Senior Compliance Coding Consultant, Risk Adjustment

Kaiser Permanente; Oakland (CA); On-site; USD 120,000 - 160,000; Full time

Job summary

Kaiser Permanente in Oakland seeks a Compliance Consultant V-Medical Coding to lead and manage complex risk adjustment coding reviews and audits. You will develop project workplans, forecast staffing needs, and communicate stakeholder expectations while monitoring QA across all coding activities.

The role requires presenting audit results to regional staff and senior management and ensuring adherence to national coding policies across all settings of care.

Qualifications

• Six years of medical coding experience required.
• Three years in a leadership role preferred.
• Bachelor's degree and eight years in related fields may substitute for the degree requirement.

Responsibilities

• Lead compliance projects with cross-functional stakeholders.
• Oversee QA of risk adjustment coding.
• Develop and present audit results to management.
• Monitor regulatory changes and implement actions.

Skills

Leadership

Stakeholder management

Project management

Regulatory awareness

Analytical skills

Education

Bachelor's degree in Health Care Administration or related field

Tools

Coding systems

Job description

Kaiser Permanente in Oakland seeks a Compliance Consultant V-Medical Coding to lead and manage complex risk adjustment coding reviews and audits. You will develop project workplans, forecast staffing needs, and communicate stakeholder expectations while monitoring QA across all coding activities.

The role requires presenting audit results to regional staff and senior management and ensuring adherence to national coding policies across all settings of care.