Supervisor, Compliance - CPC or CCS Certified

Kaiser Permanente; Lancaster (CA); Sur place; USD 102 000 - 131 000; Plein temps

Résumé du poste

Kaiser Permanente seeks a Supervisor of Compliance to lead education and training for physicians and providers on medical record documentation, risk adjustment, and compliance activities. You will supervise a small team, manage projects, and collaborate with clinicians and administrative leaders to implement company compliance initiatives.

The role requires in‑depth knowledge of medical coding and risk adjustment in ambulatory settings and involves developing training materials and regulatory

Qualifications

• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business or related field.
• Minimum six (6) years experience in compliance, health care operations, audit, finance, regulatory or related fields.

Responsabilités

• Oversee daily activities of the compliance team and ensure policies are followed.
• Develop and present training materials on medical record documentation and risk adjustment.
• Coordinate cross‑functional compliance projects and implement regulatory changes.
• Develop compliance reports and conduct investigations as needed.
• Collaborate with physicians, APPs and administrative leaders to drive compliance initiatives.

Connaissances

Leadership

Communication

Regulatory compliance

Project management

Team supervision

Formation

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

Description du poste

The Supervisor of Compliance will provide support, education and training to physicians and other providers on medical record documentation, risk adjustment, and compliance activities and implementation. They will make consultative presentations to various organizational levels; assist with regulatory compliance; manage a small team; and collaborate with physicians, advanced practice providers (APPs), and administrative leaders. The role also involves managing projects or compliance components of larger cross‑functional projects, developing, and coordinating plans, and working with stakeholders. This will include the supervision and coordination of daily activities of the designated work team; development and presentation of training materials and/or reports related to medical record documentation and risk adjustment; and implementation of company compliance activities. The position requires in‑depth knowledge of medical coding and risk adjustment, especially in the ambulatory space.

Job Summary

This position is primarily responsible for leading company compliance activities in collaboration with internal and external stakeholders and providing insight and recommendations for the design, development, and execution of strategic compliance initiatives. Responsibilities include developing compliance reports, conducting compliance investigations, coordinating implementation of compliance efforts, and assisting with regulatory compliance through monitoring regulatory changes. This position also supports the management of projects or compliance components of larger cross‑functional projects including assisting in development and coordination of plans and coordinating with stakeholders.

Essential Responsibilities

• Pursues professional growth by soliciting and acting on performance feedback; building collaborative relationships; training and developing talent for growth opportunities; delegating tasks and decisions; fostering open dialogue amongst team members; supporting execution of performance management guidelines and expectations; ensuring team collaboration; providing team members feedback; and mentoring and coaching to drive performance improvement.
• Supervises and coordinates daily activities of designated work team or unit by monitoring the execution and completion of tactical action items and work assignments; ensuring all policies and procedures are followed; delegating tasks to meet short term objectives; aligning team efforts and measuring progress in achieving results; identifying and recommending improvement opportunities; and removing obstacles that impact performance.
• Leads company compliance activities by collaborating with internal and external stakeholders; applying established regulations and standards to compliance efforts; providing insight and recommendations for the design, development, and execution of strategic compliance initiatives; and documenting compliance activities.
• Develops compliance reports by evaluating and summarizing compliance data, audit information, and potential risks and remedies; reporting to management on key compliance drivers, liabilities, and performance indicators (for example, adherence to standards, incorporation of new regulations); and developing draft presentations to convey key findings.
• Conducts compliance investigations by collecting and analyzing quantitative and qualitative data; conducting interviews as appropriate; researching key business issues; identifying potential action steps; and providing input for the creation of corrective action plans for substantiated allegations.
• Supports the management of projects or compliance components of larger cross‑functional projects by coordinating stakeholder contacts; recommending team resources based on project needs and team member strengths; assisting in the development, analysis, and management of project plans; and coordinating project schedules and resource forecasts.
• Assists with ensuring regulatory compliance by monitoring regulatory changes; conducting analysis on regulatory impacts; and supporting the implementation of designated changes.
• Coordinates the implementation of compliance efforts by identifying compliance requirements; assessing the current state of compliance to identify gaps and corrective actions; creating or revising moderately complex compliance standards, policies and procedures, and training; and monitoring ongoing compliance adherence.

Minimum Qualifications

• Bachelors degree in Health Care Administration, Clinical, Law, Public Health, Business or related field AND Minimum six (6) years experience in 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.

Preferred Qualifications

• Two (2) years experience in a leadership role with or without direct reports.
• Four (4) years experience in privacy and security compliance.

Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.

Job Duties

For jobs where work will be performed in unincorporated LA County, the employer provides the following statement in accordance with the Los Angeles County Fair Chance Ordinance. Criminal history may have a direct, adverse, and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment:

• Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licensure requirements (where applicable), and Kaiser Permanente's policies and procedures.
• Models and reinforces ethical behavior in self and others in accordance with the Principles of Responsibility, adheres to organizational policies and guidelines; supports compliance initiatives; maintains confidences; admits mistakes; conducts business with honesty, shows consistency in words and actions; follows through on commitments.
• Job duties with at least occasional or possible access to: (1) patients, the general public, or other employees; (2) confidential protected health information and other confidential KP information (including employee, proprietary, financial or trade secret information); (3) KP property and assets, for example, electronic assets, medical instruments, or devices; (4) controlled substances regulated by federal law or potentially subject to diversion.

Primary Location: California,Lancaster,Antelope Valley Medical Offices

Scheduled Weekly Hours: 40

Shift: Day

Workdays: Mon, Tue, Wed, Thu, Fri

Working Hours Start: 08:00 AM

Working Hours End: 05:00 PM

Job Schedule: Full-time

Job Type: Standard

Worker Location: Flexible

Employee Status: Regular

Employee Group/Union Affiliation: NUE-SCAL-01|NUE|Non Union Employee

Job Level: Team Leader/Supervisor

Department: Regional Offices - Pasadena - Med Center Compliance Ops - 0806

Pay Range: $101600 - $131450 / year

Travel: Yes, 10 % of the Time

Work Setting: Flexible

Worker location must align with Kaiser Permanente's Authorized States policy.

Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.