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COMPLIANCE SPECIALIST
The Compliance Specialist is responsible for evaluating, analyzing, and maintaining an accurate and meaningful Coding database for the hospital services, reflective of patient mix and resource use through monitoring of coding compliance by the Office of Inspector General’s Work Plan, education, and internal audits.
Minimum Qualifications
Education
Work requires organization, analytical, and communication skills program generally acquired through the completion of a Bachelor's degree
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 revenue cycle-related functions. For technical coding, two of the four years of experience with DRGs and APR-DRGs 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 is preferred. CPC or CCS or RHIT or RHIA or CPMA is required.
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Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob 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.
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