Remote Inpatient Coding Compliance Specialist

Duke University; Yuma (AZ); Remote; USD 80,000 - 110,000; Full time

Benefits offered by this job

Sign-on bonus $10,000

Job summary

Duke Health is seeking a healthcare compliance professional to implement and maintain programs within the Patient Revenue Management Organization. You will educate providers on compliance, perform internal audits, and collaborate across departments to strengthen documentation, coding, and billing practices.

The role emphasizes HIPAA, Medicare/Medicaid guidelines, and Fraud and Abuse controls, with a focus on reducing risk across the health system.

Qualifications

• Knowledge of HIPAA, Medicare/Medicaid guidelines, and fraud and abuse.
• Experience performing internal audits and education on coding and compliance.
• Ability to review controls and ensure compliance with university, state, and federal policies.
• Experience translating regulatory requirements into actionable processes.

Responsibilities

• Educate providers on government regulations with emphasis on compliance and coding accuracy.
• Conduct and document routine internal audits of provider documentation.
• Identify coding and billing risk areas and implement corrective actions.
• Collaborate with clinicians and staff to improve documentation, coding, and compliance processes.

Skills

HIPAA

Medicare/Medicaid guidelines

Fraud and Abuse

Internal audits

Documentation & coding

Education

RHIA or RHIT or CCS

Bachelor’s degree in a related field

CPC or CPMA certification

Tools

DRG’s

APR-DRG’s

Coding software

Job description

Duke Health is seeking a healthcare compliance professional to implement and maintain programs within the Patient Revenue Management Organization. You will educate providers on compliance, perform internal audits, and collaborate across departments to strengthen documentation, coding, and billing practices.

The role emphasizes HIPAA, Medicare/Medicaid guidelines, and Fraud and Abuse controls, with a focus on reducing risk across the health system.