Role Title: Compliance Investigator - Clerk 7/8 Remuneration: $113,574 - $125,720pa, plus superannuation and leave loading - Opportunity Type: 2 Roles x Full-time/ Ongoing - Location: Sydney, Parramatta or Gosford with Hybrid working from home - This role sits within the Long Service Corporation in the Compliance & Enforcement team About the team: With the onboarding of the Community Services (Portable Long Service) Scheme, we are seeking highly motivated and experienced individuals to join the Compliance and Enforcement team. Be part of a growing team, contributing to a positive, cohesive and collaborative culture. About the role In this role, you will play a pivotal part in protecting the integrity of the schemes administered by the Long Service Corporation. You will be responsible for conducting end to end complex compliance and investigative activities into potential breaches of legislation administered, and deliver risk-based regulatory programs to promote, monitor and improve compliance outcomes across the Schemes This is an exciting opportunity to contribute to our vision for a safer community and vibrant economy by improving worker protections and ensuring those regulated by the Corporation understand and comply with legislative obligations. For more information on the role and its accountabilities, click here to view the role description. To be successful in this role you will demonstrate: - Attained a Cert IV in Government Investigations (or willingness to undertake the same), or higher relevant qualification - Experience in conducting proactive investigations resulting in a range of regulatory outcomes - Experience in conducting complex investigations and compiling briefs of evidence - Possess an understanding of criminal law, rules of evidence, criminal procedure and administrative law. - Ability to identify and proactively address risk throughout the investigation process - Ability to assess and analyse information to develop and present recommendations or investigation findings to senior staff - Experience in conducting investigations working collaboratively/alongside internal & external stakeholders. - Current NSW Drivers Licence and willingness to travel throughout the state when required Visit the Capability Application Tool to prepare for the recruitment process by accessing practice application and interview questions based on the focus capabilities listed in the role description. Careers at Department of Customer Service A career at the Department of Customer Service (DCS) gives you the opportunity to help improve government services and be part of reform that benefits people across NSW. We are focused on delivering excellent customer service, digital transformation, and regulatory reform. Come join us and influence the future of our great state. Belong in our diverse and inclusive workplace The strength of our workforce lies in its diversity and embracing difference, while the key to our success is leveraging the contributions of employees with different backgrounds and perspectives. You can view our full diversity and inclusion statement here.

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

Role Description Team ZAK is seeking a detail-oriented and highly organized Records Management Specialist to oversee the creation, classification, storage, retention, and disposal of company records. This role ensures that all physical and electronic records are maintained in compliance with legal, regulatory, and organizational standards. The ideal candidate will play a key role in safeguarding sensitive information, improving records systems, and promoting best practices in document control and information governance. Key Responsibilities - Records Administration - Develop, implement, and maintain records management policies and procedures. - Classify and organize physical and digital records according to retention schedules. - Maintain accurate filing systems and databases for efficient retrieval. - Ensure secure storage and proper handling of confidential information. - Compliance & Governance - Ensure compliance with applicable laws, regulations, and internal policies. - Monitor and enforce records retention and disposal schedules. - Prepare documentation for audits and regulatory reviews. - Assist in developing and updating information governance standards. - Digital Records & Systems Management - Manage electronic document management systems (EDMS). - Coordinate digitization and archival projects. - Monitor system access controls to protect sensitive data. - Identify opportunities to improve automation and workflow efficiency. - Training & Support - Provide guidance and training to staff on records management best practices. - Serve as a subject matter expert on document retention and information security. - Support departments with records retrieval and documentation requests. Qualifications - Bachelor’s degree in Information Management, Business Administration, Library Science, or related field preferred. - 3–5+ years of experience in records management, document control, or administrative support. - Knowledge of records retention regulations and compliance standards. - Experience with document management systems and database software. - Strong attention to detail and organizational skills. - Excellent written and verbal communication skills. - Ability to handle confidential information with discretion. Key Competencies - Organizational excellence - Analytical thinking - Process improvement mindset - Confidentiality and integrity - Time management and prioritization - Technical proficiency with records systems Benefits - Competitive compensation - Comprehensive benefits package - Professional development opportunities - Collaborative and supportive work environment - Opportunity to contribute to strong governance and operational efficiency

• Own all Medicare advertising submissions through the CMS Health Plan Management System (HPMS), including file & use and prior approval filings for MA, MAPD, and PDP materials • Submit and manage advertising materials through each contracted carrier’s co-op advertising portal or designated advertising review process • Track every filing from initial submission through final disposition—maintaining records of submission dates, carrier/CMS response dates, approval status, objections received, corrections made, and final approval confirmation • Respond to carrier and CMS objections promptly, coordinating corrected materials with internal staff and resubmitting within required timeframes • Monitor HPMS filing calendars, carrier advertising deadlines, and material expiration dates; initiate renewals and withdrawals proactively • Maintain a master advertising filing log covering all active, pending, approved, expired, and withdrawn materials across all carriers and plan types • Review all agency-produced advertising content against CMS Medicare Marketing Guidelines (MMG) before submission, including for example: direct mail pieces, print ads, digital display, paid social, email campaigns, radio/TV scripts, websites, landing pages, and sales event invitations • Identify non-compliant content (e.g., misleading benefit representations, prohibited comparisons, unauthorized use of Medicare or government seals, impermissible inducements, missing required disclosures, etc.) and direct corrections before any material is filed or published • Apply and verify all required disclaimers, co-branding requirements, and plan-specific benefit disclosure standards • Review other insurance (e.g., Medicare Supplement) advertising for compliance with applicable NAIC model standards and state-specific advertising regulations • Serve as the final compliance sign-off before any advertising asset is submitted to a carrier or CMS, or released for publication • Monitor CMS HPMS memos, Annual Marketing Review releases, and Medicare Marketing Guideline updates throughout the plan year; translate changes into clear, actionable guidance for agency staff and producers • Maintain an up-to-date reference library of advertising guidelines, required disclaimers, approved language, and plan-specific advertising rules for each contracted carrier (e.g., MA, MAPD, PDP, and Medicare Supplement) • Advise producers and agency leadership on what advertising content is and is not permissible under current CMS rules and carrier requirements • Support the agency’s response to carrier compliance audits, CMS oversight inquiries, and state Department of Insurance advertising reviews • Develop and maintain written SOPs for the advertising material lifecycle, from internal review through carrier/CMS submission, approval, publication, expiration, and withdrawal • Build and maintain filing documentation that would satisfy a carrier audit or CMS review at any point in the year • Report advertising compliance activity, filing volumes, approval rates, and outstanding items to agency leadership on a regular basis • Identify recurring content errors or process gaps and recommend corrections to prevent compliance exposure.