Remote Inpatient Coding Compliance Specialist

Duke University; Montana; Remote; USD 80,000 - 110,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

Duke Health, part of the Duke University system, seeks a remote compliance professional in its Patient Revenue Management Organization to implement and maintain compliance programs across the revenue cycle. You will educate providers, perform audits, and help reduce risk while collaborating with clinical faculty and administration.

Ideal candidates have a Bachelor's degree with RHIA/RHIT/CCS credentials and prior experience in coding, auditing, and regulatory guidance.

Qualifications

• Bachelor's degree required.
• RHIA, RHIT, CCS certifications preferred or required.
• Experience in compliance, coding, auditing in healthcare.

Responsibilities

• Educate providers on compliance with government regulations, including Medicare/Medicaid, HIPAA, and Fraud and Abuse.
• Analyze current situations and set priorities for future clinic needs.
• Identify coding and billing risk areas, conduct focused reviews, and implement corrective actions.
• Perform routine internal audits of provider documentation.
• Collaborate with physicians and staff to improve documentation, coding, and compliance.
• Review controls, policies, and procedures to ensure regulatory compliance; respond to concerns; coordinate with carriers.
• Promote compliance initiatives with clinical faculty and administration.

Skills

Compliance education

HIPAA knowledge

Medicare/Medicaid guidelines

Internal audits

Collaboration with physicians

Policy review

Education

Bachelor's degree

RHIA or RHIT or CCS

Job description

Duke Health, part of the Duke University system, seeks a remote compliance professional in its Patient Revenue Management Organization to implement and maintain compliance programs across the revenue cycle. You will educate providers, perform audits, and help reduce risk while collaborating with clinical faculty and administration.

Ideal candidates have a Bachelor's degree with RHIA/RHIT/CCS credentials and prior experience in coding, auditing, and regulatory guidance.