California Licensed Compliance Consultant
virtual vocationsDenver, CO
California Licensed Compliance Consultant
Industries
Other Management Consulting ServicesAdministrative Management and General Management Consulting ServicesOther Scientific and Technical Consulting ServicesAbout the role
As a key member of the Risk Adjustment Coding Compliance team, the full-time remote California Licensed Compliance Consultant will manage complex targeted reviews and external audits, develop project workplans, and ensure compliance with national coding policies while monitoring the quality assurance of coding assignments.
Key responsibilities:
Conducts and oversees business-specific projects to promote adherence to procedures and policies while coordinating resources to meet organizational goals
Leads compliance reporting efforts by summarizing compliance data and developing presentations to convey key findings to management and stakeholders
Drives regulatory compliance by monitoring regulatory changes and overseeing the implementation of designated compliance efforts
Required qualifications:
Minimum six (6) years of medical coding experience
Minimum three (3) years of experience in a leadership role
Bachelor's degree in Health Care Administration, Clinical, Law, Public Health, Business, or a related field, along with eight (8) years of experience in health care compliance or related fields
Certified Coding Specialist from the American Health Information Management Association OR Certified Risk Adjustment Coder OR Certified Professional Coder from the American Academy of Professional Coders
Additional equivalent work experience may be substituted for the degree requirement
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JOB OVERVIEW
Experience level
Senior
Location
Denver, CO
Occupation
Compliance Managers
Industry
Other Management Consulting Services
Posted
yesterday
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