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Documentation Quality Auditor IV

Kaiser Permanente • Pleasanton, CA, US • published 2026-10-01 09:58:24.929515

Description

**Job Summary:** Contributes to coding quality audits by conducting special projects, audits, reviews, and/or monitoring of assigned lines of business or scope to monitor the accuracy and quality of coding and documentation, and following guidelines and procedures to ensure alignment with state and federal regulatory and reimbursement requirements, current documentation, and coding guidelines. Contributes to audit analysis and report writing by comparing coding and documentation across the enterprise to identify potential risks and remedies, and preparing written and/or generated audit reports detailing all noted opportunities. Contributes to enhancing coding integrity by aiding teams in their assigned lines of business or scope in developing, implementing, and monitoring new processes and workflows that support regulatory needs and requirements, organizational goals, and business objectives. Ensures compliance by following national, state, and KP\-specific coding, billing, and documentation guidelines/guidance for KPs leadership, attorneys, physicians, coders, compliance, and billers to help coordinate consistent and accurate implementation and compliance with external regulations...

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