California Licensed Compliance Consultant

Job Summary

To ensure compliance with medical coding standards, the full-time remote California Licensed Compliance Consultant will supervise coding operations, review complex coding scenarios, and analyze operational data to implement corrective actions while serving as a subject matter expert in compliance initiatives.

Key responsibilities:

• Supervise and monitor coding operations to ensure adherence to ICD-10-CM coding and risk adjustment methodologies
• Conduct compliance activities by partnering with stakeholders and designing strategic compliance initiatives
• Lead compliance reporting efforts by evaluating compliance data and developing presentations for management

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 or equivalent certification from recognized organizations