Senior Risk Adjustment Coding Compliance Consultant

Kaiser Permanente; Oakland (CA); Remote; USD 120,000 - 170,000; Full time

Job summary

Kaiser Permanente is seeking a Compliance Consultant V-Medical Coding to serve on the Risk Adjustment Coding Compliance team. The role supports audits, develops work plans, forecasts staffing, and communicates stakeholder expectations while monitoring QA of coding across all care settings.

The candidate will act as a compliance SME on national coding policies, assist with audits, and present results to regional and senior leadership while aligning with the Principles of Responsibility.

Qualifications

• Six years minimum medical coding experience.
• Three years minimum in a leadership role (with or without direct reports).
• Bachelor's degree in a health-related field; eight years in health care compliance or related areas.

Responsibilities

• Lead and coordinate compliance projects, audits, and reporting.
• Develop work plans, timelines, and resource forecasts to meet priorities.
• Monitor quality assurance of coding practices and audits across lines of business.
• Present audit results to regional staff and senior management and support KP's code of conduct.

Skills

Leadership

Communication

Regulatory knowledge

Problem solving

Education

Bachelor's degree in health care related field

Certified Coding Credential (CCS/CPC/RAC)

Job description

Kaiser Permanente is seeking a Compliance Consultant V-Medical Coding to serve on the Risk Adjustment Coding Compliance team. The role supports audits, develops work plans, forecasts staffing, and communicates stakeholder expectations while monitoring QA of coding across all care settings.

The candidate will act as a compliance SME on national coding policies, assist with audits, and present results to regional and senior leadership while aligning with the Principles of Responsibility.