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 and ensure compliance with coding policies, while also serving as a subject matter expert in coding functions and assisting with compliance audits.

Key Responsibilities

• Independently review and validate medical records for accurate coding and compliance with regulations
• Assist with compliance investigations and reporting by analyzing data and documenting compliance activities
• Support the development and implementation of compliance standards, policies, and training materials

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
• Certification as a Risk Adjustment Coder, Certified Coding Specialist, or Certified Professional Coder