California Licensed Compliance Consultant

Job Summary

To support compliance initiatives, the full-time California Licensed Compliance Consultant will apply advanced knowledge of medical coding and risk adjustment methodologies to supervise coding operations, ensure compliance with documentation standards, and lead audit efforts, all while working remotely.

Key responsibilities:

• Supervise and monitor coding operations to ensure compliance with national coding policies and documentation standards
• Conduct compliance investigations and lead reporting efforts by analyzing compliance data and presenting findings to management
• Manage projects related to compliance initiatives, including identifying gaps and implementing corrective actions

Required qualifications:

• Minimum six (6) years of medical coding experience
• Minimum three (3) years of experience in a leadership role
• Bachelor's degree in a relevant field and a minimum of eight (8) years of experience in health care compliance or related areas
• Certified Coding Specialist from AHIMA or equivalent coding certification
• Proficiency with electronic medical records and coding applications