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Kaiser Permanente
Anaheim, California, United States
25 days ago

Description

When you join Kaiser Permanente, you’ll be part of an organization dedicated to total health. At every level and in every department, it’s what we stand for. By using your innovation and your creativity, you can play a role in the health of communities across town and around the country by serving 12.5 million of our members. No matter your background, your ideas can help drive a health care pioneer. You can play a role in the future of health.

Data Quality Manager (2 positions)
Locations: Anaheim and San Bernardino, California

Looking for dynamic leaders within the health information field with a proven track record of working effectively with physicians, executive and administrative leaders, and front-line staff. Candidates must posses strong communication and analytical skills, with the ability to translate data into useful and actionable information. These roles require leading and collaborating with teams program-wide and are very consultative in nature. Candidates must be competent with making both virtual and in-person presentations. Strong leadership and management skills are required, with experience implementing key performance indicators for staff and optimizing workflows for efficiency and performance improvement.

In this role, you will be responsible for the management of teams supporting local and region-wide initiatives. You will serve as the key compliance advisor to the medical center staff, ensuring optimal documentation and supporting national and regional compliance plans to ensure federal, state, and other regulatory standards, clinical strategic goals, and HEDIS goals are met. You will be expected to be the primary coding and documentation consultant and an ongoing resource to physician and administrative leaders (e.g., Area Medical Director, Medical Group Admin, Associate Medical Group Admin, Assistant Medical Group Admin, physicians, non-physician providers, Kaiser Permanente HealthConnect (KPHC) support staff, clinical documentation specialists, and other staff). In addition, you will function as a mediator on complex coding issues and will work with regional and medical center representatives to find issues resolution and will be responsible for overseeing the synthesis of local and regional audit findings to provide actionable feedback on areas for improvement.

Qualifications Include, but are not limited to:

  • Recent managerial experience with track record of successfully leading teams and navigating change management
  • A bachelor’s degree in finance/business, medical records technology, health services administration, or nursing or four years of experience in a directly related field with a high school diploma or GED
  • Certification in one or more of the following: Certified Professional Coder (CPC), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), and/or Certified Coding Specialist – Physician (CCS-P)
  • Proficient in team building, conflict resolution, group interaction, project management, and budget management
  • Knowledge of CMS rules and regulations and current coding resources, including CPT, ICD-10, HCPCS, fee schedule, and HCCs
  • Proficiency in Microsoft Office (Excel, Word, PowerPoint, Access, and Visio, etc.)
  • Strong interpersonal skills, including the ability to establish and maintain effective relationships with providers, leadership, senior administrators, colleagues, and compliance auditing staff
  • Excellent written and verbal communication, facilitation, and presentation skills
  • The ability to work flexible days and hours
  • The ability to travel between all medical center facilities if required; position may include assignment to various medical centers and/or regional offices
  • The ability to work in a Labor/Management Partnership environment


Preferred Qualifications Include:

  • Master’s degree
  • Experience using electronic medical record/health record systems such as EPIC or other comparable systems
  • Research skills including knowledge of automated analysis tools and on-line research tools to resolve complex health care issues (Examples are: 3M, Medicare Fee Schedule Data Base, National Correct Coding Edits, CMS website, Ingenix Encoder)
  • Medical center operations and/or clinical experience are highly desired


For immediate consideration, please visit http://kp.org/careers for complete qualifications and job submission details, referencing job number 986390 (Anaheim) or 1008913 (San Bernardino County).

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.

kp.org/careers

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Job Information

  • Job ID: 60551970
  • Location:
    Anaheim, California, United States
    San Bernardino, California, United States
  • Company Name: Kaiser Permanente
  • Position Title: Data Quality Manager (2 positions)
  • Job Function: Database Management
  • Job Type: Full-Time
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