Remote CA Licensed Compliance & Coding Manager

Kaiser Permanente; United States; On-site; USD 95,000 - 125,000; Full time

Job summary

Kaiser Permanente is seeking a full-time California Licensed Compliance Manager to oversee health plan risk adjustment compliance, coding audits, and regulatory adherence while working remotely within authorized states. The role emphasizes leadership in audit planning and collaboration with internal stakeholders.

Key responsibilities include evaluating compliance data for reporting to senior management, overseeing coding validation and documentation reviews, and implementing strategic compliance

Qualifications

• Minimum five (5) years of medical coding experience.
• Minimum two (2) years of experience in a leadership role.
• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or a related field, along with six (6) years of relevant experience.
• Certified Risk Adjustment Coder or Certified Coding Specialist from recognized professional organizations
• Experience in health care compliance, audit, or regulatory policy development

Responsibilities

• Manage compliance reporting efforts by evaluating compliance data and presenting findings to senior management
• Oversee coding validation and documentation reviews to ensure accurate risk capture and compliance with coding policies
• Develop and implement strategic compliance initiatives and audit plans in collaboration with internal stakeholders

Skills

Medical coding

Leadership

Education

Bachelor's degree plus 6 years experience

Job description

Kaiser Permanente is seeking a full-time California Licensed Compliance Manager to oversee health plan risk adjustment compliance, coding audits, and regulatory adherence while working remotely within authorized states. The role emphasizes leadership in audit planning and collaboration with internal stakeholders.

Key responsibilities include evaluating compliance data for reporting to senior management, overseeing coding validation and documentation reviews, and implementing strategic compliance