California Licensed Compliance Consultant

Job Summary

To oversee coding operations and ensure compliance with medical coding standards, the full-time California Licensed Compliance Consultant will apply advanced knowledge of ICD-10-CM coding and risk adjustment methodologies while working remotely to supervise coding activities, review complex scenarios, and analyze operational data.

Key responsibilities

• Supervise and monitor coding operations to ensure compliance with documentation and coding standards
• Conduct compliance investigations and lead reporting efforts to identify key compliance drivers and potential risks
• Develop and execute strategic compliance initiatives while partnering with internal and external stakeholders

Required qualifications

• Minimum six (6) years of medical coding experience
• Minimum three (3) years of experience in a leadership role
• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or a related field
• Certified Coding Specialist or equivalent coding certification
• Minimum eight (8) years of experience in health care compliance or related fields