Jobs in the United States

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Added just now
Compliance Program Advisor
PNC Bank NA
PA · Cleveland, OH
At PNC, our people are our greatest differentiator and have competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. We work…
Added just now
LC
Manager, Airport Security
Lee County Port Authority
Fort Myers, FL
- $85,689 to $102,398 USD / year
Must have Criminal Justice Information Services (CJIS) certification, or the ability to obtain CJIS certification within six months of hire
Added 1 min ago
Finance Director (TS/SCI with Polygraph Clearance Required)
Fluor
Reston
The Finance Manager position is a dedicated position on the customer site supporting a government working capital fund life support/facilities operation and maintenance contract. The…
Added 2 mins ago
MC
Bilingual Family Support Services Provider LOCATION: Los Banos
Merced County Office of Education
Merced, CA
- $22.54 to $24.88 USD / hour
PHYSICAL REQUIREMENTS: Employees in this position must have the ability to:
Added 2 mins ago
Q
System Integration Build Manager - 1126
Quantinuum
US Broomfield, CO
- $163,000 to $219,000 USD / year
YOU MUST HAVE:
Added 3 mins ago
LR
Pharmacist (85817)
LAKE REGION HEALTHCARE
FERGUS FALLS, MN
- $64.91 to $83.32 USD / hour
Lake Region Healthcare provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race,…
Added 3 mins ago
TT
Sr. Manager, Clinical Programs
TRC Total Renal Care Inc
United States
- $85,000 to $135,000 USD / year
We are seeking an experienced Senior Manager, Clinical Programs (Clinical Transformation) to spearhead the implementation and scaling of our enterprise-wide Patient Activation strategy. In…
Added 4 mins ago
Sr Integrated Product Support Engineer, IPS Lead
Sierra Nevada Corporation
Hagerstown, MD
Qualifications You Must Have:
Added 4 mins ago
Staff Product Manager, Voice & Telephony
ServiceTitan, Inc.
Remote, United States
We’re looking for a Staff Product Manager to own the vision, strategy, roadmap, and delivery for the voice platform behind our telephony products. You’ll shape how calls are carried,…
Added 4 mins ago
Commercial Parts Pro
Advance Stores Company Inc (500)
Stafford Springs, CT
· Understand Commercial profitability concepts, including knowledge of competition, market opportunities, and customer prioritization (may work with the Commercial Account Manager to…
Added 5 mins ago
HUMAN RESOURCES DIRECTOR
City of Jonesboro
Jonesboro, GA
The Human Resources Director serves as the City's chief human resources professional and is responsible for planning, organizing, directing, and administering all human resource functions…
Added 5 mins ago
AH
Advisor, Data Governance & Partner Data Services
Altais Health Solutions
Remote, United States
- $172,000 to $200,000 USD / year
The Advisor, Data Governance & Partner Data Services is accountable for the governance of Altais’ data and for the business side of Altais’ partner data relationships. This role defines…
Added 6 mins ago
SO
Acquisitions Archivist
State of Washington
Olympia, WA
- $4,406 to $5,928 USD / month
…integrity, service excellence, visionary leadership, collaboration and teamwork. It is committed to both employee growth and work-life balance. The benefits of working in state government…
Added 6 mins ago
SO
After-Hours Social Service Specialist 2-3 In Training (SSS3) - Yakima
State of Washington
Yakima, WA
- $31.64 to $44.68 USD / hour
…with a training plan to advance to the goal class. The Hiring Manager will evaluate the education and experience of each candidate for one of the levels mentioned…
Added 6 mins ago
SO
Research Archivist
State of Washington
Ellensburg, WA
- $4,980 to $6,708 USD / month
…integrity, service excellence, visionary leadership, collaboration and teamwork. It is committed to both employee growth and work-life balance. The benefits of working in state government…
Added 6 mins ago
SO
Advanced Training Programs Specialist - Washington State Ferries
State of Washington
Seattle, WA
- $5,644.75 to $7,585.17 USD / month
Maintain participant and compliance records; provide program updates, figures, and feedback to the Advanced Training Programs Manager to support oversight and improvement.
Added 6 mins ago
SO
PROGRAM SPECIALIST 2
State of Washington
Remote, United States
- $3,827 to $5,111 USD / month
The Washington State Criminal Justice Training Commission (WSCJTC) is seeking a Program Specialist 2 to join our Curriculum Unit’s Instructional Systems Design team. This position is…
Added 8 mins ago
UNIV – Fiscal Analyst II – Department of Otolaryngology – Head & Neck Surgery
Medical University of South Carolina (MUSC - Univ)
United States
15% - Conducts quarterly and periodic reviews of the departments Programs, Projects, and Trusts in OurDay, including discretionary accounts, CME accounts, and other accounts as requested by…
Added 9 mins ago
AF
Associate Residential Loan Originator
ALERO FINANCIAL CREDIT UNION
Elgin, IL
- $25.77 to $38.66 USD / hour
…Loan Originator works within assigned production expectations and authority, follows Alero Financial lending standards, and receives coaching and oversight from the Real Estate Lending…
Added 9 mins ago
FP
Assistant Manager of Data Systems and Student Advising
Framingham Public Schools
Framingham, MA
- $66,000 to $67,000 USD / year
The Assistant Manager of Data Systems and Student Advising serves as a key administrative supervisor managing the daily operations of student advising and the overarching administrative…
Added 10 mins ago
Operations Manager Trainee
WM
Orlando, FL
The Operations Manager Trainee (OMT) program is a structured 5-month leadership development program designed to prepare you for a front-line Operations Manager (OM) role. During training,…
Added 10 mins ago
EM
Housekeeper Part Time-101020
ESA Management, LLC
Tracy, CA
- Part-time
Disclaimer: Compensation may vary based on role, level, experience, length of time in a position, and location. Candidates are not guaranteed to be at the high or low end of the…
Added 11 mins ago
FT
Product Specialist - Franklin Equity
Franklin Templeton
San Mateo, CA
- $135,000 to $155,000 USD / year
Hybrid work schedule (4 days in office)
Added 11 mins ago
C
Manager Quality Analytics, Quality Incentive Programs
CalOptima
Orange, CA
- From $99,902 USD / year
The Manager of Quality Analytics (Quality Incentive Programs) will be responsible for leading the development, implementation and evaluation of CalOptima Health's provider, health network…
Added 12 mins ago
DC
Planner I,II,III
Duchesne County
Duchesne, UT
- $22 to $36 USD / hour
Represents County interests in discussions with federal, state, and local agencies that own or control land within the County. Prepares reports and recommendations for County Commissioners…

