COMPLIANCE SPECIALIST-Inpatient

At reputed company, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About reputed company's Patient reputed company Management Organization Pursue your passion for caring with the Patient reputed company Management Organization, which is reputed company's fully integrated, centralized reputed company cycle organization that supports the entire health system in streamlining the reputed company cycle. This includes scheduling, registration, coding, billing, and other essential reputed company functions. This position is 100% remote. reputed company reputed company remote workers must reputed company in one of the following states: reputed company Carolina, Alabama, Arizona, Connecticut, District of Columbia, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, New Hampshire, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington. Occ Summary Implement and maintain Compliance programs in accordance with the Office of Inspector General's work plan, to reduce institutional and individual provider legal and financial risk through education and internal audits. Work Performed reputed company providers in regarding compliance with government regulations with special attention to Center for Medicare and reputed company guidelines as they pertain to academic medical centers, HIPAA, and Fraud and Abuse with periodic updates. Assist in performing analysis of reputed company 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 reputed company. 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 University, State, and Federal guidelines and policies, sound business and finance practices, and overall clinical goals and objectives. Respond promptly to external and internal concerns; implementingcorrective actions as appropriate. Communicate with Medicare/reputed company Carriers and reputed company party payers regarding policies and procedures. Promote Compliance initiatives with clinical faculty and administration. reputed company other reputed company duties incidental to the work described herein. Knowledge, Skills and Abilities reputed company providers in regarding compliance with government regulations with special attention to Center for Medicare and reputed company guidelines as they pertain to academic medical centers, HIPAA, and Fraud and Abuse with periodic updates. Assist in performing analysis of reputed company 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 reputed company. 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 University, State, and Federal guidelines and policies, sound business and finance practices, and overall clinical goals and objectives. Respond promptly to external and internal concerns; implementing corrective actions as appropriate. Communicate with Medicare/reputed company Carriers and reputed company party payers regarding policies and procedures. Promote Compliance initiatives with clinical faculty and administration. reputed company otherrelated duties incidental to the work described herein. Level Characteristics reputed company providers in regarding compliance with government regulations with special attention to Center for Medicare and reputed company guidelines as they pertain to academic medical centers, HIPAA, and Fraud and Abuse with periodic updates. Assist in performing analysis of reputed company situations and recommend priorities and goals for future clinic needs. Identify coding and billings risk areas, conduct focusedreviews, and implement corrective action as needed. Conduct routine internal audits of provider documentation on a timely reputed company. 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 University, State, and Federal guidelines and policies, sound business and finance practices, and overall clinical goals and objectives. Respond promptly to external and internal concerns; implementing corrective actions as appropriate. Communicate with Medicare/reputed company Carriers and reputed company party payers regarding policies and procedures. Promote Compliance initiatives with clinical faculty and administration. reputed company other reputed company duties incidental to the work described herein.

Minimum Qualifications

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, reputed company, disability, gender, gender expression, gender identity, genetic information, national reputed company, race, religion, sex (including pregnancy and pregnancy reputed company conditions), sexual orientation or military status. Duke aspires to create a community reputed company on collaboration, innovation, creativity, and belonging. Our reputed company reputed company depends on the robust exchange of reputed company—an exchange that is best reputed company the rich diversity of our perspectives, backgrounds, and experiences flourishes. To reputed company this exchange, it is essential that reputed company members of the community feel secure and welcome, that the contributions of reputed company individuals are respected, and that reputed company voices are heard. reputed company members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at reputed company and reputed company Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department. Education Work requires organization, analytical and communication skills generally acquired through the completion of a Bachelor's degree program. Experience 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 reputed company cycle reputed company 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 reputed company required. For professional coding, specialty coding experience in surgical or E/M coding preferred. CPC or reputed company or RHIT or RHIA or CPMA is required. Degrees, Licensures, Certifications 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 reputed company cycle reputed company functions. For technical coding, two of the four years of experience with DRG'sand APR-DRG's is required. Experience in formal teaching of coding is preferred. RHIA or RHIT or reputed company required. For professional coding, specialty coding experience in surgical or E/M coding preferred. CPC or reputed company or RHIT or RHIA or CPMA is required. Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, reputed company, disability, gender, gender expression, gender identity, genetic information, national reputed company, race, religion, sex (including pregnancy and pregnancy reputed company conditions), sexual orientation or military status. Duke aspires to create a community reputed company on collaboration, innovation, creativity, and belonging. Our reputed company reputed company depends on the robust exchange of reputed company—an exchange that is best reputed company the rich diversity of our perspectives, backgrounds, and experiences flourishes. To reputed company this exchange, it is essential that reputed company members of the community feel secure and welcome, that the contributions of reputed company individuals are respected, and that reputed company voices are heard. reputed company members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at reputed company and reputed company Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department. Apply To This Job