North Carolina Licensed Compliance Specialist

Job Summary

To support compliance initiatives within the Patient Revenue Management Organization, the part-time North Carolina Licensed Compliance Specialist will implement and maintain compliance programs, conduct internal audits, and educate providers on government regulations, all while working remotely.

Key responsibilities

• Implement and maintain compliance programs in accordance with government regulations and internal policies
• Conduct routine internal audits of provider documentation and collaborate with staff to enhance compliance capabilities
• Educate providers on compliance issues, particularly regarding Medicare and Medicaid guidelines

Required qualifications

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