Kaiser Permanente-posted 3 months ago
Pasadena, CA
Religious, Grantmaking, Civic, Professional, and Similar Organizations

This position is flexible and must be based in a KP location, CA, OR, CO, WA, GA, MD, VA, HI or D.C. In addition to the responsibilities listed below, the position is responsible for serving as a compliance subject matter expert related to coding functions within all settings of care, maintaining compliance with national coding policies and procedures, assisting with coding questions and related topics, and auditing all lines of business for coding. Additionally, this position is responsible for assisting with the development of audit result reports to regional staff and senior management and supporting compliance and the Principles of Responsibility (KPs code of conduct).

  • Practices self-development and promotes learning in others by proactively providing information, resources, advice, and expertise with coworkers and customers.
  • Completes work assignments and supports business-specific projects by applying expertise in subject area and ensuring team follows all procedures and policies.
  • Conducts company compliance activities by collaborating with internal and external stakeholders and documenting compliance activities.
  • Develops compliance reports by evaluating and summarizing compliance data, audit information, and potential risks and remedies.
  • Conducts compliance investigations by collecting and analyzing quantitative and qualitative data and providing input for the creation of corrective action plans.
  • Assists with and supports the management of projects or compliance components of larger cross-functional projects.
  • Assists with ensuring regulatory compliance by monitoring regulatory changes and supporting the implementation of designated changes.
  • Coordinates the implementation of compliance efforts by identifying compliance requirements and monitoring ongoing compliance adherence.
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