California Licensed Compliance Consultant

Job Summary

Working remotely on a contract basis, the California Licensed Compliance Consultant will serve as a subject matter expert in coding compliance, conducting audits, and researching regulations to ensure adherence to national coding policies.

Key Responsibilities

• Conduct coding compliance reviews, audits, and investigations
• Research and interpret coding, billing, and regulatory requirements to provide compliance guidance
• Collaborate with operational partners to identify risks and develop compliance improvements

Required Qualifications

• Bachelor's Degree in Health Information Management, Healthcare Administration, Nursing, Compliance, or a related field
• Minimum of three years of experience in coding compliance, auditing, or healthcare compliance
• Professional coding certification such as CPC, CCS, CCS-P, RHIT, or RHIA
• Expertise in medical coding compliance (ICD-10-CM, ICD-10-PCS, CPT, HCPCS)
• Proficiency in Microsoft Office applications