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, ensure compliance with coding policies, and support auditing processes related to risk adjustment coding.
Key responsibilities:
- Independently review inpatient and outpatient medical records to assign ICD-10-CM diagnosis codes and validate documentation
- Serve as a compliance subject matter expert, assisting with coding questions and auditing processes
- Monitor compliance with national coding policies and assist in the development of compliance reports
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 related fields
- Certified Risk Adjustment Coder, Certified Coding Specialist, or Certified Professional Coder
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