Compliance Specialist – Inpatient

Emploi pas sur LinkedIn

🕒 il y a 6 jours

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Duke Careers

Duke Careers

10 000+ employés

Fondée en 1924

📚 Éducation

🤝 À but non lucratif

🌍 Impact social

Education • Non-profit • Social Impact

Duke Careers est une plateforme connectée à l'héritage riche de l'université de Duke, fondée en 1924. Elle vise à célébrer le centenaire de l'université de Duke tout en fournissant des ressources, des récits et des interviews qui reflètent l'histoire de l'université, ses réalisations actuelles et ses aspirations futures. Un des principaux axes de Duke Careers est d'interagir avec les anciens élèves et la communauté, mettant en avant l'impact transformateur de l'éducation et du leadership au sein de l'université.

Description

• Implement and maintain Compliance programs in accordance with the Office of Inspector General's work plan. • Educate providers regarding compliance with government regulations. • Assist in performing analysis of current situations and recommend priorities and goals for future clinic needs. • Identify coding and billings risk areas, conduct focused reviews, and implement corrective action as needed. • Conduct routine internal audits of provider documentation on a timely basis. • Collaborate with physicians and internal staff in development of improved capabilities in the areas of documentation, coding, and compliance. • Review internal controls, policies, and procedures to ensure compliance with appropriate guidelines. • Communicate with Medicare/Medicaid Carriers and third party payers regarding policies and procedures. • Promote Compliance initiatives with clinical faculty and administration.

🎯 Exigences

• Work requires organization, analytical and communication skills generally acquired through the completion of a Bachelor's degree program. • Four years of administrative experience to acquire competence in applying compliance, coding and auditing principles as they relate to insurance billing, collections, consulting, and other revenue cycle related functions. • For technical coding, two of the four years of experience with DRG's and APR-DRG's is required. • Experience in formal teaching of coding is preferred. • RHIA or RHIT or CCS required. • For professional coding, specialty coding experience in surgical or E/M coding preferred. • CPC or CCS or RHIT or RHIA or CPMA is required.

🏖️ Avantages

• Duke Health is committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation or military status. • Essential Physical Job Functions: Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

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