Remote Inpatient Coding Compliance Specialist Sign-On

Duke University; Virginia; Remote; USD 85,000 - 120,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

Duke Health in the United States is seeking a Compliance and Revenue Integrity professional to implement and maintain programs within the Patient Revenue Management Organization. This role supports the entire health system by standardizing coding, billing, and compliance processes.

The position is 100% remote and requires knowledge of Medicare/Medicaid guidelines, HIPAA, and auditing practices. A Bachelor's degree plus RHIA/RHIT/CCS/CPC certifications are preferred.

Qualifications

• Bachelor's degree in a relevant field.
• Four years of administrative experience in compliance, coding, and auditing.
• RHIA/RHIT/CCS/CPC certifications.
• Experience with DRG/APR-DRG coding.
• Ability to educate providers on regulations.

Responsibilities

• Implement and maintain compliance programs per OIG work plan.
• Educate providers on Medicare/Medicaid guidelines, HIPAA, and Fraud and Abuse.
• Identify coding and billing risk areas and conduct reviews.
• Perform internal audits of provider documentation.
• Collaborate with physicians and staff to improve documentation, coding, and compliance.
• Review controls, policies, and procedures for compliance.

Skills

Compliance knowledge

Regulatory guidelines

Auditing

HIPAA

Communication

Education

Bachelor's degree

RHIA/RHIT/CCS/CPC certifications

Tools

DRG / APR-DRG coding

Job description

Duke Health in the United States is seeking a Compliance and Revenue Integrity professional to implement and maintain programs within the Patient Revenue Management Organization. This role supports the entire health system by standardizing coding, billing, and compliance processes.

The position is 100% remote and requires knowledge of Medicare/Medicaid guidelines, HIPAA, and auditing practices. A Bachelor's degree plus RHIA/RHIT/CCS/CPC certifications are preferred.