation would impose undue hardship on the
operation of our business.We are a community where all people,
regardless of differences, are welcome, secure, and valued. We
value respect, appreciation, collaboration, diversity, and a shared
commitment to serving our communities. We expect that all workforce
members in our community will act in ways which reflect a
commitment to and accountability for, racial and social justice and
equality in the workplace. As such, we will maintain a workplace
free of discrimination and harassment based on any applicable
legally protected status. We also expect that all workforce members
will maintain a positive workplace free from any unacceptable
conduct which creates an intimidating, hostile, or offensive work
environment.Requsition ID: 234626
Company: Providence Jobs
Job Category: Coding
Job Function: Revenue Cycle
Job Schedule: Part time
Job Shift:
Career Track:
Department: 5018 HCS QUALITY MANAGEMENT OR REGION
Address: OR Beaverton 3601 SW Murray Blvd
Work Location: Murray Business Ctr Beaverton-Beaverton
Pay Range: $30.48 - $49.21
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.
Check out our benefits page for more information about our Benefits
and Rewards.Providence is proud to be an Equal Opportunity
Employer. Providence does not discriminate 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. Please be advised
that our application system will be unavailable on Friday, October
13 from 7:00 p.m. PT thru Saturday, October 14 at 1 a.m. PT as we
implement enhancements. Pay Range: $30.48 - $49.21 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.Check out our benefits page for more
information about our Benefits and Rewards. Apply Now Providence
Caregivers
Apply Here Not Ready to Apply?
Join Our Talent Network Please be advised that our application
system will be unavailable on Friday, October 13 from 7:00 p.m. PT
thru Saturday, October 14 at 1 a.m. PT as we implement
enhancements. Apply Now Providence Caregivers
Apply Here Not Ready to Apply?
Join Our Talent Network Benefits Spotlight In addition to medical,
dental and vision insurance effective on day one, unique total
rewards include:
- Public Service Loan Forgiveness (PSLF)
- Comprehensive wellbeing program
- Bright Horizons Back-Up Care---
- And many more! Check out our benefits page for more
information.
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Keywords: Providence Health & Services, Beaverton , Coding Quality Auditor, HEDIS *Remote*, Accounting, Auditing , Beaverton, Oregon
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