Inpatient Coding Compliance Specialist

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🕒 6 days ago

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Logo of Duke Careers

Duke Careers

10,000+ employees

Founded 1924

📚 Education

🤝 Non-profit

🌍 Social Impact

Education • Non-profit • Social Impact

Duke Careers is a platform connected to Duke University's rich legacy, established in 1924. It aims to celebrate the centennial of Duke University while providing resources, stories, and interviews that reflect the university's history, current achievements, and future aspirations. A key focus of Duke Careers is to engage with alumni and the community, showcasing the transformative impact of education and leadership within the university.

📋 Description

• Implement and maintain Compliance programs according to the Office of Inspector General's work plan • Educate providers on compliance with government regulations, especially related to Medicare and Medicaid • Conduct routine internal audits of provider documentation • Collaborate with physicians in improving documentation and coding capabilities • Review internal controls, policies, and procedures for compliance with guidelines • Communicate with Medicare/Medicaid Carriers and third-party payers regarding policies • Promote Compliance initiatives with clinical faculty and administration • Perform other related duties incidental to the work described.

🎯 Requirements

• Bachelor's degree in a relevant field • Four years of administrative experience in compliance, coding, and auditing principles related to insurance billing, collections, and revenue cycle functions • Two of the four years of experience should be with DRGs and APR-DRGs for technical coding • RHIA or RHIT or CCS required • CPC or CCS or RHIT or RHIA or CPMA required for professional coding • Specialty coding experience in surgical or E/M coding preferred. • Experience in formal teaching of coding is preferred.

🏖️ Benefits

• 100% remote work • $10,000 sign-on bonus that will pay out in 4 equal installments over 24 months - 6-month increments

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