Remote Inpatient Coding Compliance Specialist

Duke University; Iowa; Remote; USD 65,000 - 95,000; Full time

Benefits offered by this job

Sign-on bonus

Remote work

Job summary

Duke Health's Patient Revenue Management Organization is seeking a compliance-focused professional to implement and maintain programs across the revenue cycle, including education, audits, and process improvements. This remote role supports the Duke Health system with a focus on Medicare, Medicaid, HIPAA, and related guidelines.

The position emphasizes collaboration with clinical faculty and administration to promote compliant practices and reduce risk across scheduling, registration, coding,

Qualifications

• Educate providers on compliance with government regulations with emphasis on Medicare/Medicaid guidelines.
• Assist in analyzing current situations and setting priorities for clinic needs.
• Identify coding and billing risk areas and conduct focused reviews.
• Perform routine internal audits of provider documentation on a timely basis.
• Collaborate with physicians and staff to improve documentation, coding, and compliance.

Responsibilities

• Educate providers on compliance with government regulations with emphasis on Medicare/Medicaid guidelines.
• Identify coding and billing risk areas, conduct focused reviews, and implement corrective action as needed.
• Perform routine internal audits of provider documentation on a timely basis.
• Collaborate with physicians and internal staff to improve documentation, coding, and compliance.
• Review internal controls, policies, and procedures to ensure compliance with guidelines.

Skills

Compliance knowledge

Healthcare revenue cycle

Auditing

Communication

Education

Bachelor's degree in related field

Tools

Internal audit tools

Job description

Duke Health's Patient Revenue Management Organization is seeking a compliance-focused professional to implement and maintain programs across the revenue cycle, including education, audits, and process improvements. This remote role supports the Duke Health system with a focus on Medicare, Medicaid, HIPAA, and related guidelines.

The position emphasizes collaboration with clinical faculty and administration to promote compliant practices and reduce risk across scheduling, registration, coding,