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# Implementation and Compliance Specialist

- **Company:** Mitchell International, Inc.
- **Location:** San Diego, CA, United States (Remote available)
- **Experience:** Experienced
- **Salary:** $53,000.0 - $70,000.0
- **Contract:** Permanent contract
- **Skills:** Data Analysis, Information Systems, Tools for Reporting
- **Published:** August 20, 2026
- **Apply:** https://www.disabledperson.com/jobs/74391895-implementation-and-compliance-specialist

## About the Role

* Bachelor's degree in Business Administration, Information Systems, or related field

 * 3-5 years of experience in workers compensation medical bill review.

 * Strong analytical and problem-solving skills

 * CPC a requirement.

 * Excellent communication and interpersonal abilities

 * Proficiency in data analysis tools and reporting software

 * Knowledge of regulatory compliance in relevant industry (preferred)

 * Ability to manage multiple projects and priorities simultaneously

 * Detail-oriented with a strong focus on accuracy

 * Demonstrated ability to handle sensitive information professionally

 * Strong analytical and problem-solving abilities

 * Experience with data analysis and reporting

 * Experience managing escalated client situations

## Description

We are seeking a detail-oriented and analytical professional to join our team as an Implementation and Compliance Specialist. This role will lead new implementation projects, manage reporting and data analysis, and provide junior-level compliance support. The ideal candidate will have strong project management skills, excellent communication abilities, and a keen eye for data analysis., 1. Implementation Project Management:

 * Lead new implementation projects from inception to completion

 * Attend all project-related meetings and coordinate with stakeholders

 * Conduct rule reviews for system setup

 * Communicate with professional services and operations teams on special requests or changes

 * Coordinate testing procedures and obtain signoff from relevant parties

 * Provide support during the warranty period

 1. Reporting and Data Analysis:

 * Manage and execute daily, weekly, monthly, yearly, and ad hoc reporting requests

 * Analyze data to identify trends, areas of concern, and potential opportunities

 * Provide recommendations based on data analysis to improve processes and outcomes

 * Perform data analysis to identify root causes of client account issues

 * Utilize analytical insights to recommend solutions and process improvements

 * Support bill review and clinical review processes as needed

 * Present findings and recommendations in a professional, consultative manner

 1. Compliance Support:

 * Research legislation and fee schedules to determine support for company positions

 * Monitor changes to fee schedules and update the team on potential impacts to products

 * Facilitate answers to escalated inquiries regarding compliance support

 * Assist in ensuring company products and processes adhere to relevant regulations and standards

 1. Clinical Edits Research Team Lead

 * Lead & manage clinical edits research team of coders and nurses; oversee CPT, AAOS, and Relatedness code master reviews

 * Coordinate projects across divisions, manage timelines, and ensure timely completion and submission of master files to automated systems

 * Create & train comprehensive working documents and provide staff training on new clinical edits requirements and processes

 * Research & escalate complex coding questions and clinical edits inquiries; provide expert guidance and resolution


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