California Licensed Coding Compliance Analyst

Job Summary

A company is looking for a Coding Compliance Analyst III.

Key Responsibilities

• Serve as a subject matter expert on coding compliance and develop system processes and directives
• Conduct annual risk assessments and assist in investigations, providing expertise in coding and billing compliance
• Enhance delivery of compliance services through education, training, and process improvement initiatives

Required Qualifications

• Bachelor's degree or equivalent experience
• CCS (Certified Coding Specialist) credential required; RHIA, RHIT, CDIP, or CCDS preferred
• Minimum of 5 years of relevant experience
• Thorough understanding of coding regulations and compliance guidelines
• Experience in coding/billing investigations, audits, or reviews