California Licensed Compliance Consultant
Job Summary
Working remotely in a full-time capacity, the California Licensed Compliance Consultant IV will independently review medical records to assign ICD-10-CM diagnosis codes, ensure compliance with coding regulations, and serve as a subject matter expert in coding functions across various care settings.
Key responsibilities:
- Independently review and validate medical records for accurate coding and compliance with guidelines
- Develop and summarize compliance reports, evaluating data and potential risks for management review
- Coordinate compliance efforts by assessing requirements and creating or revising policies and procedures
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
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