Kaiser Permanente

Manager, Coding Quality Review

Santa Clara, CA, United States

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Job details

Posting language: English
Posted: Nov 12, 2026

Original job description

Job Summary:

Manages coding quality audits by training and coordinating team members on best practices in conducting special projects, audits, reviews, and/or monitoring. Manages audit analysis and report writing by leading team members in implementing new strategies in comparing coding and documentation across the enterprise to identify potential risks and remedies, and sharing pattern and trend analysis summary reports at the market level that identify opportunities found within reports/reviews. Manages enhancements to coding integrity by overseeing the implementation and evaluation of new departmental processes and workflows to ensure their effectiveness at addressing all noted opportunities, and resolving identified issues at the market level. Manages compliance by providing guidance to team members interpreting national, state, and KP-specific coding, billing, and documentation guidelines/guidance for KPs leadership, attorneys, physicians, coders, compliance, and billers to ensure consistent and accurate implementation and compliance with external regulations.

Essential Responsibilities:

Provides developmental opportunities for others; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; works closely with employees to set goals and provide open feedback and coaching to drive performance improvement. Pursues professional growth; develops and provides training and development to talent for growth opportunities; supports execution of performance management guidelines and expectations. Leads, adapts, implements, and stays up to date with organizational change, challenges, feedback, best practices, processes, and industry trends. Fosters open dialogue amongst team members, engages, motivates, and promotes collaboration within and across teams. Delegates tasks and decisions as appropriate; provides appropriate support, guidance, and scope; encourages development and consideration of options in decision making.
Manages designated work unit or team by translating business plans into tactical action items; oversees the completion of work assignments and identifies opportunities for improvement; ensures all policies and procedures are followed. Aligns team efforts; builds accountability for and measuring progress in achieving results; determines and ensures processes and methodologies are implemented; resolves escalated issues as appropriate; sets standards and measures progress. Fosters the development of work plans to meet business priorities and deadlines; obtains and distributes resources. Removes obstacles that impact performance; identifies and addresses improvement opportunities; guides performance and develops contingency plans accordingly; influences teams to execute in alignment with operational objectives.
Manages audit analysis and report writing by: leading team members in implementing new strategies in comparing coding and documentation across the enterprise to identify potential risks and remedies; validating trend analyses to identify patterns and variations at the market level in coding practices, key compliance drivers, liabilities, and performance indicators (e.g., adherence to standards, incorporation of new regulations), and sharing feedback with team members as needed; and sharing pattern and trend analysis summary reports at the market level that identify opportunities found within reports/reviews.
Manages coding quality audits by: overseeing and evaluating the auditing program for coding compliance to assess accuracy of all code assignments and adequacy of documentation to support the codes chosen; training and coordinating team members on best practices in conducting special projects, audits, reviews, and/or monitoring; assessing the effectiveness and ease of use of processes, and revising as necessary; and ensuring that all special projects, audits, reviews, and/or monitoring align with state and federal regulatory and reimbursement requirements, current documentation, and coding guidelines.
Manages compliance by: providing guidance to team members interpreting national, state, and KP-specific coding, billing, and documentation guidelines/guidance for KPs leadership, attorneys, physicians, coders, compliance, and billers to ensure consistent and accurate implementation and compliance with external regulations; empowering staff to attend national committees; and planning and removing barriers to allow others to attend National Compliance programs to assure maximum utilization of coding resources when conducting special projects, monitoring, reviews, and/or audits.
Manages enhancements to coding integrity by: coaching and monitoring team members who are assisting with the identification of coding/documentation trends and opportunities; overseeing the implementation and evaluation of new departmental processes and workflows to ensure their effectiveness at addressing all noted opportunities, and resolving identified issues at the market level; and managing improvements for communicating up-to-date and accurate regulation, policy, and guideline changes impacting coding and documentation for all impacted employees, and monitoring for adherence at the market level.

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More about this job

Skills

Report writing
Documentation
Regulatory compliance
Leadership
Coaching
Training and development
Performance management
Collaboration
Decision making
Auditing

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Work requirements

Jobs in the United States