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California Licensed Compliance Consultant

Job is Expired
Location: Remote
Compensation: Piece Work
Reviewed: Mon, Aug 10, 2026

Job Summary

Supporting Health Plan Risk Adjustment operations, the full-time California Licensed Compliance Consultant will manage government audit readiness, compliance oversight, and internal quality assurance reviews while working remotely.

Key responsibilities
  • Conduct compliance investigations and audits to ensure adherence to coding standards and regulations
  • Develop and present compliance reports summarizing audit findings, risks, and recommendations to management
  • Collaborate with cross-functional teams to identify risks, improve coding quality, and drive continuous improvement initiatives
Required qualifications
  • Minimum four (4) years of medical coding experience
  • Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or a related field, along with six (6) years of relevant experience
  • Certified Risk Adjustment Coder, Certified Coding Specialist, or Certified Professional Coder certification

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