California Licensed Compliance Consultant

Job Summary

To ensure compliance with national coding policies, the full-time California Licensed Compliance Consultant will supervise medical coding operations, review complex coding scenarios, and analyze operational data while working remotely.

Key responsibilities

• Supervise and monitor coding operations, ensuring diagnoses are supported by valid medical documentation
• Conduct compliance activities and develop strategic initiatives to adhere to regulations and standards
• Lead compliance reporting efforts by summarizing audit data and presenting key findings to management

Required qualifications

• Minimum six (6) years of medical coding experience
• Minimum three (3) years 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
• Proficiency in electronic medical records and coding applications