Remote Inpatient Coding Compliance & Audit Lead

Duke University; Alton (IL); Remote; USD 80,000 - 110,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

Duke Health is seeking a compliance-focused professional to implement and maintain programs across its revenue management organization. The role emphasizes education, auditing, and collaboration with clinicians to reduce risk and ensure adherence to Medicare, Medicaid, HIPAA, and related regulations.

Responsibilities include conducting internal audits, addressing risk areas, and communicating with payers while promoting compliance initiatives across the health system.

Qualifications

• Bachelor's degree required; RHIA/RHIT or CCS/CPC preferred.
• Experience in compliance, coding and auditing within healthcare.
• Knowledge of Medicare/Medicaid guidelines and HIPAA.

Responsibilities

• Educate providers on government regulations pertinent to academic medical centers, HIPAA, and Fraud and Abuse.
• Perform routine internal audits of provider documentation and identify risk areas.
• Collaborate with physicians and staff to improve documentation, coding, and compliance.
• Review controls and policies to ensure compliance with university, state, and federal guidelines.
• Communicate with payers on policies and procedures and promote compliance initiatives.

Skills

Compliance knowledge

Regulatory knowledge

Auditing skills

Analytical skills

Education

Bachelor's degree

RHIA/RHIT/CCS/CPC certification

Tools

DRG/APR-DRG coding systems

Job description

Duke Health is seeking a compliance-focused professional to implement and maintain programs across its revenue management organization. The role emphasizes education, auditing, and collaboration with clinicians to reduce risk and ensure adherence to Medicare, Medicaid, HIPAA, and related regulations.

Responsibilities include conducting internal audits, addressing risk areas, and communicating with payers while promoting compliance initiatives across the health system.