- Coding Onboarding (20%): Provide coding onboarding support to the Manager of PB Coding Operations, Medicine, and Radiology Review of documentation guidelines for the coding of defined specialties for new employees or vendors or existing employees/vendors who are changing specialties Provide quality control reviews of onboarding cases and feedback to employees and vendors on a regular basis. Assist in onboarding new clinical sites, including education on PRMOprocesses processes and coding guidelines
- Coding Quality Control ( 40%): Processes coding-related edits that support defined specialty areas Review the coding of internal staff and external vendors on a monthly basis as a form of quality control Identification of coding and documentation trends for use in the education of coding staff and providers Provide a monthly QC report to the coding manager, including the quality and accuracy of coding f members and team in aggregate for defined
- Coding Education and Newsletters (40%): reviews charging and area and identifies trends that the manager or supervisor will utilize in providing education. o Provide education to coding staff, vendors, and providers on a monthly basis basis, including the coordination of Coding newsletters with each specialty Maintain a thorough understanding of medical record practices, standards, regulations, Joint Commission on Accreditation of Health Organizations (JCAHO), HealthCare/Finance Administration (HC FA), Medical Review of North Carolina (MRNC), etc.
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Compliance Specialist
1 week ago
Duke University Durham, United StatesAt Duke Health, 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 Duke Health's Patient Revenue Man ...
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Compliance Specialist
1 week ago
Insight Global Durham, United StatesStay updated on insurance laws, regulations, and industry trends to ensure compliance with all applicable guidelines. · Research and analyze regulatory requirements applicable to insurance products and policies. · Interpret regulatory guidelines and communicate requirements eff ...
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compliance specialist
1 week ago
Dukehealth Durham, United StatesAt Duke Health, were 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 Duke Healths Patient Revenue Mana ...
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Training and Compliance Specialist
4 days ago
Durham Coca-Cola Bottli Durham, United StatesJob Description · Job DescriptionSUPERVISES: This individual supervises no staff. · MAJOR WORKING · CONDITIONS: This individual works closely with Human Resources. Internal contacts are with management and employees. External contacts are with regulatory agencies, customers, insu ...
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Compliance Reporting Specialist IID
1 week ago
SCRAM Systems Durham, United StatesOn-Site · M-F · POSITION OVERVIEW: · The Compliance Reporting Specialist will be part of a centralized reporting function who is responsible for a wide range of duties related to maintaining accurate and time-sensitive records and reports to jurisdictional agencies, Probation Off ...
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Compliance Reporting Specialist IID
1 week ago
SCRAM Systems Durham, United StatesJob Description · On-Site · M-F · POSITION OVERVIEW: · The Compliance Reporting Specialist will be part of a centralized reporting function who is responsible for a wide range of duties related to maintaining accurate and time-sensitive records and reports to jurisdictional ag ...
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HUMACYTE GLOBAL INC Durham, United StatesJob Description · Job DescriptionThe Facilities and Metrology Compliance Specialist supports the Engineering, Facilities and Metrology Service Departments as a part of a rapidly expanding GMP Manufacturing Operations. · The Specialist will need to: · Produce high-quality docume ...
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E&O Compliance Specialist
1 week ago
Duke University Durham, United StatesOccupational Summary: Assist with planning, analyses, and implementation of strategies to ensure safety a nd regulatory compliance for construction, renovationand maintenance pr ograms for Duke Health facilities served by Engineering and Operations ( includes Duke University Hosp ...
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E&O Compliance Specialist
1 week ago
Duke University Durham, United StatesOccupational Summary: · Assist with planning, analyses, and implementation of strategies to ensure safety and regulatory compliance for construction, renovation and maintenance programs for Duke Health facilities served by Engineering and Operations (includes Duke University Hosp ...
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Compliance Specialist-PB Audit
1 week ago
Duke University Durham, United StatesAt Duke Health, 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 Duke Health's Patient Revenue Man ...
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Compliance Specialist-PB Audit
1 week ago
Dukehealth Durham, United StatesAt Duke Health, 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. · Is this the next step in your career F ...
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E&O Compliance Specialist
5 days ago
Duke University Durham, United StatesOccupational Summary: · Assist with planning, analyses, and implementation of strategies to ensure safety and regulatory compliance for construction, renovation and maintenance programs for Duke Health facilities served by Engineering and Operations (includes Duke University Ho ...
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E&O Compliance Specialist
1 week ago
Duke University Durham, United StatesOccupational Summary: Assist with planning, analyses, and implementation of strategies to ensure safety a nd regulatory compliance for construction, renovationand maintenance pr ograms for Duke Health facilities served by Engineering and Operations ( includes Duke University Hosp ...
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Compliance Specialist-PB Audit
1 week ago
Duke University Durham, United StatesAt Duke Health, 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 Duke Health's Patient Revenue Ma ...
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Compliance Specialist-PB Audit
3 days ago
Duke University Durham, United States Full timeCompliance Specialist-PB Audit · Work Arrangement: · Requisition Number: 243469 · Regular or Temporary: Regular · Location: Durham, NC, US, 27710 · Personnel Area: PRMO · At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their ...
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Compliance Specialist
1 week ago
WakeMed Raleigh, United StatesAbout WakeMed: · Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For mor ...
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Compliance Specialist
1 week ago
WakeMed Raleigh, United StatesThe Compliance Specialist will assist with all aspects of the day-to-day operation of WakeMed?s Corporate Compliance program. The Compliance Specialist?s responsibilities may include but not limited to maintaining and organizing information prepare r Compliance Specialist, Compli ...
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Compliance Specialist
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L & M Companies Inc Raleigh, United StatesJob Description · Job DescriptionTITLE: Compliance Specialist · REPORTS TO: Food Safety Manager · FLSA STATUS: Non-Exempt · LOCATION: Raleigh, NC · SUMMARY:The Compliance Specialist supports the company by ensuring rigorous compliance within both internal and external supply chai ...
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EC Compliance Specialist
1 week ago
Public School of North Carolina Chapel Hill, United StatesChapel Hill- Carrboro City Schools · Job Description · Job Title: Compliance Specialist - Exceptional Children · Salary Schedule: State Salary Schedule; CHCCS Salary Page · Reports To: Director of Compliance for EC · Salary Grade: Certified Teacher with Supplement · Work Location ...
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Butcher / Meat Sales Fresh Counter (m/f/d)
1 week ago
SilverTech South Hill, United StatesLocation: 93104 Sünching | Contract Type: Full/Part-time, permanent | Job ID: 779994 · What you will do: · The fresh food counter is the heart of our REWE market. Here, you share your passion for meat, sausage, and cheese and advise our customers with your expert knowledge: · You ...
compliance specialist - Durham, United States - Duke University
Description
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community.
About Duke Health's Patient Revenue Management Organization
Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle.
Quality Control position reporting to Manager of PB Coding Operations-Medicine and Radiology-that supports coding education and quality
Minimum Qualifications
Education
Work requires an organizational, 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.
Duke is an Affirmative Action/Equal Opportunity Employer 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 veteran status.
Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes.
To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard.
All members of our community have a responsibility to uphold these values.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.