California Licensed Compliance Consultant
Job Summary
Working remotely on a full-time basis, the California Licensed Compliance Consultant will independently review medical records for accurate coding, serve as a compliance subject matter expert, and assist with auditing and compliance reporting within healthcare settings.
Key responsibilities
- Review inpatient, outpatient, and professional medical records to assign ICD-10-CM diagnosis codes and validate documentation
- Assist with compliance reporting and investigations by monitoring compliance data and identifying potential risks
- Provide support on compliance projects, including developing project plans and coordinating stakeholder contacts
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 three (3) years of experience in healthcare compliance or a directly related field
- Certified Risk Adjustment Coder, Certified Coding Specialist, or Certified Professional Coder
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