California Licensed Compliance Consultant

Job Summary

To support compliance efforts in medical coding, the full-time remote California Licensed Compliance Consultant will apply advanced knowledge of ICD-10-CM coding and risk adjustment methodologies to supervise coding operations, ensure documentation accuracy, and lead compliance investigations and reporting.

Key responsibilities

• Supervise and monitor coding operations to ensure compliance with national coding policies and clinical documentation standards
• Conduct compliance activities and develop strategic initiatives while partnering with internal and external stakeholders
• Lead compliance reporting efforts by evaluating data, identifying risks, and presenting findings to 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 professional organizations
• Proficiency with electronic medical records and coding applications