Remote CA Licensed Compliance Lead — Medical Coding & Audit

Kaiser Permanente; United States; On-site; USD 110,000 - 170,000; Full time

Job summary

Kaiser Permanente is seeking a full-time California Licensed Compliance Consultant to support Health Plan Risk Adjustment operations. The role focuses on managing government audit readiness, compliance oversight, and internal quality assurance reviews while working remotely to ensure accurate risk capture and coding integrity.

Key responsibilities include partnering with stakeholders to ensure standards adherence, leading compliance reporting, and driving regulatory compliance by monitoring

Qualifications

• Six years of medical coding experience required.
• Three years in a leadership role required.
• Bachelor's degree with eight years of relevant experience.
• Certified Coding Specialist or equivalent certification required.
• Experience in health care compliance, operations, audit or regulatory policy development.

Responsibilities

• Conduct compliance activities by partnering with stakeholders and applying regulations to ensure adherence to standards.
• Lead compliance reporting efforts, evaluate data and present findings to management and stakeholders.
• Drive regulatory compliance by monitoring changes and implementing adjustments to standards and procedures.

Skills

Medical coding

Leadership

Regulatory compliance

Education

Bachelor's degree in Health Care Administration or related field

Certified Coding Specialist

Job description

Kaiser Permanente is seeking a full-time California Licensed Compliance Consultant to support Health Plan Risk Adjustment operations. The role focuses on managing government audit readiness, compliance oversight, and internal quality assurance reviews while working remotely to ensure accurate risk capture and coding integrity.

Key responsibilities include partnering with stakeholders to ensure standards adherence, leading compliance reporting, and driving regulatory compliance by monitoring