California Licensed Compliance Consultant

Job Summary

To oversee coding operations, the full-time California Licensed Compliance Consultant will apply advanced knowledge of ICD-10-CM coding and risk adjustment methodologies, ensuring compliance with documentation standards while working remotely.

Key responsibilities

• Supervise and monitor coding operations, ensuring diagnoses are supported by appropriate documentation and medical records
• Conduct compliance activities and audits, analyzing regulations and implementing strategic compliance initiatives
• Lead compliance reporting efforts by evaluating compliance data and presenting findings to management and stakeholders

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, along with eight (8) years of relevant experience
• Certified Coding Specialist, Certified Risk Adjustment Coder, or Certified Professional Coder certification
• Experience with electronic medical records and coding applications