Senior Documentation Quality Auditor

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

Job summary

KAISER in Oakland, CA is seeking a Documentation Quality Auditor IV to support coding quality audits, reviews, and monitoring to ensure accurate documentation and compliance with regulatory and reimbursement requirements. The role involves trend analyses, audit reporting, and guiding teams in updating processes to meet external guidelines.

Ideal candidates will have ICD-10-CM/PCS, CPT, HCPCS coding experience and professional credentials, with a track record in quality improvement and

Qualifications

• Minimum 2 years of ICD-10-CM/PCS, CPT and HCPCS coding with chart auditing or reviews.
• Associates degree in Health Information Management or related field with 5+ years in healthcare compliance, operations, audit, or coding (or 6+ years without degree).
• Required certifications at hire: RHIT, RHIA, CPC, CCS or CCS-P.

Responsibilities

• Promotes learning and cross-functional collaboration.
• Delivers autonomous work, supports projects, and guides teams to follow procedures.
• Performs audit analyses and prepares reports detailing opportunities and risks.
• Ensures alignment with national, state, and KP-specific guidelines and coordinates with stakeholders.

Skills

Ambiguity/Uncertainty Management

Attention to Detail

Business Knowledge

Communication

Critical Thinking

Cross-Group Collaboration

Decision Making

Dependability

Diversity, Equity, and Inclusion

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

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

Quality Improvement

Written Communication

Job description

KAISER in Oakland, CA is seeking a Documentation Quality Auditor IV to support coding quality audits, reviews, and monitoring to ensure accurate documentation and compliance with regulatory and reimbursement requirements. The role involves trend analyses, audit reporting, and guiding teams in updating processes to meet external guidelines.

Ideal candidates will have ICD-10-CM/PCS, CPT, HCPCS coding experience and professional credentials, with a track record in quality improvement and