California Licensed Compliance Consultant

Job Summary

Working remotely in a full-time capacity, the California Licensed Compliance Consultant will independently review medical records for accurate ICD-10-CM coding, validate documentation compliance, and resolve complex coding issues while serving as a subject matter expert in coding functions.

Key responsibilities:

• Independently review and code inpatient and outpatient medical records, ensuring compliance with guidelines and regulations
• Assist with compliance reporting and investigations, analyzing data to identify risks and recommend corrective actions
• Provide support for compliance projects, coordinating stakeholder contacts and developing project plans for compliance deliverables

Required qualifications:

• Minimum two (2) years of medical coding experience
• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or a related field with a minimum of three (3) years of experience in health care compliance or related areas
• Certified Risk Adjustment Coder, Certified Coding Specialist, or Certified Professional Coder certification