California Licensed Compliance Consultant

Job Summary

To ensure compliance with national coding policies and improve coding operations, the full-time remote California Licensed Compliance Consultant will apply advanced knowledge of ICD-10-CM coding and risk adjustment methodologies while supervising coding activities, conducting audits, and presenting findings to management.

Key responsibilities:

• Supervise and monitor coding operations to ensure compliance with documentation standards and coding accuracy
• Conduct compliance investigations and audits, analyzing data and recommending corrective actions for identified issues
• 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
• Bachelor's degree in a relevant field and a minimum of eight (8) years of experience in health care compliance or related areas
• Certification as a Coding Specialist or Risk Adjustment Coder from recognized professional organizations
• Proficiency in electronic medical records and coding applications