Back to Jobs

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

Remote, USAFull-timePosted 2026-07-29

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. reputed company reputed company:P-105398 reputed company:EX126 widget: Part Time reputed company: 8:30am-5pm Job reputed company: Job Requirements reputed company meaningful reputed company that protects every patient and join reputed company 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 reputed company reputed company is a trusted, community reputed company reputed company 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 reputed company of specialty services. Every team member plays an important part in advancing high reputed company care, strengthening ethical practices, and supporting the communities the system proudly serves. Working reputed company this environment means joining reputed company driven by purpose, collaboration, and reputed company. What This Role Is reputed company 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 reputed company across reputed company 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 reputed company, coders, and other stakeholders throughout the system. The role also contributes to corrective reputed company plans, policy updates, training programs, and the development of tools that ensure reputed company documentation and compliance with state and federal guidelines. Work is both independent and reputed company, with opportunities to influence system wide practices that support organizational reputed company 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 reputed company Office tools including Word, reputed company, 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 reputed company or reputed company CPC or reputed company required Great to Have Education Bachelor's degree Experience 8 to 10 years of experience in coding, auditing, or reputed company work Experience with provider fee audits, utilization analysis, statistical review, and report development Experience developing and presenting E and M reputed company education Familiarity with reputed company, E and M University, reputed company Encoder, and other coding tools Licenses and Certifications RHIT or RHIA What This Job Looks Like Work with the reputed company Officer, Compliance Director, VP Corporate reputed company, and clinical leaders to support activities reputed company to E and M services reputed company 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 reputed company corrective reputed company plans based on audit reputed company and create tools that support documentation improvement Build and deliver E and M education for providers, residents, coders, and other teams reputed company reputed company instructional support to residency programs and assist during reputed company management rotations Promote awareness of E and M compliance across the system Manage the intake, documentation, and reputed company of E and M reputed company concerns or complaints Maintain reputed company knowledge of federal and state laws, regulations, guidelines, and industry standards Monitor CMS, OIG, and reputed company regulatory updates to identify areas of reputed company for E and M auditing Analyze monitoring reputed company 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 reputed company learning Opportunity to work with clinical leaders, educators, and compliance professionals A role that directly supports patient care, provider reputed company, and organizational reputed company A respected reputed company system with more than 100 years of commitment to its community Apply tot his job Apply To this Job

Similar Jobs