Remote Inpatient Coding & Compliance Specialist

Duke University; Guin (AL); Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Sign-on bonus

Remote work

Job summary

Duke Health's Patient Revenue Management Organization seeks a compliance professional to implement and maintain programs that reduce legal and financial risk through education and internal audits. The role emphasizes Medicare/Medicaid guidance, HIPAA compliance, and coding accuracy while collaborating with clinicians to strengthen documentation and controls.

The position is 100% remote for U.S. residents, with a broad state eligibility list including Alabama.

Qualifications

• Bachelor's degree is required.
• RHIA, RHIT or CCS certification is required.
• Four years of administrative experience in compliance, coding and auditing.
• Experience with DRG's and APR-DRG's is preferred.
• Knowledge of HIPAA and Medicare/Medicaid guidelines is essential.

Responsibilities

• Implement and maintain compliance programs to reduce risk.
• Educate providers on government regulations and coding accuracy.
• Perform internal audits and identify risk areas for prioritization.
• Collaborate with physicians and staff to improve documentation and controls.
• Review policies and procedures for adherence to university, state and federal guidelines.
• Respond to concerns and coordinate corrective actions with payers and administration.
• Promote compliance initiatives within clinical faculty and administration.

Skills

Compliance training

Medical coding

Auditing

HIPAA knowledge

Communication

Education

Bachelor's degree

RHIA/RHIT or CCS certification

Tools

DRG & APR-DRG coding

EMR systems

Job description

Duke Health's Patient Revenue Management Organization seeks a compliance professional to implement and maintain programs that reduce legal and financial risk through education and internal audits. The role emphasizes Medicare/Medicaid guidance, HIPAA compliance, and coding accuracy while collaborating with clinicians to strengthen documentation and controls.

The position is 100% remote for U.S. residents, with a broad state eligibility list including Alabama.