California Licensed Compliance Consultant
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 regulations and standards
- Develop and summarize compliance reports, evaluating data and identifying potential risks and remedies
- Collaborate with cross-functional teams to improve coding quality and support audit activities
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 experience in health care compliance or related fields
- Certified Risk Adjustment Coder, Certified Coding Specialist, or Certified Professional Coder certification
Complete Job Description
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