California Licensed Compliance Consultant

Job Summary

To support compliance initiatives, the full-time remote California Licensed Compliance Consultant will apply advanced knowledge of medical coding and risk adjustment methodologies to supervise coding operations, ensure compliance with documentation standards, and lead compliance investigations and reporting efforts.

Key responsibilities:

• Supervise and monitor coding operations to ensure accurate documentation and compliance with national coding policies
• Conduct compliance investigations and audits, analyzing data and providing corrective action recommendations
• 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 of experience in a leadership role
• Bachelor's degree in a related field and a minimum of eight (8) years of experience in health care compliance or related areas
• Certified Coding Specialist or equivalent certification from recognized organizations