Senior Documentation & Coding Quality Auditor

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

Job summary

Kaiser Permanente in Pleasanton, California seeks a Documentation Quality Auditor IV to support coding quality audits and regulatory alignment across lines of business. You will analyze coding and documentation, develop audit reports, and assist teams in implementing new processes to ensure compliance with state and federal requirements.

Minimum qualifications include two years of ICD-10-CM/CPT/HCPCS coding experience with audits, plus an associate degree and relevant certifications as listed.

Qualifications

• Minimum two (2) years of experience in ICD-10-CM, CPT andHCPCS coding, including chart auditing, and/or coding reviews.
• Associates degree in Health Information Management, Health Care Administration, or related field AND minimum five (5) years of experience in health care compliance, health care operations (quality, risk), audit, insurance/health plan governance, coding, medical record review, or a directly related field OR Minimum six (6) years of experience in health care compliance, health care operations (quality, risk), audit, insurance/health plan governance, coding, medical record review, or a directly related field.
• Registered Health Information Technician required at hire OR Certified Coding Specialist - Physician Based required at hire OR Registered Health Information Administrator required at hire OR Certified Professional Coder required at hire OR Certified Coding Specialist required at hire

Skills

Ambiguity Mgmt

Attention to Detail

Business Knowledge

Communication

Critical Thinking

Cross-Group Collaboration

Decision Making

Dependability

Diversity & Inclusion Support

Drives Results

Facilitation Skills

Health Care Industry

Influencing Others

Integrity

Learning Agility

Organizational Savvy

Problem Solving

Short- and Long-term Learning & Recall

Teamwork

Topic-Specific Communication

Education

Associates degree in Health Information Management, Health Care Administration, or related field

Tools

Audits

Compliance Management

Data Quality

Execution Excellence

Health Care Compliance

Health Information Systems

Information Gathering

Internal Audit Processes

Maintain Files and Records

Medical Coding

Medical Terminology

Quality Assurance and Effectiveness

Quality Improvement

Written Communication

Job description

Kaiser Permanente in Pleasanton, California seeks a Documentation Quality Auditor IV to support coding quality audits and regulatory alignment across lines of business. You will analyze coding and documentation, develop audit reports, and assist teams in implementing new processes to ensure compliance with state and federal requirements.

Minimum qualifications include two years of ICD-10-CM/CPT/HCPCS coding experience with audits, plus an associate degree and relevant certifications as listed.