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Compliance Audit Specialist ( Evaluation and Management) Job in Spartanburg, South Carolina

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Job Title: Compliance Audit Specialist ( Evaluation and Management)

Employer:Spartanburg Regional Helathcare System
Required Certifications:CPC or CSS
Required Experience:1 to 2 years
Preferred Experience:5 to 7 years
Location:700 N. Pine St Spartanburg 29302, SC, US
Date Posted:1/11/2019
Under the direction of the Privacy Officer & Compliance Director and the Senior Compliance Audit Specialists, the Compliance Audit Specialist (CAS), Evaluation and Management (E&M), serves in a consultative role to the organization for all aspects of provider coding, billing and education. The position enhances provider documentation, coding and billing compliance through; auditing, monitoring and analysis of billing patterns, ongoing and routine audits and comprehensive, advisory and educational support. The position operates in partnership with clinical providers, medical directors, leadership, coders and other internal and external customers. By providing oversight and expertise in documentation, coding, billing and regulations, this position is integral to and directly influences the success of the organization's provider billing compliance and the organization's Corporate Integrity Department initiatives and annual work plan.



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