Remote Inpatient Coding & Compliance Specialist

Duke University; Washington (District of Columbia); Remote; USD 75,000 - 95,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

Duke Health is seeking a Compliance professional within the Patient Revenue Management Organization to implement and maintain programs that reduce risk across the revenue cycle. This role is 100% remote with opportunities to collaborate across campuses and physicians, focusing on education, audits, and process improvement in line with OIG and CMS guidelines.

You'll educate providers, perform routine internal audits, review controls and policies, and help advance documentation, coding, and

Qualifications

• Bachelor's degree in a related field is required.
• RHIA, RHIT or CCS certification is required.
• CPC/RHIT/RHIA/CPMA certifications are required for professional coding.

Responsibilities

• Implement and maintain compliance programs as per OIG work plan.
• Educate providers on CMS/HIPAA guidelines and related topics.
• Identify coding and billing risks and conduct focused audits.
• Collaborate with physicians and staff to improve documentation and compliance.
• Review internal controls to ensure university, state and federal guideline compliance.

Skills

Compliance programs

HIPAA compliance

Medicare/Medicaid guidelines

Audits

Documentation

Education

Bachelor's degree

RHIA or RHIT or CCS

CPC or RHIT or RHIA or CPMA

Tools

DRG/APR-DRG coding

Job description

Duke Health is seeking a Compliance professional within the Patient Revenue Management Organization to implement and maintain programs that reduce risk across the revenue cycle. This role is 100% remote with opportunities to collaborate across campuses and physicians, focusing on education, audits, and process improvement in line with OIG and CMS guidelines.

You'll educate providers, perform routine internal audits, review controls and policies, and help advance documentation, coding, and