Healthcare Compliance & Coding Specialist

Duke; Durham (NC); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Equal Opportunity Employer

Community-focused environment

Diversity and inclusion initiatives

Job summary

A leading health system is looking for a Compliance Specialist in Durham, NC. This role involves implementing compliance programs and educating providers on government regulations, especially in the arena of coding and billing. Candidates should possess a Bachelor's degree and extensive experience in compliance and auditing with relevant certifications like CPC and RHIA or RHIT. This position is critical to maintaining the compliance integrity of healthcare operations.

Qualifications

• A Bachelor's degree is required to develop strong organizational, analytical, and communication skills.
• Technical coding requires two years of experience with DRGs and APR-DRGs.
• Four years of experience in compliance, coding, and auditing is necessary.

Responsibilities

• Implement compliance programs to reduce legal and financial risk.
• Educate providers on compliance with government regulations.
• Conduct routine internal audits of provider documentation.
• Collaborate with internal staff to improve documentation and coding practices.

Skills

Analytical skills

Communication skills

Compliance knowledge

Coding principles

Education

Bachelor's degree

Tools

DRGs and APR-DRGs

CPC

RHIA

RHIT

CCS

Job description

A leading health system is looking for a Compliance Specialist in Durham, NC. This role involves implementing compliance programs and educating providers on government regulations, especially in the arena of coding and billing. Candidates should possess a Bachelor's degree and extensive experience in compliance and auditing with relevant certifications like CPC and RHIA or RHIT. This position is critical to maintaining the compliance integrity of healthcare operations.