The Compliance Consultant will serve as a subject matter expert in medical coding, responsible for reviewing medical records, performing audits, and conducting risk assessments and adjustments. They will ensure compliance with national coding policies and procedures and assist with auditing assigned lines of business for coding accuracy. Additionally, this position involves assisting in the development of audit result reports and supporting compliance with the Principles of Responsibility.
This individual contributor is primarily responsible for conducting company compliance activities under the guidance of more senior employees. Responsibilities include assisting with compliance reporting, compliance investigation, implementation of compliance efforts, and regulatory compliance through monitoring regulatory changes. This individual contributor also provides support on projects including assisting in development and coordination of plans and coordinating with stakeholders.