Senior Compliance & Medical Coding Leader, Risk Adjustment

Kaiser Permanente; Renton (WA); Presencial; USD 110.000 - 170.000; Jornada completa

Descripción de la vacante

Kaiser Permanente is seeking a Compliance Consultant V-Medical Coding to support the Risk Adjustment Coding team within Ethics and Compliance. The role develops project workplans, forecasts staffing needs, timelines, and communicates stakeholder expectations while monitoring QA of coding across lines of business.

The position serves as a subject matter expert on coding compliance, presents audit results to regional staff and senior management, and supports the Principles of Responsibility in

Formación

• Minimum six (6) years medical coding experience.
• Minimum three (3) years experience in a leadership role with or without direct reports.
• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business or related field and Minimum eight (8) years experience in health care compliance, health care operations (quality, risk, etc.), audit, finance, regulatory or public policy development, investigations, information security, or insurance/health plan governance or a directly related field. Additional equivalent work experience in a directly related field may be substituted for the degree requirement.
• Certified Coding Specialist from American Health Information Management Association OR Certified Risk Adjustment Coder from American Academy of Professional Coders OR Certified Professional Coder from American Academy of Professional Coders

Responsabilidades

• Serves as a compliance subject matter expert related to functions within all settings of care.
• Auditing and monitoring the quality of coding assignments across all lines of business.
• Developing project workplans, forecasting staffing needs, developing project timelines, and communicating stakeholder expectations.
• Partnering with internal and external stakeholders to design, implement, and monitor compliance initiatives.

Conocimientos

Leadership

Medical coding

Stakeholder management

Educación

Bachelor's degree (Health Care Administration/Clinical/Law/Public Health/Business)

Descripción del empleo

Kaiser Permanente is seeking a Compliance Consultant V-Medical Coding to support the Risk Adjustment Coding team within Ethics and Compliance. The role develops project workplans, forecasts staffing needs, timelines, and communicates stakeholder expectations while monitoring QA of coding across lines of business.

The position serves as a subject matter expert on coding compliance, presents audit results to regional staff and senior management, and supports the Principles of Responsibility in