California Licensed Compliance Consultant

Job Summary

Working remotely in a full-time capacity, the California Licensed Compliance Consultant will independently review medical records to assign ICD-10-CM diagnosis codes, validate documentation, and ensure compliance with coding policies and regulations.

Key Responsibilities

• Independently review and assign ICD-10-CM codes to inpatient, outpatient, and professional medical records
• Serve as a compliance subject matter expert, addressing coding questions and assisting with auditing efforts
• Conduct compliance activities and investigations, documenting findings and recommending corrective actions

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 health care compliance or related fields
• Certified Risk Adjustment Coder, Certified Coding Specialist, or Certified Professional Coder certification