California Licensed Compliance Consultant

Job Summary

To ensure compliance with national coding policies and procedures, the full-time remote California Licensed Compliance Consultant will supervise coding operations, review complex scenarios, and analyze operational data to drive improvements in medical coding and risk adjustment processes.

Key responsibilities

• Supervise and monitor coding operations to ensure accuracy and compliance with documentation standards
• Conduct compliance activities and audits, partnering with stakeholders to execute strategic compliance initiatives
• Lead compliance reporting and investigations, evaluating data and presenting findings to management

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, along with eight (8) years of relevant experience
• Certified Coding Specialist from American Health Information Management Association, Certified Risk Adjustment Coder, or Certified Professional Coder from American Academy of Professional Coders