Duke Connected Care, a community-based, physician-led network, includes a group of doctors, hospitals and other healthcare providers who work together to deliver high-quality care to Medicare Fee-for-Service patients in Durham and its surrounding areas.

PRIVACY COMPLIANCE AUDITOR – CLINICAL RESEARCH

Location: Durham, NC, US, 27710

General Description of the Job Class

Identify and monitor potential privacy tasks and create corrective action. Work with DUHS Departments to develop effective privacy education and training programs, including orientation and annual training. Monitor regulatory change, assist appropriate DUHS areas to implement or revise processes to ensure compliance with privacy regulations.

Duties and Responsibilities of this Level

• Manage privacy audits of operational staff’s access to patient information, and investigate and resolve policy violations.
• Identify privacy risk areas, particularly in the area of clinical research, conduct focused privacy reviews, conduct trending analysis, and direct facility/departments to implement corrective action.
• Develop internal controls, policies, and procedures to ensure compliance with appropriate Duke Health policies, State and Federal guidelines.
• Investigate patient/research participant and family complaints and inquiries.
• Collaborate with administrators and HR staff to implement corrective action to address violations of policy and regulations and manage the completion of corrective action.
• Support DUHS privacy activities, specifically as it relates to clinical research operations, including the following:
• Develop and maintain policies and procedures related to the use and disclosure of individually identifiable health information, in accordance with Duke Health policies, procedures, state/federal laws, and best business practices.
• Assist and coordinate the development and delivery of departmental privacy/research training concerning privacy policies and procedures, protecting patient protected health information and release updates on new or updated policies, procedures, and regulations.
• Routinely present privacy training to bring awareness to privacy-related changes/updates to rules and regulations. Work with staff to modify workflows to ensure compliance and best practices are utilized.
• Provide guidance to Duke Health workforce members, including clinical research units, Duke Office of Clinical Research (DOCR), Duke Clinical Research Institute (DCRI), on privacy-related questions and timely address privacy-related issues and/or concerns that may arise during patient/study participant engagement, patient encounters, research studies and/or exempt/quality improvement projects.
• Write privacy-related articles in the monthly departmental newsletter, Compliance Quarterly, as well as DOCR Newsletter. Notify staff of privacy/compliance updates, announcements, and informational guides for staff via Compliance intranet.
• Perform other related duties incidental to the work described herein.

Required Qualifications at this Level
Education
Work requires a general business background generally equivalent to a Bachelor's degree in business administration, accounting, management, healthcare administration, other related degrees.

Experience
4 years of experience related to legal, regulatory compliance, patient advocacy, supervisory role in patient financial services or HIM services, or other relevant experience.

Degrees, Licensure, and/or Certification
N/A

Knowledge, Skills, and Abilities

• Knowledge of billing compliance, knowledge of Medicare/Medicaid regulations, including billing, coding, and documentation requirements. Coding certification (e.g. CPC, CCS, RHIA, RHIT) or applicable experience is preferred.
• In-depth knowledge of federal regulations
• Strong oral and written communication skills.

Distinguishing Characteristics of this Level
N/A

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.

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.