Top 20 Licensing specialist Jobs in Holly Springs, Nc

COMPLIANCE SPECIALIST
Duke Health —Durham, NC
- Full-time
- Remote
- HIPAA
- Mid-level
- Administrative experience
10d
Specialist, Risk and Compliance Services (Onboarding)
Deloitte —Raleigh, NC
- $63,000 - $116,000 a year
- Full-time
- Microsoft Word
- Mid-level
- 3 years
Sr. Specialist, Compliance QA
Indivior —Raleigh, NC
- $88,000 - $108,000 a year
- Full-time
- 5 years
- ERP systems
- Computer skills
- Profit sharing
- Employee stock purchase plan
Specialist, Risk and Compliance Services (Center of Excellence)
Deloitte —Raleigh, NC
- $63,000 - $116,000 a year
- Full-time
- Microsoft Outlook
- Research
- Mid-level
Supply Chain Specialist 2, Compliance
FUJIFILM —Holly Springs, NC
- Bachelor of Science
- Writing skills
- Mid-level
- Wellness program
- Health savings account
Foreign-Trade Zone (FTZ) Compliance Specialist – North America
Lenovo —Morrisville, NC
- $70,000 - $80,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
3d
Part-time Standards & Compliance Specialist
Lenovo Center —Raleigh, NC
- From $17 an hour
- Part-time
- Background check
- Ability to walk for extended periods
- Ability to climb stairs
5d
Specialist, Risk and Compliance Services (PC)
Deloitte —Raleigh, NC
- $63,000 - $116,000 a year
- Full-time
- Microsoft Word
- Research
- Mid-level
ML Compliance and Family Engagement Specialist
Chapel Hill - Carrboro City Schools —Chapel Hill, NC
- Full-time
- High school
- Mid-level
- High school diploma or GED
2d
Inpatient Coding Compliance Specialist
Duke Health —Durham, NC
- Full-time
- Remote
- HIPAA
- Mid-level
- Administrative experience
Lease Compliance Specialist
Advance Auto Parts —Raleigh, NC
- Full-time
- Hybrid work
- Microsoft Excel
- Mid-level
- Office
Quick Apply
Privacy & Compliance Program Specialist
Lucid Software —Durham, NC
- Hybrid work
- 5 years
- Salesforce
- Mid-level
Quick Apply
Sr. Specialist, HR Compliance
MyEyeDr. —Raleigh, NC
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- 5 years
- Paid holidays
- Health insurance
Principal Quality Compliance Specialist, CVRM (Holly Springs)
Genentech —Holly Springs, NC
- $114,700 - $212,900 a year
- Online Application
- Bachelor's degree
- Mentoring
- Manufacturing
10d
Compliance Specialist
AECOM —Raleigh, NC
- $60 - $80 a year
- Full-time
- Clean driving record
- Bachelor of Science
- Pass drug screening
- AD&D insurance
- Employee stock purchase plan
Senior Reliability Compliance Specialist
Alliance for Cooperativ —Raleigh, NC
- 5 years
- Research
- Travel
Quick Apply
Specialist Manager, Risk and Compliance Services (Personal Consultation)
Deloitte —Raleigh, NC
- $93,000 - $171,300 a year
- Full-time
- 6 years
- CPA
- Research
Insurance Account Specialist (Commercial Insurance, P&C license required)
First Citizens Bank —Raleigh, NC
- Full-time
- Mid-level
- High school diploma or GED
- Bachelor's degree
10d

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COMPLIANCE SPECIALIST

Duke Health -
Durham, NC

Apply Now

Job Details

Full-time
10 days ago

Qualifications

Administrative experience
Bachelor's degree
Health insurance knowledge
Medical coding for surgical records

Full Job 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. No matter where your talents lie, join us and discover how we can advance health together.

Patient Revenue Management Organization

Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health.

This position is 100% remote. All Duke University remote workers must reside in one of the following states:

North 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.

Now offering a $10,000 sign-on bonus that will pay out in 4 equal installments over 24 months - 6-month increments.

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

Educate providers regarding compliance with government regulations with special attention to Center for Medicare and Medicaid guidelines as they pertain to academic medical centers, HIPAA, and fraud and abuse with periodic updates. Assist in performing analysis of current 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 basis. Collaborate with physicians and internal staff in the 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/Medicaid carriers and third-party payers regarding policies and procedures. Promote compliance initiatives with clinical faculty and administration. Perform other related duties incidental to the work described herein.

Knowledge, Skills and Abilities

Educate providers in regarding compliance with government regulations with special attention to Center for Medicare and Medicaid guidelines as they pertain to academic medical centers, HIPAA, and Fraud and abuse with periodic updates. Assist in performing analysis of current 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 basis. 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/Medicaid carriers and third-party payers regarding policies and procedures. Promote compliance initiatives with clinical faculty and administration. Perform otherrelated duties incidental to the work described herein.

Level Characteristics

Educate providers in regarding compliance with government regulations with special attention to Center for Medicare and Medicaid guidelines as they pertain to academic medical centers, HIPAA, and Fraud and Abuse with periodic updates. Assist in performing analysis of current 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 basis. 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/Medicaid Carriers and third party payers regarding policies and procedures. Promote Compliance initiatives with clinical faculty and administration. Perform other related duties incidental to the work described herein.

Minimum Qualifications

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 revenue cycle-related 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 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.

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 revenue cycle-related functions. For technical coding, two of the four years of experience with DRG's and APR-DRG's is required. Experience in informal 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.

Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. 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 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.

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Refine Your Search

licensing specialist jobs in holly springs, nc

COMPLIANCE SPECIALIST

Specialist, Risk and Compliance Services (Onboarding)

Sr. Specialist, Compliance QA

Specialist, Risk and Compliance Services (Center of Excellence)

Supply Chain Specialist 2, Compliance

Foreign-Trade Zone (FTZ) Compliance Specialist – North America

Part-time Standards & Compliance Specialist

Specialist, Risk and Compliance Services (PC)

ML Compliance and Family Engagement Specialist

Inpatient Coding Compliance Specialist

Lease Compliance Specialist

Privacy & Compliance Program Specialist

Sr. Specialist, HR Compliance

Principal Quality Compliance Specialist, CVRM (Holly Springs)

Compliance Specialist

Senior Reliability Compliance Specialist

Specialist Manager, Risk and Compliance Services (Personal Consultation)

Insurance Account Specialist (Commercial Insurance, P&C license required)