Remote Inpatient Coding Compliance Specialist

Duke University; Clayton (NC); Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

Duke Health is seeking a Compliance Program Specialist within the Patient Revenue Management Organization to implement and maintain compliance programs across the revenue cycle, with emphasis on coding, billing, and auditing.

Remote role with state flexibility; requires knowledge of Medicare/Medicaid guidelines, HIPAA, and internal controls; responsibilities include education, audits, and collaborating with physicians to strengthen documentation and compliance.

Qualifications

• Equal opportunity employer with inclusive policies.
• RHIA/RHIT/CCS certification required.
• 4 years of administrative experience in compliance, coding and auditing.
• Experience with DRG and APR-DRG coding; professional coding credentials preferred.

Responsibilities

• Educate providers on compliance with government regulations and HIPAA guidelines.
• Identify coding and billing risk areas and perform focused reviews.
• Conduct internal audits of provider documentation on a timely basis.
• Collaborate with physicians and staff to improve documentation, coding, and compliance.

Skills

Compliance

Coding (medical)

Auditing

Regulatory knowledge

Coding education

Education

Bachelor's degree

RHIA or RHIT or CCS certification

CPC or CPMA certification

Job description

Duke Health is seeking a Compliance Program Specialist within the Patient Revenue Management Organization to implement and maintain compliance programs across the revenue cycle, with emphasis on coding, billing, and auditing.

Remote role with state flexibility; requires knowledge of Medicare/Medicaid guidelines, HIPAA, and internal controls; responsibilities include education, audits, and collaborating with physicians to strengthen documentation and compliance.