Job Summary HIM Coding auditor/trainer will coordinate, monitor, and audit documentation and coding of inpatient and/or outpatient services in all applicable health care settings. Audits will focus on correct assignment of CPT, ICD-10, ICD-9-CM, HCPCS codes and clinician documentation to ensure that Kaiser Permanente is compliant with all regulatory guidelines and internal controls. Audits will encompass internal practitioners, contracted practitioners, coders, internal facilities and contracted facilities. The auditor will analyze audit results, identify patterns, trends or variations in coding and documentation practices, and make recommendations for improvement. When necessary, this position will initiate corrective action plans to resolve problem areas identified during auditing and monitoring activity. The role will serve as a liaison with HIM staff, Revenue Cycle, external and internal practitioners, and other regional departments as appropriate, including IT, benefits, and more. Essential Responsibilities Reviews and audits coders based on federal regulatory requirements (e.g., CMS) and current documentation and coding guidelines, ensuring compliance with departmental/internal policies and applicable laws and regulations. Prepares written audit reports for all noted deficiencies and makes recommendations to the Coding and Revenue Cycle Compliance Manager, HIM director, and others as appropriate (e.g., training, oversight, monitoring, process flows). Conducts trend analyses to identify patterns and variations in coding practices and case‑mix index. Develops and delivers education and training programs related to the results of documentation and coding reviews, and findings from RAC and other regulatory audits. Compares coding and reimbursement profiles with regional and national norms and reviews coding claim denials and rejections. Receives and investigates reports of compliance violations, communicates results to the HIM director and compliance officer, and ensures appropriate dissemination of all regulation, policy, and guideline changes to affected personnel. Basic Qualifications Minimum four (4) years of inpatient coding experience in an acute care setting, including experience with ICD‑10, ICD‑9‑CM, CPT4, HCPCS coding systems, UHDDS definitions, and related documentation requirements. Education Bachelor’s degree in health care, health information management or related field, or four (4) years of directly related experience. License, Certification, Registration Certified Coding Specialist from the American Health Information Management Association, OR Registered Health Information Administrator from the American Health Information Management Association, OR Certified Professional Coder from the American Academy of Professional Coders, OR Registered Health Information Technician from the American Health Information Management Association. Additional Requirements Proficient understanding of the Inpatient and Outpatient Prospective Payment Systems (IPPS/OPPS), Medical Severity Diagnosis‑Related Groups (MS‑DRG), and National Correct Coding Initiative (NICCI) edits, ICD‑CM official guidelines for coding and reporting, and Coding Clinic. Working knowledge of relevant federal and state regulations, Medicare guidelines, and compliance issues. Advanced understanding of medical terminology, pharmacology, body systems/anatomy, physiology, and disease concepts. Demonstrated knowledge and skill in data collection, statistical analysis, and interpretation. Demonstrated knowledge and skill in oral and written communication, problem solving, analysis, project management, quality management, systems thinking, group presentation and facilitation, influence, and customer service. Demonstrated proficiency with word processing, spreadsheet, and database PC applications. Demonstrated knowledge and skill in decision making, interpersonal relations, teamwork, and change management. Preferred Qualifications Completion of an accredited Health Information Management program. Location & Work Hours Primary Location: Hawaii, Wailuku, Maui Memorial – Kahului Tower. Hours: 40 per week, Monday‑Friday, 08:00 AM to 04:30 PM, Day shift. Full‑time, standard employee status. Travel Approximately 5% of the time. Additional Information Kaiser Permanente offers a competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of the total rewards package. Actual base pay will be determined at the offer stage. Kaiser Permanente is an equal‑opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status. #J-18808-Ljbffr