California Licensed Compliance Consultant

Job Summary

To support compliance initiatives in medical coding, the full-time remote California Licensed Compliance Consultant will supervise coding operations, ensure adherence to documentation standards, and lead compliance reporting and investigations.

Key responsibilities:

• Supervise and monitor coding operations to ensure compliance with ICD-10-CM coding and risk adjustment standards
• Analyze operational data to identify trends and implement corrective actions for coding inconsistencies and documentation concerns
• Lead compliance reporting efforts, summarizing audit data and presenting findings to management and stakeholders

Required qualifications:

• Minimum six (6) years of medical coding experience
• Minimum three (3) years in a leadership role
• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or related field with eight (8) years of relevant experience
• Certified Coding Specialist or equivalent certification from recognized professional organizations
• Experience with electronic medical records and coding applications