Compliance Consultant with Coding Certification

Job Summary

To support healthcare compliance initiatives, the full-time temporary Compliance Consultant with Coding Certification will conduct coding compliance reviews, research regulatory requirements, and collaborate with operational partners to enhance compliance measures in a remote setting.

Key responsibilities

• Conduct coding compliance reviews, audits, monitoring, and investigations
• Research and interpret coding, billing, and regulatory requirements to provide compliance guidance
• Collaborate with operational partners to identify risks, root causes, corrective actions, and compliance improvements

Required qualifications

• Bachelor's degree in Health Information Management, Healthcare Administration, Nursing, Compliance, or related field
• Professional coding certification such as CPC, CCS, CCS-P, RHIT, or RHIA
• Minimum 3 years of related coding compliance, auditing, or healthcare compliance experience
• Knowledge of Epic/HealthConnect or related systems and medical record documentation systems
• Experience with auditing and risk assessment skills