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California Licensed Compliance Consultant

Job is Expired
Location: Remote
Compensation: Piece Work
Reviewed: Thu, Aug 06, 2026

Job Summary

Supporting Health Plan Risk Adjustment operations, the full-time California Licensed Compliance Consultant will ensure government audit readiness, perform coding validation, and collaborate with cross-functional teams to enhance coding quality and compliance in a remote work environment.

Key responsibilities:
  • Manage compliance activities by collaborating with stakeholders and applying regulations to strategic initiatives
  • Conduct audits and develop compliance reports, summarizing data and identifying potential risks
  • Coordinate compliance efforts by assessing current practices, creating standards, and monitoring adherence
Required qualifications:
  • Minimum four (4) years of medical coding experience
  • Bachelor's degree in a related field and a minimum of six (6) years of experience in health care compliance or related areas
  • Certified Risk Adjustment Coder or equivalent coding certification

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