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Revenue Cycle Compliance Manager Job in Pasadena, California

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Job Title: Revenue Cycle Compliance Manager

Employer:Kaiser Permanente
Preferred Certifications:CHC Certification,or other Coding Certification,CCS,CPC
Required Experience:8 to 10 years
Location:remote position Pasadena 91103, CA, US
Date Posted:1/7/2021

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Revenue Cycle Compliance Manager

Pasadena, California – REMOTE POSITION


In this role, you will be responsible for leading compliance initiatives both within the compliance function and across functions across the enterprise, as well as managing relationships and maintaining communications with stakeholders at all levels, both internally and externally. You will be accountable for brokering agreements and gaining support for compliance initiatives from decision makers at all levels. Other duties include leading and directing the researching, planning, implementation, monitoring, validation, and reporting for a broad portfolio of compliance systems and initiatives to enable organizational compliance with all applicable federal, state, and local regulations/laws as well as overseeing the protection of organizational assets. On an on-going basis, you will oversee the research and interpretation of regulations and laws to establish compliance standards and may direct the development and/or delivery of training and communications/change management relative to new standards. You will also be responsible for the assessment of organizational systems (both physical and process or data related) to determine gaps in compliance and determine opportunities for remediation and advising the organization on all compliance matters. In addition, you may be responsible for directing the investigation of violations of compliance policy, laws, regulations, etc. or on-going monitoring and reporting to ensure remediation as well as project management relative to new compliance, ethics, and integrity initiatives, products, or annual processes.


Qualifications Include:

·         At least two years of management experience

·         At least eight years of compliance-related experience

·         A bachelor’s or clinical degree, or four years of experience in a directly related field with a high school diploma or GED

·         Expert knowledge of compliance policies, practices, and systems

·         The ability to develop advanced compliance principles, theories, and concepts

·         Expert knowledge of compliance-related practices and standards

·         Project management skills

·         The ability to work in a Labor/Management Partnership environment


Preferred Qualifications Include:

  • CCS, CPC, or other Coding Certification
  • CHC Certification
  • Significant experience managing billing, coding, or revenue cycle compliance functions
  • Thorough understanding of Medicare and Medicaid billing regulations
  • Experience managing billing, coding, and documentation audits
  • Experience with revenue cycle compliance or operations in the inpatient or outpatient setting
  • Experience with risk identification, mitigation, and remediation in the revenue cycle space
  • The ability to manage and delegate incoming requests for guidance or investigate reported issues
  • The ability to be comfortable developing and presenting revenue cycle compliance education and training


For immediate consideration, please visit http://kp.org/careers for complete qualifications and job submission details, referencing job number 921950.


Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.


External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.


This position supports Kaiser Permanente’s code of conduct and compliance by adhering to all laws and regulations, accreditation and licensure requirements, and internal policies and procedures.






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For immediate consideration, please visit http://kp.org/careers for complete qualifications and job submission details, referencing job number 921950.

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