Job Description
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
Apply tot his job
Apply To this Job