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
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 reputed company
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
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