Senior Compliance Audit Specialist job at Spartanburg Regional Healthcare System in AL, AZ, CT, DE, FL, GA, IN, KS, KY, LA, MD, MI, NC, PA, RI, SC, VA, WV, WI

Title: Remote Sr Compliance Audit Specialist - Part Time Location: AL, AZ, CT, DE, FL, GA, IN, KS, KY, LA, MD, MI, NC, PA, RI, SC, VA, WV, or WI. United States Job ID:P-105398 undefined:EX126 widget: Part Time undefined: 8:30am-5pm Job Description: Job Requirements Lead meaningful oversight that protects every patient and join Spartanburg Regional Healthcare System as our Remote Sr Compliance Audit Specialist - Part Time! Location: 100 % remote. Applicants must live in one of the following states: AL, AZ, CT, DE, FL, GA, IN, KS, KY, LA, MD, MI, NC, PA, RI, SC, VA, WV, or WI. About Spartanburg Regional Healthcare System Spartanburg Regional Healthcare System is a trusted, community focused healthcare organization that has served the Upstate of South Carolina for more than 100 years. The system includes hospitals, physician practices, urgent care centers, and a wide range of specialty services. Every team member plays an important part in advancing high quality care, strengthening ethical practices, and supporting the communities the system proudly serves. Working within this environment means joining a team driven by purpose, collaboration, and integrity. What This Role Is All About The Remote Sr Compliance Audit Specialist - Part Time supports the organization through expert guidance in Evaluation and Management services, provider documentation, coding, billing, and education. This role plays an important part in strengthening provider compliance, improving billing accuracy, and supporting a strong culture of integrity across all clinical settings. This position serves as a knowledgeable resource for coding standards, billing expectations, and regulatory requirements. Work includes auditing, monitoring trends, developing educational materials, and analyzing provider utilization patterns. Collaboration occurs with clinical providers, medical directors, leadership groups, coders, and other stakeholders throughout the system. The role also contributes to corrective action plans, policy updates, training programs, and the development of tools that ensure proper documentation and compliance with state and federal guidelines. Work is both independent and collaborative, with opportunities to influence system wide practices that support organizational success and regulatory readiness. What You Bring on Day One Education High School Diploma or equivalent required Experience 5 to 7 years of experience in provider coding and billing Strong written and oral communication skills with the ability to manage challenging conversations Proficiency with Microsoft Office tools including Word, Excel, PowerPoint, and Outlook Extensive knowledge of CPT and ICD 10 CM guidelines Ability to work independently and collaborate effectively with others Licenses and Certifications Certification from AAPC or AHIMA CPC or CCS required Great to Have Education Bachelor's degree Experience 8 to 10 years of experience in coding, auditing, or related work Experience with provider fee audits, utilization analysis, statistical review, and report development Experience developing and presenting E and M guideline education Familiarity with EPIC, E and M University, 3M Encoder, and other coding tools Licenses and Certifications RHIT or RHIA What This Job Looks Like Work with the Privacy Officer, Compliance Director, VP Corporate Integrity, and clinical leaders to support activities related to E and M services Oversee and guide the development and maintenance of E and M auditing and monitoring policies Serve as the system's content expert for E and M requirements Present compliance data and documentation to leadership as needed Develop corrective action plans based on audit outcomes and create tools that support documentation improvement Build and deliver E and M education for providers, residents, coders, and other teams Provide direct instructional support to residency programs and assist during practice management rotations Promote awareness of E and M compliance across the system Manage the intake, documentation, and resolution of E and M related concerns or complaints Maintain current knowledge of federal and state laws, regulations, guidelines, and industry standards Monitor CMS, OIG, and related regulatory updates to identify areas of focus for E and M auditing Analyze monitoring outcomes and contribute recommendations for the annual Compliance Plan Review organizational and industry publications to stay informed of important developments in documentation, coding, and regulatory expectations Why You Will Love Working Here A chance to influence organization wide accuracy and ethical practices A supportive environment that values collaboration, expertise, and continuous learning Opportunity to work with clinical leaders, educators, and compliance professionals A role that directly supports patient care, provider success, and organizational integrity A respected healthcare system with more than 100 years of commitment to its community