Enterprise Coding Quality Review Manager
6 days ago
As a key member of the Kaiser Permanente team, the Enterprise Coding Quality Review Manager plays a critical role in ensuring compliance with coding guidelines, policies, and procedures at the enterprise level. This position is responsible for planning and performing coding quality reviews/audits, developing educational presentations/webinars, and providing education to the Enterprise on coding and documentation integrity.
Key Responsibilities- Conduct concurrent and/or retrospective coding quality and documentation integrity reviews/audits impacting revenue cycle.
- Assist all stakeholders with coding and documentation integrity questions and provide guidance on coding and documentation related issues/topics.
- Participate and support in the development and presentation of coding education webinars or in-service as needed.
- Support physician documentation and diagnosis code selection/service capture processes, in alignment with regulatory standards and official coding guidelines.
- Minimum of five (5) years of professional fee and/or hospital acute care coding experience.
- Minimum of three (3) years of professional fee and/or hospital acute care quality review/auditing experience.
- Associate degree or Certification in Professional Coding, Health Information Management, Business Administration, Healthcare Administration, or other related field.
- High School Diploma or General Education Development (GED) required.
- Registered Health Information Technician within 3 months of hire OR Certified Professional Coder within 3 months of hire OR Certified Coding Specialist within 3 months of hire OR Certified Outpatient Coder within 3 months of hire OR Registered Health Information Administrator within 3 months of hire OR Certified Inpatient Coder Certification within 3 months of hire.
- CCDS (Certified Clinical Documentation Specialist) credential preferred.
- CDIP (Certified Documentation Improvement Practitioner) credential preferred.
- Bachelors degree in health information management, Business Administration, Healthcare Administration, or another related field.
Kaiser Permanente is a leading healthcare organization dedicated to providing high-quality, patient-centered care to its members. We are committed to innovation, excellence, and compassion in all aspects of our work.
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