Remote Sr Compliance Audit Specialist - Part Time

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

Remote