California Licensed Compliance Consultant

Job Summary

To support compliance initiatives, the full-time California Licensed Compliance Consultant will independently review medical records for accurate coding, validate documentation, and assist with compliance reporting and auditing in a remote environment.

Key responsibilities:

• Independently review and assign ICD-10-CM diagnosis codes to medical records while ensuring compliance with guidelines
• Assist in compliance reporting and investigations by compiling data, identifying risks, and recommending corrective actions
• Serve as a compliance subject matter expert, providing guidance on coding functions and maintaining adherence to national coding policies

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, along with three (3) years of experience in health care compliance or a directly related field
• Certified Risk Adjustment Coder, Certified Coding Specialist, or Certified Professional Coder certification