Remote Inpatient Coding & Compliance Specialist

Duke University; Tennessee; Remote; USD 75,000 - 125,000; Full time

Benefits offered by this job

Sign-on bonus

Remote work

Job summary

Duke Health is seeking a Compliance and Coding Auditor to implement and oversee compliance programs across the revenue cycle. You will educate providers on government regulations, HIPAA, and fraud prevention while guiding corrective actions and audits.

Work with physicians and staff to strengthen documentation and coding practices, and liaise with Medicare/Medicaid carriers to align policies and procedures. This fully remote role supports Duke Health's commitment to compliant, high-quality care.

Qualifications

• Bachelor's degree in a relevant field.
• RHIA, RHIT, CCS, CPC or equivalent certification required.
• Four years in compliance, coding, or auditing in healthcare.

Responsibilities

• Educate providers regarding compliance with government regulations with emphasis on Medicare/Medicaid, HIPAA and Fraud & Abuse.
• Identify coding and billing risk areas, conduct focused reviews, and implement corrective actions.
• Perform routine internal audits of provider documentation on a timely basis.
• Collaborate with physicians and internal staff to improve documentation, coding, and compliance.
• Communicate with Medicare/Medicaid Carriers and third party payers regarding policies and procedures.

Skills

Regulatory compliance

Coding knowledge

Auditing

Education

Bachelor's degree

RHIA/RHIT/CCS/CPC certifications

Tools

DRG/APR-DRG coding

Job description

Duke Health is seeking a Compliance and Coding Auditor to implement and oversee compliance programs across the revenue cycle. You will educate providers on government regulations, HIPAA, and fraud prevention while guiding corrective actions and audits.

Work with physicians and staff to strengthen documentation and coding practices, and liaise with Medicare/Medicaid carriers to align policies and procedures. This fully remote role supports Duke Health's commitment to compliant, high-quality care.