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 while supervising coding operations, ensuring documentation accuracy, and conducting compliance audits remotely.

Key responsibilities

• Supervise and monitor coding operations to ensure compliance with documentation standards and coding accuracy
• Conduct compliance investigations and audits, analyzing data to identify trends and recommend corrective actions
• Develop and present compliance reports to management, summarizing key findings and performance indicators

Required qualifications

• Minimum six (6) years of medical coding experience
• Minimum three (3) years in a leadership role, with or without direct reports
• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or a related field, along with eight (8) years of relevant experience
• Certification as a Coding Specialist or Risk Adjustment Coder from recognized professional organizations
• Experience in health care compliance, operations, audit, or regulatory fields