Senior Manager, Clinical Documentation Compliance & Coding

Kaiser Permanente; Pasadena (CA); On-site; USD 120,000 - 170,000; Full time

Job summary

Kaiser Permanente in Pasadena, CA seeks a Manager to oversee the Quality Assurance Team of CPC/CCS certified Compliance Auditors, ensuring accurate documentation and coding with regulatory alignment. This role leads audits, analyzes findings, and coaches staff for performance improvement.

The Manager partners with internal and external stakeholders to drive compliance initiatives, reports on risks, and designs strategies to address regulatory changes across multiple business functions.

Qualifications

• Bachelor's degree in Health Care Administration, Public Health, Law, Business or related field and minimum six (6) years experience in compliance, health care operations, audit, finance, regulatory or public policy development, investigations, information security, or insurance/health plan governance or a directly related field.
• Minimum two (2) years experience in a leadership role with or without direct reports.

Responsibilities

• Oversee the quality assurance audits of documentation and coding compliance.
• Manage compliance reporting across one or more functions and present to leadership.
• Lead compliance investigations and develop corrective action plans.
• Coordinate cross-functional projects and stakeholder management.

Skills

Ambiguity Management

Attention to Detail

Leadership

Strategic Thinking

Problem Solving

Communication

Regulatory Knowledge

Project Management

Cross-functional Collaboration

Education

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

Minimum six years experience in compliance, health care operations, audit, finance, regulatory or public policy development

Minimum two years leadership experience

Job description

Kaiser Permanente in Pasadena, CA seeks a Manager to oversee the Quality Assurance Team of CPC/CCS certified Compliance Auditors, ensuring accurate documentation and coding with regulatory alignment. This role leads audits, analyzes findings, and coaches staff for performance improvement.

The Manager partners with internal and external stakeholders to drive compliance initiatives, reports on risks, and designs strategies to address regulatory changes across multiple business functions.