Risk Adjustment Compliance & Coding Auditor

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

Job summary

Kaiser Permanente is seeking a Compliance Specialist focused on coding functions within all settings of care to ensure alignment with national coding policies and procedures. You will assist with audit readiness, develop compliant documentation, and support regional leadership with findings and corrective actions.

You will partner with operational, clinical, and compliance teams to sustain regulatory adherence, drive quality improvements, and maintain the KP code of conduct across all lines of

Qualifications

• Minimum four (4) years medical coding experience.
• Bachelor’s degree in Health Care Administration, Clinical, Law, Public Health, Business or related field with six (6) years in healthcare compliance or related areas.
• Professional coding certifications (CRAC/CCS/CPC) required or equivalent.

Responsibilities

• Ensure compliance with national coding policies across care settings.
• Audit readiness, documentation review, and regulatory oversight.
• Collaborate with operational, clinical, and compliance teams to identify risks and drive improvements.
• Develop audit result reports for regional staff and senior management.

Skills

Medical coding experience

Regulatory compliance

Auditing

Cross-functional collaboration

Education

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

Tools

CRAC/CCR/CPC certifications

Job description

Kaiser Permanente is seeking a Compliance Specialist focused on coding functions within all settings of care to ensure alignment with national coding policies and procedures. You will assist with audit readiness, develop compliant documentation, and support regional leadership with findings and corrective actions.

You will partner with operational, clinical, and compliance teams to sustain regulatory adherence, drive quality improvements, and maintain the KP code of conduct across all lines of