KAISJP00252118 HIM Supervisor

Department: Health Information Management (HIM) Work Arrangement: Fully Remote Eligible States: CA, GA, HI, IN, NC, OR, SC, TN, TX, WA, AZ, FL, WV Schedule: Monday – Friday, 8:00 AM – 5:00 PM

Kaiser Permanente is seeking an experienced HIM Coding Supervisor to provide coding expertise, auditing oversight, education, and quality assurance support across hospital coding operations. This role serves as a key resource for coding staff, clinical documentation specialists, and HIM leadership to ensure accurate, ethical, and compliant coding practices.

The ideal candidate will bring strong inpatient and outpatient hospital coding experience, a deep understanding of coding regulations and reimbursement methodologies, and the ability to educate, audit, and mentor coding professionals while maintaining compliance with federal and state regulations.

Review medical records to ensure accurate assignment of diagnoses, procedures, complications, and comorbidities.

Verify appropriate selection of principal and primary diagnoses in accordance with official coding guidelines.

Ensure compliance with ICD-10, CMS, AHIMA, Joint Commission, and regulatory requirements.

Serve as a coding subject matter expert for coding staff and clinical documentation specialists.

Provide guidance regarding ethical coding standards and regulatory requirements.

Conduct coding quality reviews and audits.

Monitor coding accuracy and documentation adequacy.

Identify trends, deficiencies, and opportunities for improvement.

Initiate corrective actions when compliance or coding concerns are identified.

Escalate non-compliance findings to HIM leadership and Compliance as appropriate.

Provide coding education and feedback to coding staff.

Develop focused training programs based on audit findings.

Present coding case studies and educational updates during team meetings.

Support ongoing coding accuracy initiatives and quality improvement programs.

Assist with physician and staff education regarding documentation and coding requirements.

Support workflow processes that ensure accurate and timely completion of medical records.

Assist in maintaining compliance with reimbursement and regulatory requirements.

Collaborate with physicians and operational leaders to improve documentation quality.

Support implementation of policies, procedures, and HIM operational improvements.

Prepare coding quality reports and audit summaries.

Assist with quality assurance initiatives and performance monitoring.

Ensure records and reports meet federal, state, and accreditation requirements.

Support audits, regulatory reviews, and compliance reporting activities.

Review inpatient and outpatient coding for accuracy, compliance, and reimbursement integrity.

Provide coding guidance, clarification, and training to coding staff and clinical documentation teams.

Monitor coding trends, identify risk areas, and implement corrective actions when necessary.

High School Diploma or GED required.

Bachelor's degree preferred.

One of the following certifications is required:

Registered Health Information Technician (RHIT)

Registered Health Information Administrator (RHIA)

Certified Coding Specialist (CCS)

Minimum 4 years of professional hospital coding and billing experience .

Strong experience with: Inpatient hospital coding Outpatient hospital coding Medical record review Reimbursement-related coding practices

Inpatient hospital coding

Outpatient hospital coding

Medical record review

Reimbursement-related coding practices

Coding lead, supervisory, or management experience.

Project management experience.

Clinical Documentation Improvement (CDI) collaboration.

Healthcare compliance and auditing experience.

Experience supporting large healthcare organizations or integrated delivery systems.

Candidates should demonstrate knowledge of:

ICD-10-CM / PCS coding guidelines

CPT and HCPCS coding

DRG assignment and reimbursement methodologies

Medicare and Medicaid regulations

AHIMA coding standards

Joint Commission requirements

NCQA standards

Federal and state healthcare regulations

Documentation integrity and compliance programs

Advanced understanding of inpatient and outpatient hospital coding standards and reimbursement requirements.

Strong ability to provide coaching, education, and feedback to coding professionals and clinical staff.

Ability to evaluate complex documentation scenarios and determine appropriate coding solutions.

Experience influencing teams, driving quality initiatives, and supporting operational improvement efforts.

The ideal candidate is a highly experienced hospital coding professional who combines strong coding expertise with auditing, compliance, and educational skills. They are comfortable serving as a coding authority, conducting quality reviews, mentoring coding teams, and ensuring adherence to regulatory and ethical coding standards. Candidates with RHIT, RHIA, or CCS credentials and experience leading coding quality initiatives in large healthcare environments will be especially successful in this role.