California Licensed Compliance Consultant

Job Summary

To support compliance efforts in medical coding, the full-time remote California Licensed Compliance Consultant will independently review medical records for accurate coding, serve as a subject matter expert on compliance, and assist with auditing and reporting activities.

Key responsibilities:

• Independently review and assign ICD-10-CM diagnosis codes and hierarchical condition categories to medical records
• Resolve complex documentation and coding issues while ensuring compliance with national coding policies and procedures
• Assist with compliance reporting and investigations by analyzing data and documenting compliance activities

Required qualifications:

• Minimum two (2) years of medical coding experience
• Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or related field, plus three (3) years of experience in healthcare compliance or related fields
• Certified Risk Adjustment Coder, Certified Coding Specialist, or Certified Professional Coder