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California Licensed Compliance Consultant

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Location: Remote
Compensation: Salary
Reviewed: Mon, Oct 26, 2026
This job expires in: 30 days

Job Summary

Working remotely in a full-time capacity, the California Licensed Compliance Consultant will independently review medical records for accurate ICD-10-CM coding, ensure compliance with coding policies, and serve as a subject matter expert in risk adjustment coding.

Key responsibilities
  • Independently review inpatient and outpatient medical records to assign appropriate diagnosis codes and hierarchical condition categories
  • Assist with compliance reporting and investigations by analyzing data and identifying potential risks or misalignments
  • Support the development of compliance standards and training while monitoring adherence to regulatory changes
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 a minimum of three (3) years in health care compliance or related areas
  • Certification as a Risk Adjustment Coder, Certified Coding Specialist, or Certified Professional Coder

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