Compliance Specialist - North Carolina

Job Summary

To support compliance initiatives within a healthcare setting, the full-time remote Compliance Specialist - North Carolina will manage compliance programs, educate providers on regulations, and conduct internal audits to mitigate legal and financial risks.

Key responsibilities

• Implement and maintain compliance programs in line with government regulations and guidelines
• Educate providers on compliance issues, focusing on Medicare and Medicaid guidelines, HIPAA, and Fraud and Abuse
• Conduct routine internal audits and collaborate with staff to enhance documentation, coding, and compliance practices

Required qualifications

• Bachelor's degree in a relevant field
• Four years of administrative experience in compliance, coding, and auditing related to insurance billing
• Two years of experience with DRGs and APR-DRGs for technical coding roles
• RHIA, RHIT, or CCS certification required; CPC or CPMA preferred
• Experience in formal teaching of coding is preferred