California Licensed Compliance Consultant

Job Summary

To ensure compliance with national coding policies, the full-time remote California Licensed Compliance Consultant will apply advanced knowledge of ICD-10-CM coding and risk adjustment methodologies to supervise coding operations, review complex scenarios, and lead compliance initiatives.

Key responsibilities:

• Oversee coding operations and ensure compliance with documentation standards and coding regulations
• Analyze operational data to identify trends and implement corrective actions for coding inconsistencies
• Develop and present compliance audit reports to management and regional staff

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
• Certification as a Coding Specialist from a recognized organization
• Minimum eight (8) years of experience in health care compliance or related fields