Healthcare Coding Compliance Specialist III

Kaiser Permanente; Pasadena (CA); On-site; USD 90,000 - 120,000; Full time

Job summary

KAISER is seeking a Compliance Consultant III, Medical Coding in Pasadena, CA to act as a subject matter expert on coding, compliance, and regulatory requirements. The role conducts audits, analyzes documentation, and develops recommendations to improve compliance and operations.

The position provides consultative support to stakeholders, assists with investigations and regulatory changes, and helps develop training, policies, and corrective actions to support the organization’s compliance

Qualifications

• Minimum two years medical coding experience.
• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business or related field with minimum three years in healthcare compliance, operations, audit, finance, regulatory or policy development.

Responsibilities

• Pursues self-development and creates strong relationships by sharing expertise with coworkers and customers, mentoring others, responding to feedback, and adapting to change.
• Performs tasks with up-to-date expertise to generate solutions, ensuring procedures are followed and collaborating cross-functionally to solve problems.
• Conducts company compliance activities under guidance, applying regulations and documenting activities.
• Assists with compliance reporting by collecting and analyzing data and reporting key drivers to senior team members.
• Assists with compliance investigations by data analysis, interviews, and determining corrective steps.
• Supports project work by coordinating stakeholder contacts and developing deliverables and schedules.
• Monitors regulatory changes and supports implementation of updates to ensure ongoing compliance.
• Assists in developing and revising basic compliance standards, policies, and training; monitors adherence.

Skills

Medical coding experience

Coding audit experience

Education

Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business or related field

Certified Risk Adjustment Coder (AAPC)

Certified Coding Specialist (AHIMA)

Certified Professional C coder (AAPC)

Job description

KAISER is seeking a Compliance Consultant III, Medical Coding in Pasadena, CA to act as a subject matter expert on coding, compliance, and regulatory requirements. The role conducts audits, analyzes documentation, and develops recommendations to improve compliance and operations.

The position provides consultative support to stakeholders, assists with investigations and regulatory changes, and helps develop training, policies, and corrective actions to support the organization’s compliance