Revenue Integrity Lead: Coding & Billing

Kaiser Permanente; Pasadena (CA); On-site; USD 90,000 - 130,000; Full time

Job summary

Kaiser Permanente in Pasadena, CA, seeks a senior healthcare coder/billing lead to ensure accurate system coding and compliance with CPT/HCPCS and policies. You will analyze coding guidance, review charge capture, and support revenue cycle improvements across departments.

The role requires leadership experience, deep knowledge of ICD-10, CPT, HCPCS, and regulatory requirements, with a focus on accuracy and process excellence.

Qualifications

• Minimum one year in a leadership role with or without direct reports.
• Minimum two years in medical coding/billing (ICD-10, CPT, HCPCS).
• Bachelor's degree in Business, Finance, Health Information Management, or related field OR eight years in related revenue cycle work.

Responsibilities

• Lead coding/billing activities and ensure accurate charge capture and reflect policy/regulatory requirements.
• Collaborate with departments to resolve deficiencies identified in monitoring activities.
• Provide guidance to physicians and practitioners on coding/billing issues and policies.
• Monitor revenue cycle processes and implement corrective action plans for improvements.
• Maintain CPT/HCPCS codes, descriptions, revenue codes, RVUs, and fee schedules.

Skills

Leadership

Attention to Detail

Healthcare Knowledge

Regulatory Knowledge

Communication

Cross-Functional Collaboration

Analytical Thinking

Problem Solving

Process Improvement

Teamwork

Decision Making

Critical Thinking

Mentoring

Education

Bachelor's degree in Business, Finance, Health Information Management, or related field

Job description

Kaiser Permanente in Pasadena, CA, seeks a senior healthcare coder/billing lead to ensure accurate system coding and compliance with CPT/HCPCS and policies. You will analyze coding guidance, review charge capture, and support revenue cycle improvements across departments.

The role requires leadership experience, deep knowledge of ICD-10, CPT, HCPCS, and regulatory requirements, with a focus on accuracy and process excellence.